Claims Examiner

Gallagher•Oakland, CA

1d•Remote

About The Position

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. As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive. The Claims Examiner is responsible for liability claims and property damage claims to their conclusion in the most cost-effective way possible for the client. In addition, the Claims Examiner will be responsible for recognizing claims involving coverage issues and present them to the Claims and Coverage Committees for referral to counsel. This is a remote position located in California.

Requirements

High school diploma and 5 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.
Extensive 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 complex issues inherent in handling losses.
Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.

Nice To Haves

Bachelor's degree preferred.

Responsibilities

Review assigned claims within the PLCA guidelines.
Prepare appropriate response letter to Government Claims within the required timelines.
Assignment of Investigations.
Review investigative reports, evaluate damages and make recommendations to clients regarding assigned files.
Direct attorneys on litigated files and control defense costs.
Prepare timely Reports to Reinsurers.
Prepare appropriate write ups for JPA’s/ Superpools on a quarterly basis.
Monitor/adjust reserves when developments occur.
Review files for Subrogation potential and actively pursue subrogation.
Manage and respond to client inquiries.
Maintain accurate statistical data in computer.
Assist in client file reviews.
Attend Court ordered Mediations/MSC’s or any meeting required to facilitate settlement
Bill at minimum 80% of the work day.
Other duties as assigned.

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