Claims Examiner, Workers' Compensation

@ Gallagher
Gallaghergallagher.com

Claims Examiner, Workers' Compensation

Rancho Cordova, CA
Posted 2 days ago

About the job

Gallagher is a global insurance firm focusing on risk management, consulting, and claims. As a Claims Examiner, you'll manage indemnity claims, negotiate settlements, maintain client satisfaction, and ensure compliance in a collaborative, innovative environment.

Requirements

  • High school diploma
  • 3 years claims experience
  • Licensed in applicable states
  • Knowledge of industry standards
  • Computer proficiency with claims software

Qualifications

  • Bachelor's degree preferred
  • Critical thinking skills
  • Problem-solving ability
  • Strong communication skills
  • Negotiation experience

Full 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 Claims Examiner, you’ll take ownership of indemnity claims, ensuring timely and accurate resolution. You’ll use your strong customer service skills to interact with clients and your expertise in lien resolution to handle routine claims without legal representation. From managing diaries to negotiating settlements, you’ll play a critical role in maintaining our high standards of service and efficiency.

How you'll make an impact

  • Maintain accurate claim diaries and update notes in IVOS.
  • Identify, prevent, and mitigate potential penalties.
  • Report excess files, SIU/Fraud cases, and subrogation opportunities.
  • Prepare and attend file reviews, ensuring timely claim resolutions.
  • Negotiate settlements, oversee legal referrals, and manage defense attorneys.
  • Ensure compliance with reporting deadlines and update reserves as needed.
  • Maintain a 100% closing ratio on active accounts and reduce runoff accounts by 25% annually.
  • Provide exceptional client and claimant satisfaction through timely communication and resolution.

About You

Required: High school diploma and 3 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. 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 issues inherent in handling of claims. Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.


Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

  • Competitive compensation
  • Comprehensive benefits programs designed to support your well-being
  • Career development opportunities and ongoing learning
  • A collaborative, people-first culture with accessible leadership
  • The opportunity to do meaningful work with global reach and local impact

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)

Show full description

Similar jobs in Rancho Cordova, CA

See all Claims Examiner jobs