Senior Workers Compensation Claims Advisor

GallagherVentura, CA
1dRemote

About The Position

At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate. You’ll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you’re not just improving clients' risk profiles, you’re building trust. You’ll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you’re ready to bring your unique perspective to a place where your work truly matters; think of Gallagher. Overview At Gallagher, we’re more than just an insurance brokerage. We’re a global team of service-minded individuals, innovative thinkers, and ethical professionals united by a commitment to one another’s growth and the pursuit of shared goals. As a Senior Workers Compensation Claims Advisor, you’ll join a collaborative and supportive environment where your expertise will make a real difference for our California-based clients. Join us at Gallagher, where your passion meets purpose, and together, we’ll champion The Gallagher Way.

Requirements

  • Bachelor's degree or commensurate experience
  • 5 years' related experience in California Workers Compensation claims.
  • Strong knowledge of California Workers Compensation claim and coverage issues.
  • Excellent written and verbal communication skills.
  • Strong knowledge and working ability to use all claims and business related software.

Nice To Haves

  • Workers Compensation insurance designations a plus.
  • Experience managing internal and external stakeholder relationships.

Responsibilities

  • Acts as an advocate for most complex clients and workers compensation claims, demonstrating advanced problem resolution skills and the ability to manage and communicate issues for key accounts by providing coverage advice to clients.
  • Reviews coverage positions and challenges adjusters as warranted while advocating the best possible outcome for clients in accordance with service standards.
  • Facilitates client meetings, claims reviews and vendor visits.
  • Responsible for negotiating changes in reserves for a positive client outcome, providing status reports to clients as required by any applicable service plan, and reviewing action plans and reserves.
  • Reviews all new problematic or complex workers compensation claims on designated clients and formulates a plan of action to achieve a favorable claim resolution.
  • Collaborate with the Account Executive or Producer on the account to resolve customer claim issues and reduce risk exposure.
  • Has the ability to shift between claim systems such as AMS360 and Applied Epic, properly documenting claim activity.
  • Perform 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
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service