Claims Adjuster Workers Compensation

Gallagher•Sacramento, CA

17h•Remote

About The Position

At Gallagher Bassett, the Claims Adjuster Workers Compensation helps clients and claimants navigate challenging moments by managing workers compensation claims with empathy, precision, and partnership. The position applies claims management experience to analyze exposure, determine appropriate courses of action, and resolve claims. The role handles California-jurisdiction claims and is fully remote. An active California adjuster’s license is required; SIP is optional. The adjuster investigates, evaluates, and resolves complex workers compensation claims, working with clients and other parties involved in the claims process. The role provides customer service to claimants, handles claims according to client and company policies and applicable statutory, regulatory, and ethical requirements, and documents and communicates claim activity promptly. The adjuster also identifies solutions and helps improve the claims management process while planning and prioritizing work to serve clients and claimants effectively.

Requirements

High school diploma.
At least 2 years of related claims experience.
Workers compensation claims background.
At least 2 years of jurisdictional experience.
Active California adjuster’s license; SIP designation is optional.
Appropriate licensure and/or certification in all states where claims are handled.
Knowledge of accepted industry standards and practices.
Computer experience with related claims and business software.

Nice To Haves

Bachelor’s degree.

Responsibilities

Analyze claims exposure, decide on an appropriate course of action, and resolve claims.
Interact with parties involved in the claim process to support effective communication and resolution.
Provide empathetic customer service to claimants on behalf of clients throughout the claims process.
Handle claims in accordance with client and corporate policies, procedures, industry practices, and statutory, regulatory, and ethical requirements.
Document and communicate claim activity accurately and in a timely and efficient manner.
Investigate, evaluate, and resolve complex workers compensation claims using analytical skills and informed decision-making.
Partner with clients to deliver solutions and improve the claims management process.
Think critically, solve problems, and plan and prioritize tasks to serve clients and claimants effectively.