Senior Claims Examiner, Complex Liability

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 Senior Claims Examiner will be responsible for managing complex liability claims, employment & civil rights claims to their conclusion in the most cost-effective way possible for the client. In addition, the Sr. Claims Examiner will be responsible for recognizing claims involving coverage issues and bring to the Claims and Coverage Committees for referral to counsel. This is a remote position located in California.

Requirements

High school diploma and 7 years related experience working within the applicable specialty claims area.
Demonstrated ability to handle unique/challenging claims issues at a senior adjuster level.
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 highly preferred.
10 or more years of prior experience adjusting claims in applicable specialty area highly preferred.

Responsibilities

Manages the full life cycle of complex general liability claims in accordance with PLCA guidelines and client expectations.
Responsibilities include analyzing coverage, assigning and reviewing investigations, evaluating damages, and recommending settlement strategies.
Prepares timely reports for reinsurers, JPAs, and Superpools, and maintains accurate statistical data.
Directs defense counsel, controls litigation costs, and attends mediations or settlement conferences as needed.
Actively pursues subrogation opportunities and adjusts reserves based on claim developments.
Drafts coverage letters, negotiates settlements, and ensures compliance with statutory and ethical standards.
Provides guidance to junior adjusters and supports client file reviews.
Maintains a minimum billing productivity of 80% daily and performs 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