Claims Adjuster

Gallagher•Phoenix, AZ

About The Position

At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate. You’ll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you’re not just improving clients' risk profiles, you’re building trust. You’ll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you’re ready to bring your unique perspective to a place where your work truly matters; think of Gallagher.

Requirements

State of Arizona P & C Adjuster’s License
Strong work ethic, initiative, and motivation
Knowledge of CPT, HCPCs, revenue, and ICD-9/10 codes
Knowledge of HCFA, UB, RX, and dental claim forms
Thorough knowledge of medical terminology
Proficiency with Excel, Word, and general office software systems
Excellent time management and organization skills with high attention to detail
Exceptional follow up and customer service and skills
Excellent communication skills—both verbal and written
Ability to work well under pressure and multi-task in a fast-paced environment
Required: High school diploma and 3 years related claims experience required.
Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
Knowledge of accepted industry standards and practices.
Computer experience with related claims and business software.

Nice To Haves

WCCP and/or AIC designation a plus
Bachelor's Degree preferred.
Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Analytical skill necessary to make decisions and resolve issues inherent in handling of claims.
Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.

Responsibilities

Processing a case load of medical-only workers’ compensation claims
adjudicating a high volume of medical bills in accordance with regulations, policies, procedures, and guidelines
meet production and quality standards
providing exceptional customer service to our members (school districts), claimants, medical providers, and vendors
preparing professionally written correspondence
conducting thorough investigations and determining compensability of claims
medical case management
maintaining appropriate case reserving, electronic claim notes, and plan of action
participating in in-person meetings and claims reviews with members
perform follow up on open and pending claims/bills to achieve conclusion
adhering to established Best Practices, procedures, statutes, regulation, and laws.

Benefits

Medical/dental/vision plans, which start from day one!
Life and accident insurance
401(K) and Roth options
Tax-advantaged accounts (HSA, FSA)
Educational expense reimbursement
Paid parental leave
Digital mental health services (Talkspace)
Flexible work hours (availability varies by office and job function)
Training programs
Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
Charitable matching gift program