Remote CA Claims Examiner - Workers' Compensation

Arthur J. Gallagher & Co. (AJG); Corona (CA); Remote; USD 55,000 - 85,000; Full time

Job summary

Arthur J. Gallagher & Co. is seeking a remote Claims Examiner based in California.

You’ll take ownership of indemnity claims, maintain diaries, and use IVOS to keep detailed notes while delivering timely, client‑focused service. The ideal candidate has a high school diploma and 3 years of claims experience, is appropriately licensed, and understands industry standards. A Bachelor's degree is preferred, and you will negotiate settlements, coordinate with defense attorneys, and ensure compliant

Qualifications

• Required: High school diploma and 3 years related claims experience.
• Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain licenses/certification per local requirements.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.

Responsibilities

• 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.

Skills

Customer service

Negotiation

Analytical skills

Education

High school diploma

Bachelor's degree preferred

Tools

IVOS

Job description

Arthur J. Gallagher & Co. is seeking a remote Claims Examiner based in California.

You’ll take ownership of indemnity claims, maintain diaries, and use IVOS to keep detailed notes while delivering timely, client‑focused service. The ideal candidate has a high school diploma and 3 years of claims experience, is appropriately licensed, and understands industry standards. A Bachelor's degree is preferred, and you will negotiate settlements, coordinate with defense attorneys, and ensure compliant