- Directs, controls, monitors and provides technical and supervisory guidance to the assigned Claims unit(s).
- Evaluates performance according to established, Zenith's standards of performance.
- Prepares performance appraisals and recommends salary action for staff in unit in accordance with company policy.
- Participates in interview and hiring process and trains new employees assigned to unit.
- Responsible for Claims management of cases assigned to unit, which may include special accounts, within the guidelines of published performance standards, company claim policy and regulatory requirements.
- Analyzes Claims, sets reserves, determines liability, pays benefits and settles Claims within designated dollar authority level and according to company policy and regulatory requirements.
- Makes timely investigation assignments and rehabilitation referrals including early return to work programs.
- Assigns cases to SIU as appropriate.
- Maximizes utilization of company medical cost containment programs.
- Prepares cases in litigation adequately and appropriately for MSCs and trials.
- Communicates with policyholders, injured workers and others in a professional and timely manner.
- May assist in preparation of agent status reports and policyholder claim reviews.
- May be assigned as account coordinator to large policyholders.
- Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions.
- 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.
- High School Diploma Or equivalent required
- Bachelor's Degree or equivalent combination of training/experience required.
- 6+ Years experience handling workers' compensation indemnity Claims; to include settlement negotiation of litigated Claims required.
- Must demonstrate supervisory potential; previous experience or education acquired through seminars and classes preferred.
- Advanced knowledge of regulatory requirements and prevailing case law required.
- Excellent verbal and written communication skills necessary.
- PC literacy required.
- Good time management, organizational and negotiation skills a must.
- Meets all state regulatory standards regarding licensing, continuing education, and other requirements.
-
Worker's Compensation Claims Supervisor
3 weeks ago
Zenith Fresno, United StatesThis role is eligible to participate in Zenith's hybrid work schedule which provides the flexibility to work from home on select days of the week according to the in-office schedule established by regional executive leadership. · Must have Workers' Compensation experience and ap ...
-
Claims Analyst
3 weeks ago
Fresno PACE by Innovative Integrated Health Fresno, United StatesWho We Are · Are you interested in working for an organization whose mission it is to enable frail, underserved, and multicultural senior communities to live independently at home and in their communities, for as long as possible? · Fresno Program of All-Inclusive Care for the El ...
-
Account Manager Lead
5 days ago
Alliant Insurance Services Fresno, United StatesSUMMARY · Responsible for providing customer service and overall service of assigned customers and/or policies on large market accounts. Supports Producer in soliciting of new business and other Producer-led new business efforts. Provides mentoring to staff to support immediate s ...
-
Insurance Collector
1 day ago
Houston Methodist Fresno, United States Full timeInsurance Collector - Physician Billing (Medical Center) · REFER A FRIEND Current Employees Apply BACK Location: Telecommute Job Ref: 56681 Talent Area: Administrative Job Shift: 1st - Day Job Type: Full-Time Posted Date: May 28, 2024 At Houston Methodist, the Account Represe ...
-
state park peace officer supervisor
4 weeks ago
State of California Fresno, United StatesJob Posting: State Park Supervising Ranger · Department of Parks & Recreation · JC State Park Supervising Ranger · STATE PARK PEACE OFFICER SUPERVISOR (RANGER) $6, $8,815.00 per Month · Final Filing Date: 5/9/2024 · Application Methods: Electronic (Using your CalCareer Acc ...
-
special investigator
2 weeks ago
State of California Fresno, United StatesJob Posting: Special Investigator · Department of Transportation · JC Special Investigator · SPECIAL INVESTIGATOR $5, $8,686.00 per Month · Final Filing Date: 5/23/2024 · Application Methods: Electronic (Using your CalCareer Account) By Mail Drop-off Job Description and ...
-
industrial relations representative
6 days ago
Department of Industrial Relations Fresno, United StatesJob Description and Duties · Are you excited to start a career with a dynamic State Agency? Do you have a talent for performing efficiently in a fast-paced environment? Do you enjoy flexibility and learning new things? Then look no further and apply NOW. The Labor Commissioner's ...
-
disability insurance program representative
6 days ago
Employment Development Department Fresno, United StatesJob Description and Duties · Under supervision, the Disability Insurance (DI) Services Representative will determine claimant eligibility for State Disability Insurance (SDI) Program benefits including Disability Insurance, Paid Family Leave, and Nonindustrial Disability; will c ...
-
Recycling Operations Supervisor
2 weeks ago
Schnitzer Steel Industries Inc Fresno, United States Full timeThe Recycling Operations Supervisor (ROS) reports to the Recycling Operations FE or NF Manager, Recycling Operations Facility Manager I or II and is responsible for ensuring that all efforts are compliant with the company's Health, Safety and Environmental regulations. The ROS mo ...
-
Pleasant Valley State Prison Fresno, United StatesJob Description and Duties · Position is located at: Pleasant Valley State Prison 24863 W. Jayne Ave. Coalinga, Ca 93210 · Under the close supervision of the Staff Services Manager I, the Mechanical and Technical Occupational Trainee (MTOT) will perform a variety of clerical dut ...
-
Medical Claims Examiner
3 weeks ago
TEKsystems Fresno, United States: · The Claims Examiner I reports to the Supervisor of Claims. Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements, department guidelines, as well as ...
-
Workers Compensation Adjuster III
2 weeks ago
Intercare Insurance Fresno, United StatesJob Description · Job DescriptionWorkers Compensation Adjuster III Summary:Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company ...
-
Claims Analyst
4 weeks ago
Fresno PACE by Innovative Integrated Health Fresno, United StatesWho We Are · Are you interested in working for an organization whose mission it is to enable frail, underserved, and multicultural senior communities to live independently at home and in their communities, for as long as possible? · Fresno Program of All-Inclusive Care for the ...
-
Tristar Insurance Services LLC Fresno, United StatesJob Details · Level · Experienced · Job Location · Fresno Office - Fresno, CA · Remote Type · Fully Remote · Position Type · Full Time · Education Level · High School Diploma or GED · Salary Range · $ $45.00 Hourly · Travel Percentage · None · Job Shift · Day · Jo ...
-
Vice President Operations
5 hours ago
Valley Children's Healthcare Fresno, United StatesVice President Operations · Please note this position will be an employee of Compass Health Administrators located in Fresno, CA · Compass Health Administrators is a leading Third Party Administration firm based in Fresno, CA. At Compass, employee benefits is more than our indu ...
-
HR Coordinator
1 week ago
PrideStaff Fresno, United StatesUnder the supervision of the Human Resources Manager, the incumbent will be responsible for coordination of benefit programs and services as well as providing administrative support to the Human Resources and Payroll staff. · Typical responsibilities include but are not limited ...
-
Senior Client Service Manager
2 weeks ago
Arthur J Gallagher & Co. Fresno, United StatesWelcome to Gallagher - a global leader in insurance, risk management, and consulting services. With a growing team of more than 45,000 professionals worldwide, we empower businesses, communities, and individuals to thrive. At Gallagher, you can build a career whether it's with ou ...
-
District Administrator
3 weeks ago
Calwa Recreation & Park District Fresno, United StatesJob Description · Job DescriptionJOBTITLE: DISTRICT ADMINISTRATOR · BASIC FUNCTION: · Under administrative direction of the Calwa Recreation and Park Board of Directors, plans, organizes, coordinates and directs the programs and activities of the Districts; formulates department ...
-
Customer Care Representative
4 weeks ago
Lennar Fresno, United StatesLocation: · Location: · Customer Care Representative in Fresno at Lennar Homes **Location:** · **Experience:** · Not Specified **Job Description** · **Overview** · Interfaces with homebuyer and trade partners to perform final orientations and diagnose, schedule and complete ...
-
Revenue Cycle Specialist II
4 weeks ago
Cedars-Sinai Fresno, United StatesJob Description Align yourself with an organization that has a reputation for excellence Cedars Sinai was awarded the National Research Corporations Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. Join us Discover why U.S. Ne ...
Claims Supervisor - Fresno, United States - Zenith
Description
Zenith is a team of Workers' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. To distinguish ourselves as the desired provider of Workers' Compensation Insurance, values such as collaboration, work-life balance, and integrity are placed at the center of all our operations. In addition, Zenith supports career advancement through a dedication to ongoing learning and development. An individual coming to Zenith will not only receive competitive compensation and a comprehensive benefits package, but continuous opportunities to grow as a professional.
Under general supervision, responsible for the supervision and Claims management of a Claims unit. Provides technical guidance and training to personnel. Evaluates standards of performance of technical and clerical direct reports relative to branch/corporate objectives.
The essential responsibilities of this position include, but are not limited to, the following:
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Zenith Insurance Company.
#LI-EF1
#CB
