Claims Examiner

Gallagher•Rancho Cordova, CA

1d•Remote

About The Position

This is a remote position based in California, and candidates must reside within the state. Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability. Keenan is committed to delivering innovative solutions that protect and empower the communities we serve. At Gallagher, we’re united by a commitment to excellence and innovation. As a Claims Examiner, you’ll take ownership of indemnity claims, ensuring timely and accurate resolution. You’ll use your strong customer service skills to interact with clients and your expertise in lien resolution to handle routine claims without legal representation. From managing diaries to negotiating settlements, you’ll play a critical role in maintaining our high standards of service and efficiency.

Requirements

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.
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.

Nice To Haves

Bachelor's Degree preferred.

Responsibilities

Maintain accurate claim diaries and update notes in IVOS.
Identify, prevent, and mitigate potential penalties.
Report excess files, SIU/Fraud cases, and subrogation opportunities.
Prepare and attend file reviews, ensuring timely claim resolutions.
Negotiate settlements, oversee legal referrals, and manage defense attorneys.
Ensure compliance with reporting deadlines and update reserves as needed.
Maintain a 100% closing ratio on active accounts and reduce runoff accounts by 25% annually.
Provide exceptional client and claimant satisfaction through timely communication and resolution.

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