Arthur J. Gallagher & Co. logo
Arthur J. Gallagher & Co.

Arthur J. Gallagher & Co., also known as Gallagher, is a Fortune 500 insurance company and a leading provider of risk management, insurance brokerage, and HR an

Senior Claims Examiner, Workers Compensation

Location

California

Posted

4 days ago

Salary

$76.5K - $109.5K / year

Seniority

Senior

Bachelor Degree

Job Description

Senior Claims Examiner, Workers Compensation

Arthur J. Gallagher & Co.

Title: Senior Claims Examiner, Workers' Compensation Location: Remote CA United States Claims 54987 $76,500.00 - $109,500.00 Fully Remote Worker Job Description: Introduction 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 This is a remote position based in California, and candidates must reside within the state. Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability. Keenan is committed to delivering innovative solutions that protect and empower the communities we serve. At Gallagher, we're united by a commitment to excellence and innovation. As a Senior Claims Examiner, you'll play a vital role in helping businesses and individuals navigate complex Workers' Compensation claims. This is your opportunity to make a meaningful impact by resolving claims efficiently, mitigating risks, and delivering exceptional service. How you'll make an impact In this role, you'll manage Workers' Compensation indemnity claims, ensuring they're handled with care and precision. You'll oversee complex claim issues, leveraging your expertise in litigation management and lien resolution to achieve fair outcomes. Your day-to-day will involve maintaining accurate claim diaries, updating reserves, and ensuring timely reporting to key stakeholders. You'll also collaborate with legal teams, identify opportunities for subrogation, and work closely with clients to maintain satisfaction. Additionally, you'll: - Prepare and attend file reviews to ensure claims are progressing effectively. - Negotiate settlements and resolve outstanding liens. - Monitor and guide defense attorneys to achieve optimal outcomes. - Ensure compliance with all regulatory requirements and deadlines. About You Required: High school diploma and 5 years related claims experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Extensive knowledge of accepted industry standards and practices. Computer experience with related claims and business software. Preferred: Bachelor's degree preferred. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses. Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation. 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

Related Categories

Related Job Pages

More Claims Specialist Jobs

Franciscan Alliance, Inc. logo

Leave Specialist

Franciscan Alliance, Inc.

Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.

Full TimeRemoteTeam 10,001

Role Description At Franciscan, our Leave Administration Specialist will manage all Leave of Absence processes and provide support in the development and administration of the programs, policies, and procedures. Our Leave Administration Specialist are responsible for responding to coworker inquiries, and documenting and communicating any necessary actions to the appropriate party/parties. - Administer and manage the leave of absence process, Short-Term Disability (STD), Family Medical Leave (FML), workers compensation, and Long-Term Disability (LTD). - Identify and research difficult issues related to leave of absences (LOA). - Act as a liaison between coworkers and third-party STD/LTD administrator and ensure all applicable paperwork is received. - Provide ongoing communication of approved and applied LOA to management and coworkers. - Partner with operational leaders to administer the Attendance Policy and Absence processes across Franciscan. - Process coworker status changes in HRIS and case management system. - ADA experience is preferred. Qualifications - Associate's Degree in Human Resources, Business or related - Required - Bachelor's Degree in Human Resources, Business or related - Preferred - 3 years administering all types of Leaves of Absence and disability with an Associate degree OR Bachelor's Degree with 18 months of Franciscan Alliance Human Resources experience - Required - 3 years experience in time and attendance as well as applicable laws and regulations with an Associate Degree OR Bachelor's Degree with 18 months of Franciscan Alliance Human Resources experience - Required - 1 year Human Resources Technology - Required Requirements - Travel is required: Never or Rarely - Job Range: Leave Specialist $54,351.50 - $74,733.32 - Incentive: Not Applicable Benefits Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

Indiana + 1 moreAll locations: Indiana | Illinois
$54.4K - $74.7K / year
Full TimeRemoteTeam 1-10H1B No Sponsor

• The Claims Adjuster actively adjusts claims while ensuring that business development opportunities are maximized. • This involves marketing and follow-up of opportunities in a timely manner. • Prompt contact and follow up with policy holders and claimants. • Investigate the cause and report to clients with solid recommendations. • Using supplied technology (e.g., Docusketch.), scope and establish quantum of damages. • Identify exposures, recommend reserves, recommend investigation required for exposure, prepare action plans, and negotiate fair and satisfactory settlements. • Throughout the claims process, you will provide high level of customer service to clients and the insured. • You will participate and share ownership and responsibility for after-hours customer service requirements when required • Perform duties assigned to him/her in compliance with established work standards, policies and procedures

Canada

Role Description We are looking for a highly capable Triage Specialist to complete a temporary work assignment with a projected end date of October 2, 2026. The role can be filled either in office or remotely from any state. If the role is filled in any of the following offices, then the assignment can be considered a temp-to-hire assignment as we have a vacancy in-office: Albany, Chicago, Los Angeles, New York City, Omaha, or Richmond, VA. The position works to diligently and quickly set up and assign new claims as our customers report them. This role is well positioned to move into Claims Trainee positions when they become available to grow their professional career in the insurance industry. As this is a temporary assignment, only government mandated benefits will be provided. Contractors in this role are required to accurately record all hours worked and submit timesheets in accordance with company policy. Overtime may be assigned as business needs dictate, and employees are expected to work overtime when required. Essential Responsibilities: - Under technical direction and within standard limits and authority provide clerical support to claims adjusters to facilitate timely and accurate intake and assignment of commercial claims, mostly in the workers’ compensation line of business. - Update new and existing claims in claims database and contact brokers as needed. - Screen all incoming phone calls, assess and assign out to proper party. - Prepare written correspondence. - Print attached backup documentation/invoice and mail checks. - Electronic and paper filing as needed. - Determining coverage and adjuster assignment. - Investigating the claim - this requires calling the claimant, insured. - Processing mail and prioritizing workload. - Technical information gathering through ordering reports, contacting police departments for vehicle/equipment recovery. - Responsible for telephone calls from various parties (insured, claimant, etc.). - Have an appreciation and passion for strong claim management. Qualifications - One year insurance experience (required). General knowledge of commercial workers’ compensation insurance required. - A high school diploma (or equivalent) and 3 years’ prior relevant work experience; or a vocational or technical education with at least one year of relevant work experience. - The ability to communicate clearly on the telephone is crucial. The ability to read and write in English fluently is required. - Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines. - A strong sense of accountability and pride in completing an excellent work product. - An eagerness and desire to learn the Triage claims function with the intent of becoming a Claims Adjuster. - Demonstrates active listening and proactive communication. - Shows care and concern by expressing curiosity authentically. - Ability to be a team player that communicates and collaborates with peers. - Intellectual curiosity – the ability to consistently consider all options. - Client focus – the ability to effectively determine specific client needs. - Strong interpersonal skills, good judgment and be capable of communicating with a diverse range of individuals. - A strong focus on execution in getting things done right. - Proven ability to consistently produce and deliver expected results. - Detail oriented with initiative. - Successful traits (flexibility, ability to thrive in change, being resourceful on your own). - Excellent analytical skills. - Proficient in the use of computer programs, including Word, Excel, and Outlook. Requirements - A Bachelor’s degree from an accredited university or industry designations are preferred, but not required. - The ability to also read and write Spanish fluently is preferred, but not required. Benefits - Competitive compensation package. - Performance-based incentives. - Comprehensive benefits program, including health, dental, vision. - 401(k) with company match. - Paid time off. - Professional development opportunities.

United States
$24 - $34 / hour
Job Closed
Pulley logo

Commercial Plans Examiner

Pulley

Equity management for high growth startups. Join us on our mission: https://boards.greenhouse.io/pulley.

ContractRemoteTeam 11-50H1B No Sponsor

Role Description Pulley is hiring licensed architects and engineers to review commercial plan sets and produce structured IBC code compliance findings across egress, fire-resistance, accessibility, structural, and MEP and other disciplines. Qualifications - A licensed or credentialed specialist: RA, PE/SE, FPE, CASp, or ICC specialty certification (Accessibility, Fire, Structural, or Energy Plans Examiner; MCP). - 15+ years experience in commercial construction and robust skills in plans coordination, review and QA/QC. - OR: ICC Certified Building, Combination, or Fire Plans Examiner — or Master Code Professional (or equivalent). - 10+ years of commercial experience, with 5+ years of commercial plan review at an AHJ or third-party review firm (SAFEbuilt, Interwest, Willdan, NV5, CSG, or similar). - (Plus) CASp certification or CA/FL code experience (CBC, Title 24, FBC). - (Plus) Prior third-party or peer review work for jurisdictions. Requirements - 15+ years commercial experience and extensive, hands-on QA/QC, permit/correction-letter experience required. - Comfort reviewing plans on screen in a web app is essential. - OR, 10+ years commercial experience and extensive, hands-on permit/correction-letter experience required. - ICC certification (Building/Combination/Fire Plans Examiner or MCP) or equivalent is required. Key Responsibilities - Detailed review of plans for code compliance, missing information and inconsistencies. - Evaluate review comments and markups for accuracy and clarifying compliance rationale. - Short-form written clarification of review and compliance rationale. - Using a simple web-app interface is necessary; comfort with screens and PDF plan review essential. Benefits - Compensation: $125–150/hr · 1099 · remote and flexible (~8–24 hrs/month to start, go at your own pace and hours).

United States
$125 - $150 / hour