Claims Examiner, Workers' Compensation
About The Position
At Gallagher, a Claims Examiner takes ownership of indemnity claims and ensures their timely, accurate resolution. The role involves providing strong customer service to clients, applying lien-resolution expertise to routine claims without legal representation, and maintaining high standards of service and efficiency. The position is remote and based in California; candidates must reside in the state. Keenan, part of Gallagher, is an insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Its areas of focus include employee benefits, workers' compensation, loss control, financial services, and property and liability.
Requirements
- High school diploma.
- Three years of related claims experience.
- Appropriately licensed and/or certified in all states where claims are handled, or able to obtain the licenses or certifications according to 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, communicate effectively verbally and in writing, and embrace new challenges.
- Analytical skill to make decisions and resolve issues inherent in handling claims.
- Ability to negotiate the settlement and disposition of claims, including interpreting 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
- Competitive compensation.
- Comprehensive benefits programs designed to support well-being.
- Career development opportunities and ongoing learning.
- Collaborative, people-first culture with accessible leadership.
- Opportunity to do meaningful work with global reach and local impact.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
