Senior Workers Compensation Claims Adjuster - California

Gallagher•Sacramento, CA

73d•Remote

About The Position

Gallagher Bassett is hiring a Senior Workers Compensation Claims Adjuster to manage California workers’ compensation claims. The position is eligible for fully remote work. The adjuster will apply claims-management experience to analyze exposure, determine appropriate courses of action, and resolve claims. The role involves working with claimants, clients, and other parties throughout the claims process, providing empathetic customer service, and handling claims in accordance with client and corporate policies, procedures, statutory and regulatory requirements, and ethical standards. Timely and efficient documentation and communication of claim activity are important to supporting claim outcomes. The adjuster will investigate, evaluate, and resolve complex claims, partner with clients to improve claims management, and use critical thinking, problem-solving, planning, and prioritization to serve clients and claimants. The posting seeks someone with at least five years of related claims experience, including experience adjusting a full indemnity desk and litigation, and California workers’ compensation jurisdictional experience. A California adjuster designation is required; SIP is optional.

Requirements

Minimum of 5 years of related claims experience; the overview specifies 3–5+ years adjusting a full indemnity desk plus litigation.
California workers’ compensation jurisdictional experience.
Active California adjuster designation required; SIP designation is optional.
High school diploma.
Appropriately licensed and/or certified in all states in which claims are handled.
Knowledge of accepted industry standards and practices.
Computer experience with related claims and business software.

Nice To Haves

Bachelor’s degree.
SIP designation.

Responsibilities

Analyze claims exposure, make decisions, plan appropriate courses of action, and resolve claims.
Interact with parties involved in the claims process to support communication and resolution.
Provide empathetic customer service to claimants on behalf of clients.
Handle claims in accordance with client and corporate policies, procedures, statutory and regulatory requirements, and ethical standards.
Document and communicate claim activity accurately and promptly.
Investigate, evaluate, and resolve complex workers’ compensation claims.
Partner with clients to deliver solutions and improve the claims-management process.
Think critically, solve problems, plan, and prioritize work to serve clients and claimants.