Senior Claims Examiner

Gallagher • Pleasanton, CA

16h • 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 Senior Claims Examiner, you’ll play a vital role in helping businesses and individuals navigate complex Workers' Compensation claims. This is your opportunity to make a meaningful impact by resolving claims efficiently, mitigating risks, and delivering exceptional service.

Requirements

• High school diploma
• 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

• Manage Workers' Compensation indemnity claims, ensuring they are handled with care and precision.
• Oversee complex claim issues, leveraging expertise in litigation management and lien resolution to achieve fair outcomes.
• Maintain accurate claim diaries, update reserves, and ensure timely reporting to key stakeholders.
• Collaborate with legal teams.
• Identify opportunities for subrogation.
• Work closely with clients to maintain satisfaction.
• Prepare and attend file reviews to ensure claims are progressing effectively.
• Negotiate settlements and resolve outstanding liens.
• Monitor and guide defense attorneys to achieve optimal outcomes.
• Ensure compliance with all regulatory requirements and deadlines.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED