Claims Adjuster Senior

Gallagher; Torrance (CA); On-site; Confidential; Full time

Benefits offered by this job

Medical/dental/vision plans

401(K) and Roth options

Educational expense reimbursement

Flexible work hours

Training programs

Job summary

Arthur J. Gallagher & Co. (AJG) is seeking a Senior Claims Examiner for a remote position based in California. In this role, you will help individuals and businesses navigate Workers' Compensation claims by managing indemnity claims and negotiating settlements.

The ideal candidate will have at least 5 years of claims experience and be licensed where necessary. Responsibilities include overseeing complex issues and maintaining communication with stakeholders, ensuring claims are handled with precision.

Competitive compensation and comprehensive benefits are offered, including health insurance and flexible work hours.

Qualifications

• At least 5 years of related claims experience.
• Licensed/certified where necessary or can obtain licenses.
• Extensive knowledge of industry standards and practices.
• Computer experience with relevant software.

Responsibilities

• Manage Workers' Compensation indemnity claims.
• Negotiate settlements and resolve liens.
• Prepare and attend file reviews.
• Ensure compliance with regulatory requirements.

Skills

Analytical skills

Negotiation

Problem-solving

Communication

Organizational skills

Education

High school diploma

Bachelor's degree (preferred)

Tools

Claims management software

Job description

Senior Claims Examiner – Remote (California)

This is a remote position based in California. As a Senior Claims Examiner, you’ll help businesses and individuals navigate complex Workers' Compensation claims by managing indemnity claims, overseeing complex issues, negotiating settlements and resolving liens, and ensuring timely reporting to stakeholders.

Responsibilities

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 sub‑rogation, and work closely with clients to maintain satisfaction.

• 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.

Requirements

Required:

• High school diploma and 5 years related claims experience.
• Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the necessary 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.
• Self‑Insurance Certificate.

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 interpretation of 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. On top of a competitive salary, we also offer a wide range of benefits.

Minimum core benefits:

• 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.
• 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.

EEO Statement

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 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.