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AJ
Arthur J. Gallagher & Co.
Senior Claims Examiner, Workers Compensation
Career Insights for Claims Examiner (General)
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$88,344 / year median in the U.S.
-7% projected decline
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.