Workers' Compensation Senior Claims Specialist - California

Zenith Insurance Company•Los Angeles, CA

1d•$98,878 - $123,597•Hybrid

About The Position

Zenith is hiring a Workers' Compensation Senior Claims Specialist to manage complex California workers' compensation claims. The role investigates claims, evaluates liability and compensability, determines appropriate reserves and benefits, and seeks settlements with claimants. It involves gathering information from injured workers, medical specialists, employers, agents, witnesses, and attorneys while maintaining accurate claim documentation and applying Zenith and state guidelines. Under limited direction and within broad authority, the specialist manages an assigned caseload, develops and executes action plans to bring claims to closure, and negotiates settlements within delegated authority. The position also requires regular relationship-building contact with injured workers, employers, and agents, as well as professional, collaborative conduct. Candidates must be located near and able to commute to Zenith's Woodland Hills, San Diego, or Orange, California offices on designated in-office days; the role supports a hybrid work environment.

Requirements

High school diploma or equivalent required.
Bachelor’s degree or equivalent required.
At least 5 years of California workers’ compensation claims handling experience required.
Advanced technical knowledge of workers’ compensation claims.
Strong verbal and written communication skills, particularly telephone communication.
Strong math and reading skills.
Meet all state regulatory standards regarding licensing, continuing education, and other requirements.
Be located near and able to commute to Zenith's California offices in Woodland Hills, San Diego, or Orange on designated in-office days.

Responsibilities

Manage assigned claims caseload within published performance standards and delegated authority.
Open new claims, complete three-point contact, and investigate compensability, subrogation, and apportionment as applicable within state and Zenith timeframes and guidelines.
Set appropriate reserves and monitor their accuracy throughout the life of each claim, reevaluating and recommending reserves when new information is received.
Follow system documentation procedures to preserve data integrity.
Create and execute action plans to bring claims to closure.
Complete detailed settlement evaluations, recommend appropriate settlement values within authority, and negotiate settlements with injured workers and/or their attorneys.
Maintain regular contact with injured workers, employers, and agents to develop positive relationships and establish credibility.
Apply logical thinking to define problems, collect data, establish facts, and draw valid conclusions.
Work productively and harmoniously with others, respond positively to direction and performance feedback, and maintain a professional demeanor.
Perform other duties as assigned.