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Claims Examiner

Gallagher

  • Oakland, California
  • 1 day ago
  • Remote
  • Full-time

Highlights

Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive.
Gallagher

Numbers & Facts

LocationOakland, California (
Remote
)
Job TypeFull-time
IndustryInsurance
Company Size10,000 employees or more
Year Founded1927
Websitehttps://www.ajg.com/

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 located in California.

 

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.

 

As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive.

 

The Claims Examiner is responsible for liability claims and property damage claims to their conclusion in the most cost-effective way possible for the client. In addition, the Claims Examiner will be responsible for recognizing claims involving coverage issues and present them to the Claims and Coverage Committees for referral to counsel.

How you'll make an impact:
  • Review assigned claims within the PLCA guidelines.
  • Prepare appropriate response letter to Government Claims within the required timelines.
  • Assignment of Investigations.
  • Review investigative reports, evaluate damages and make recommendations to clients regarding assigned files.
  • Direct attorneys on litigated files and control defense costs.
  • Prepare timely Reports to Reinsurers.
  • Prepare appropriate write ups for JPA’s/ Superpools on a quarterly basis.
  • Monitor/adjust reserves when developments occur.
  • Review files for Subrogation potential and actively pursue subrogation.
  • Manage and respond to client inquiries.
  • Maintain accurate statistical data in computer.
  • Assist in client file reviews.
  • Attend Court ordered Mediations/MSC’s or any meeting required to facilitate settlement
  • Bill at minimum 80% of the work day.
  • Other duties as assigned.
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:

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)

About Company

Gallagher, a global insurance brokerage and risk management services firm, helps clients address risk, protect assets and recover from losses. The products and services we provide keep businesses and institutions running, and enable individuals and families to rebuild their lives. Gallagher is the only insurance broker recognized by the Ethisphere Institute as a World's Most Ethical Company.

Gallagher provides retail and wholesale property and casualty brokerage, alternative risk transfer services, employee benefit consulting, and actuarial services. Gallagher also offers claims and information management, risk control consulting and appraisal services, human resource consulting, and retirement services.

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