• To process low level workers compensation claims to determine benefits due. • Ensure ongoing adjudication of claims within company standards and industry best practices. • Identify subrogation of claims and negotiate settlements with general supervision. • Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims. • Approves and processes assigned claims, determines benefits due and administers action plan pursuant to the claim or client contract.

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: Any - Licenses: Any - Location: This role is eligible for fully remote work. How you'll make an impact Supervise: Lead and encourage a liability 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: General Liability • Prior leadership experience: 5 years • Jurisdictional Experience: Any 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 • Litigation #LI-DF1 #LI-REMOTE 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.

Job Classification: Operations - Insurance Operations The Disability Claims Specialist (DCS) is accountable for direct support of the Team Lead on the claim team ensuring optimal claims handling and timely, accurate decisions of the claim team. This role is part of our leadership team in the claim organization. In addition, the role requires but is not limited to the following skills: - Provides guidance and technical support to the claim team to ensure, timely and accurate decision for our customers. - Displays behaviors of engagement and problem solving on a consistent basis resulting in the team's increased efficiency and high quality claims management for the benefit of the overall customer experience. - Demonstrated ability to deliver accurate, dependable, and trustworthy service to our customers. - Demonstrated ability to lead others to improved effectiveness through coaching, feedback, and problem solving. - Collaborates effectively across team and organization to elevate performance across functions. - A strong customer focus evidenced through maintaining customer relationships. - Project participation and/or management at the team and organizational level in accordance with our strategic imperatives. JOB REQUIREMENTS: - 2-3 years experience in complex STD, Absence and Paid Leave claim management - Exceptional claim/risk management skills and technical knowledge in contract interpretation and administration - Demonstrated success at coaching others to elevate performance - Demonstrated leadership skills in other position or similar position - Strong presentation and facilitation skills - Success in achieving Individual Development goals, and influence other’s in achieving development goals - Goal oriented with an ability to organize and analyze information - Strong critical thinking skills, communication, organization and time management skills - Proven customer service skills - Demonstrated ability to adapt to the changing needs of an organization - PC skills required (i.e., Windows based environment; Word; Excel; PowerPoint) - College degree preferred The current employee work arrangement for this position is Fully Virtual. While this position does not require your on-site presence on a regular basis, depending on business preferences, there may be occasions where you are required to be on-site at a Prudential office. #LI-IN What we offer you: Prudential is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $70,300.00 to $116,100.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. - Market competitive base salaries, with a yearly bonus potential at every level. - Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences, such as parental and military leave. - 401(k) plan with company match (up to 4%). - Company-funded pension plan. - Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs. - Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development. - Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs. - Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service. Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, individual and organizational performance. To find out more about our Total Rewards package, visit Work Life Balance | Prudential Careers. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week. Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom. Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law. If you need an accommodation to complete the application process, please email accommodations.hw@prudential.com. If you are experiencing a technical issue with your application or an assessment, please email careers.technicalsupport@prudential.com to request assistance.

Role Description The nation's leading administrator of insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning, and initiative. WE ARE THE KIND OF EMPLOYER YOU DESERVE. illumifin is a leading provider of business process outsourcing for the insurance industry, managing policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary databases. - Responsible for training, quality assurance, and procedural development for Life and Health Claims. - Communicates with internal and external customers regarding actions taken or to be taken. - Performs analysis and oversees projects to enhance department development, client needs, and service objectives. - Provides direction and assistance to the Claims team. - Handles complex claims, including adjustments and complaints, and is a resource to the claims team. - Effectively communicates, in writing and verbally, all aspects of plan coverage, provider requirements, and steps in the claim process. - Responsible for adjudicating more complex claim requests and special handling claims, including reversals, adjustments, and complaints. - Must maintain procedural accuracy of 95% and dollar accuracy of 98%. - Provides training to team (both onshore and offshore), develops training materials, answers questions, checks, and monitors quality of work. - Project management: identifies and develops ongoing needs of the claims department, including evaluating existing system needs and managing required system enhancements and modifications. - Provides input toward solutions to department issues. - Develops new and ongoing procedures and policies for new and existing clients or vendors, including revision of existing policies and procedures. - Improves process flows and efficiencies; work completed and process flows must be prompt, efficient, and accurate. - Oversees and assists with day-to-day activities and inventory while keeping leadership informed. - Provides prompt, courteous, and excellent customer service to internal and external customers at all times. - Demonstrates understanding of company-wide, department-specific policies and protocols. - Maintains the confidential and proprietary nature of company policies. - Other duties and projects as assigned. Qualifications - Minimum of 4 years equivalent business experience. - Knowledge of health, life, or disability insurance, preferred. - Excellent verbal and written communication skills. Requirements - Minimum of 2 years knowledge of Illumifin systems, processes, and designs. - 4-year college degree or equivalent experience. - Leadership experience. Benefits - The base pay for this position is starting at $28/hour depending on experience and qualifications.