Title: Senior Workers Compensation Claims Adjuster Location: fully remote Job Description: 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: - Claims Background: Workers Compensation - Jurisdictional Experience: NV - Active Adjusters' licenses: NV - Location: This role is eligible for fully remote work How you'll make an impact - Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. - Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. - Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process - Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. - Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You As a key member of our experienced Claims Adjuster team, you will: - Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. - Work in partnership with our clients to deliver innovative solutions and enhance the claims management process - Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants Required Qualifications: - High School Diploma. - Minimum of 5 years related claims experience. - Appropriately licensed and/or certified in all states in which claims are being handled. - Knowledge of accepted industry standards and practices. - Computer experience with related claims and business software. 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.

Role Description Sie bearbeiten Schäden aus dem Bereich Sachversicherung (Wohngebäude, Hausrat). - Sie verantworten den gesamten Schadenabwicklungsprozess. - Sie kümmern sich u.a. um die Reduzierung der Schadenaufwendungen und die Durchführung von Regressen. Qualifications - Sie haben eine abgeschlossene Ausbildung oder Studium z.B. im Bereich Versicherungen und Finanzen, Jura/Recht, o.ä. - Sie bringen mehrjährige Berufserfahrung in der Schadenbearbeitung mit. Benefits - Flexible Arbeitszeiten - 100 % Homeoffice/ remote Work (deutschlandweit) - 30 Tage Urlaub - Betriebliche Altersvorsorge - Gruppenunfallversicherung - Möglichkeit zur Workation - Weiterbildungs- und Entwicklungsmöglichkeiten - Individuelle Einarbeitung - Möglichkeit zum Sabbatical - Firmenkreditkarte - Job-Rad - Firmenevents - Corporate Benefits

Role Description Zurich is seeking an experienced Workman’s Compensation Claims Specialist to join our team! We are specifically seeking candidates who can work from the Northeast with jurisdictions of CA, NV, AZ, and or WA. To handle Workers’ Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. Jurisdictional knowledge in California Workers Compensation is required. In this role you will be responsible for: - Document claims file by accurately capturing and updating claims data/information in compliance with best practices for workers compensation claims of moderate to high exposure and complexity. - Exercise judgment to determine compensability by gathering and analyzing relevant facts and utilizing applicable laws and statute. - Exercise judgment to evaluate coverage by analyzing policy documents for location and date of loss. - Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate. - Establish timely reserves and perform ongoing review throughout claims cycle within authority limit for most probable exposure and claim outcome. - Assess exposure or range of exposure based on the case facts, jurisdictional statute, and claims experience. - Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits. - Meet quality standards by following best practices. Qualifications - Bachelor’s Degree and 6 or more years of experience in the Claims and/or Litigation Management area. - OR Juris Doctor and 2 or more years of experience in the Claims and/or Litigation Management area. - OR Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/or Litigation Management area. - OR Completion of Zurich Claims Training Program and 5 or more years of experience in the Claims and/or Litigation Management area. - OR High School Diploma Equivalent and 8 or more years of experience in the Claims and/or Litigation Management area. - Must obtain and maintain required adjuster license(s). - Microsoft Office experience. - Knowledge of insurance regulations, markets and products. Requirements - Effective verbal and written communication skills. - Strong analytical, critical thinking and problem-solving skills. - Strong multi-tasking and prioritization skills. - Experience collaborating in a team environment and building cross functional working relationships. - Proactively shares and promotes sharing of insights. - Ability to gather unique perspectives from other teams/functions to optimize outcomes. - Understands, analyzes, and applies the component parts of an insurance policy for moderate to complex claims. - Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of moderate to complex claims. - Ability to determine the scope and exposure for moderate to complex claims. - Ability to leverage knowledge of industry trends and relationships to provide high-quality customer service. - Ability to effectively communicate coverage determinations to customers/clients/brokers for moderate to complex claims. - Ability to direct counsel on an ongoing basis to guide the course of moderate to complex litigation and settlement strategies. Benefits - Your pay at Zurich is based on your role, location, skills, and experience. - We follow local laws to ensure fair compensation. - You may also be eligible for bonuses and merit increases. - The proposed Salary range for this position is $75,800.00 - $124,100.00, with short-term incentive bonus eligibility set at 15%. - We offer competitive pay and comprehensive benefits for employees and their families.

Role Description In this role, you’ll have the opportunity to take ownership of moderately to highly complex workers' compensation claims and make a direct impact on outcomes for clients and claimants. You’ll drive investigations, evaluate coverage and liability, and shape claim strategies from start to resolution—balancing thoughtful analysis with decisive action. Your expertise will be key in setting reserves, negotiating fair settlements, and identifying risk and recovery opportunities. Along the way, you’ll build strong relationships with clients and stakeholders, ensure compliance with evolving regulations, and play a meaningful role in mentoring others and elevating team performance. - Analyzes coverage to confirm losses are covered under client policies - Initiates contact within 24 hours with all relevant parties (clients, claimants, employees, medical providers) - Conducts thorough investigations, including fact-finding and recorded statements - Develops and executes action plans to resolve claims efficiently - Performs reserve analysis and sets/maintains appropriate reserves per client guidelines - Reviews medical records and bills to assess injury, compensability, treatment, and accuracy - Identifies risk factors and routes claims for specialized handling (SIU, subrogation, medical review) with approval - Identifies, investigates, and pursues subrogation opportunities, including review of official reports - Escalates complex claims and collaborates with leadership as needed - Prepares required jurisdictional filings for workers’ compensation claims - Evaluates coverage, liability, and claim value; responds to stakeholder inquiries - Negotiates settlements, participates in mediation, and manages payments within authority limits; recommends higher-value settlements - Prepares and issues denial and settlement documentation; develops evaluation ranges and supports litigation, mediation, arbitration, and Medicare compliance - Maintains diaries and action plans, provides timely responses and claim updates, conducts client consultations, coordinates vendor resources, manages reporting (including excess carriers), stays current on regulations, maintains licenses/CEUs, and supports training of team members Qualifications - Bachelor’s degree or equivalent relevant experience - Five years of claims adjusting experience or related experience - Prior experience with a third party administrator (TPA) preferred - INS, AIC, SCLA, WCLA and CPCU coursework or designation preferred - Workers' compensation claims adjusting experience within the following jurisdictions preferred: IA, IL, WI, KS Requirements - Excellent knowledge of the theory and practice of the claim function - Excellent analytical, investigative and problem-solving abilities with respect to liability and coverage - Thorough knowledge of insurance contracts, medical terminology and legal aspects of court procedures affecting legal liability for all lines of insurance - Strong computer skills, including claims systems - Strong organizational, written, and verbal communication skills, including documentation - Strong ability to advise, partner, and effectively consult with diverse internal and external stakeholders - Occasional travel required; a valid driver’s license with an acceptable motor vehicle report per company standards Benefits For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit www.emcins.com/careers .