Claims Assistant

Zenith Insurance Company • East Norriton Township, PA

11d • $44,086 - $49,597 • Hybrid

About The Position

Under general supervision, performs diverse and complex clerical duties requiring thorough knowledge and understanding of all applicable procedures and policies. Tasks require judgment and initiative.

Requirements

• High School Diploma or equivalent required
• Strong verbal and written communication skills with emphasis on telephone communication required.
• Strong math and reading skills required.
• Meets all state regulatory standards regarding licensing, continuing education, and other requirements.
• Strong skills in time management, organization, and problem solving required.

Nice To Haves

• Prior Workers’ Compensation Claims assistant experience preferred.
• Basic technical workers’ compensation Claims knowledge preferred.
• Spanish is a plus
• Bilingual skills preferred.

Responsibilities

• Responsible for assisting examiners and management of assigned caseload by performing clerical functions according to the Zenith timeframes and guidelines.
• Performs detailed telephone investigations and maintains disability status checks with physicians and policyholders as directed by examiner.
• Arranges medical examinations; may send physician cover letter with assistance or approval of examiner, and compose routine narrative memorandums and letters as directed by examiner.
• Prepares and types legal documents; Answers, Declaration of Readiness to Proceed, Compromise and Release, and other related forms and memorandums.
• Makes disability and medical payments within given authority.
• Inputs and monitors automatic disability schedule payments and cancellations.
• Timely management of assigned tasks by systems diary.
• Proficient use of computer to include Claims information, coverage, DWC notices and payment verification.
• Word, Outlook Calendar, E-Mail, Performa, and Zeus knowledge required.
• Calculate wage statements and make appropriate adjustments in the system.
• Understands and complies with medical management protocols and standards.
• May assume back-up in absence of examiner.
• Assists in training of Claims assistants and other clerical personnel.
• Works productively and harmoniously with others on a consistence basis.
• Respond positively to direction and criticism of performance.
• Consistently maintain professional and appropriate demeanor.
• Perform other duties as assigned.

Benefits

• Medical, Dental and Vision Insurance
• Flexible Spending Accounts
• Paid Parental Leave
• Life, AD&D and Disability Insurance
• 401(k), Employee Share Purchase Plan (ESPP)
• Education and Training Reimbursement
• Paid Leave: 3 weeks/year Vacation, 2 weeks/year Sick Leave
• 10 paid Company Holidays, 2 Personal Days, 2 Floating Holidays
• Employee Assistance Program (EAP)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED