• Adjudicate medical, dental and mental health claims in accordance and compliance with plan provisions, state and federal regulations, and CareOregon policies and procedures • Re-adjudicate, adjust or correct claims, including some complex and difficult claims as needed • Consistently meet or exceed the quality and production standards established by the department and CareOregon • Provide excellent customer service to internal and external customers • Collaborate and share information with Claims teams and other CareOregon departments to achieve excellent customer service and support organizational goals • Determine eligibility, benefit levels and coordination of benefits with other carriers; recognize and escalate complex issues to the Lead or Supervisor as needed

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Overview Role specifics: • Jurisdictions: FL • Licenses: FL • This role is eligible for fully remote work. How you'll make an impact Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service. Promote Best Practices: Guide claims team to handle claims in accordance with GB’s Best Practices. Drive Talent: Take charge of adjuster hiring and training, encouraging a culture of performance and continuous improvement. Manage Workloads: Define team goals, motivate performance, and effectively manage workloads to ensure optimal efficiency. Utilize Technology: Harness the power of Gallagher's technology to enhance your team's efficiency and overall quality of service. Client Communication: Communicate with clients, carriers, and brokers in a professional, positive, and proactive manner. Prioritize and Develop: Effectively manage multiple competing priorities, identify coaching opportunities, and position team members for successful development. About You Ideal candidates for this position will have: • Claims Background: Workers Compensation • Prior leadership experience: 10+ years, including 2+ years of supervisory experience• Jurisdictional Experience: FL Required Qualifications: • High School Diploma • Minimum of 10 years related claims experience • Appropriately licensed and/or certified in all states in which claims are being handled • Knowledge of all team member related functions Desired: • Bachelor's Degree #LI-KD1 Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve: - 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 Other benefits include: - 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 - And more... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Claims Adjuster II (Workers’ Compensation)- AL, KY, TN, MS, FL| 100% Remote Opportunity General Summary The Work comp Claims Adjuster II is responsible for timely and accurate management of workers’ compensation claims with moderate medical and indemnity benefit exposure, including litigation. Essential Duties and Responsibilities - Completes initial contacts to obtain necessary additional information, verify coverage, determine compensability and develop of plan of action. Completes and maintains accurate claim system data as it pertains to work comp insurance claims. - Analyzes case facts to establish timely and accurate case reserves using knowledge of medical disabilities and related costs, as well as judgment of extent of disability. - Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. - Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed. - Proactively coordinates and monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. - Reviews and analyzes legal exposures. Collaborates with defense attorneys to manage legal issues. Proactively mitigates exposure to litigation, prices up claims for settlement and works within authority to resolve claims. - Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. - Other duties as assigned. Requirements - 2 - 5 years’ work comp claims adjusting or insurance experience. - 3 years experience managing work comp claims at a high level (compensability and claim reopening investigation skills, accurate benefit calculation and delivery, accurate claim reserving, proactive medical management, litigation avoidance and negotiation skills) - Ability and willingness to manage additional jurisdictions as needed. - Excellent communication and customer service skills and knowledge of an imaged environment. - Demonstrated knowledge of workers’ compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols. - Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize. - High school diploma or equivalent required. - Equivalent combinations of education and experience may be considered. Certification - If state certification or license is required, must meet requirements and obtain certification within state mandated timeframe and maintain any required license through continuing education. - WCCP, AIC, ARM, CPCU or other insurance certification preferred. Education - Bachelor’s degree or equivalent business experience preferred. Work Environment - Remote: This role is a remote (work from home (WFH) opportunity) and only open to candidates currently located in the United States and able to work without sponsorship. - It requires a suitable space that provides a private and quiet workplace. - Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. - Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary Range: $50,000-$75,000 and a strong comprehensive benefits package, don't forget to follow the link to our benefits page for details, too many benefits to list! EMPLOYERS Benefits and Perks About EMPLOYERS As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement. As “America’s small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote Click our link to learn more! About EMPLOYERS

Workers’ Compensation Claims Adjuster II - California | 100% Remote Opportunity General Summary The Work comp Claims Adjuster II is responsible for timely and accurate management of workers’ compensation claims with moderate medical and indemnity benefit exposure, including litigation. This opportunity will require working west coast hours (M-F 8am-5pm PDT) Essential Duties and Responsibilities - Completes initial contacts to obtain necessary additional information, verify coverage, determine compensability and develop of plan of action. Completes and maintains accurate claim system data as it pertains to work comp insurance claims. - Analyzes case facts to establish timely and accurate case reserves using knowledge of medical disabilities and related costs, as well as judgment of extent of disability. - Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. - Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed. - Proactively coordinates and monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. - Reviews and analyzes legal exposures. Collaborates with defense attorneys to manage legal issues. Proactively mitigates exposure to litigation, prices up claims for settlement and works within authority to resolve claims. - Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. - Other duties as assigned. Requirements - 2 - 5 years’ work comp claims adjusting or insurance experience. - Excellent communication and customer service skills and knowledge of an imaged environment. - Demonstrated knowledge of workers’ compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols. - Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize. - High school diploma or equivalent required. - Equivalent combinations of education and experience may be considered. Certification - If state certification or license is required, must meet requirements and obtain certification within state mandated timeframe and maintain any required license through continuing education. - WCCP, AIC, ARM, CPCU or other insurance certification preferred. Education - Bachelor’s degree or equivalent business experience preferred. Work Environment - Remote: This role is a remote (work from home (WFH) opportunity) and only open to candidates currently located in the United States and able to work without sponsorship. - It requires a suitable space that provides a private and quiet workplace. - Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. - Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary Range: $50,000-$75,000 and a strong comprehensive benefits package, don't forget to follow the link to our benefits page for details, too many benefits to list! https://www.employers.com/careers/our-benefits-and-perks/ About EMPLOYERS As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement. As “America’s small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote