Workers' Comp Claims Specialist

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

Posted 9/25/2026full-timeFresno • California • United StatesMid-LevelSenior💰 $78,101 - $105,762 per yearWebsite

Key responsibilities & impact

Investigate, analyze, and determine the extent of the company's liability concerning claims
Attempt to effect settlements with claimants
Correspond with or interview medical specialists, agents, witnesses, and claimants to compile information
Calculate benefit payments and approve claims payments within authorized monetary limits
Manage assigned claims within published performance standards
Open new claims, complete three-point contact, and investigate compensability, subrogation, and apportionment
Set and monitor appropriate reserves throughout the life of each claim
Follow system documentation procedures to preserve data integrity
Create and execute action plans to bring cases to closure
Complete settlement evaluations, recommend settlement values, and negotiate settlements with injured workers and/or attorneys
Maintain regular contact with injured workers, employers, and agents
Apply logical thinking to define problems, collect data, establish facts, and draw conclusions
Perform other duties as assigned

What you’ll need

High School Diploma or equivalent combination of training/experience required
3+ years Workers' Comp claim or insurance experience required
CA hours must be up to date
Meets all state regulatory standards regarding licensing, continuing education, and other requirements
Basic technical workers’ compensation Claims knowledge
Strong verbal and written communication skills, with emphasis on telephone communication
Strong math and reading skills
Must be located near and able to commute to one of Zenith's California offices on designated in-office days
Self-insured designation preferred
Bachelor's Degree or equivalent combination of training/experience preferred
Bilingual Spanish is a plus

Comp & perks