Senior Claims Specialist, Workers' Compensation

Zenith Insurance Company (United States)

. Investigate, analyze, and determine the extent of the company’s liability concerning claims .

Posted 11/4/2026full-timeWoodland Hills • California • United StatesSenior💰 $98,878 - $123,597 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive knowledge in workers' compensation claims handling, including investigation, negotiation, and settlement processes. Proficient in managing claims caseloads while ensuring compliance with state regulatory standards.

Highest-signal resume keywords

Workers' Compensation Claims HandlingClaims Investigation and AnalysisSettlement NegotiationRegulatory ComplianceStrong Verbal and Written Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Payment CalculationData Integrity DocumentationBenefit Payment ApprovalCompensability InvestigationSettlement Evaluation

Soft Skills

Strong Math SkillsStrong Reading Skills

Certifications & Qualifications

High School DiplomaBachelor's Degree

Industry Keywords

California Workers' CompensationClaims Caseload ManagementThree-Point ContactSubrogationApportionment

About the role

Key responsibilities & impact

Investigate, analyze, and determine the extent of the company’s liability concerning claims
Attempt to effect settlement with claimants
Correspond with or interview medical specialists, agents, witnesses, and claimants to compile information
Calculate benefit payments and approve claims payments within an authorized monetary limit
Manage assigned claims caseload within published performance standards
Open new claims and complete three-point contact
Investigate compensability, possible subrogation, and apportionment
Set and maintain appropriate reserves throughout the life of claims
Document claims in systems while preserving data integrity
Create and execute action plans to bring cases to closure
Complete settlement evaluations and recommend settlement values
Negotiate settlements with injured workers and/or their attorneys
Maintain regular contact with injured workers, employers, and agents
Work under limited direction on highly complex assignments

Requirements

What you’ll need

High School Diploma or equivalent required
Bachelor’s Degree or equivalent required
5+ years workers’ compensation Claims handling experience for California required
Advanced technical workers’ compensation Claims knowledge
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
Candidates must be located near and able to commute to one of Zenith’s California offices in Woodland Hills, San Diego or Orange on designated in-office days

Benefits

Comp & perks

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
3 weeks/year Vacation
2 weeks/year Sick Leave
10 paid Company Holidays
2 Personal Days
2 Floating Holidays
Employee Assistance Program (EAP)
Work-life balance
Ongoing learning and development
Career advancement opportunities