Remote Medical-Only Claims Examiner – California

Arthur J. Gallagher & Co.; Corona (CA); Remote; USD 50,000 - 60,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive benefits programs

Career development opportunities

Collaborative culture

Global reach with local impact

Job summary

Gallagher is seeking a detail-oriented Medical Only Claims Examiner for its Workers' Compensation team. This remote role is based in California and candidates must reside in the state.

You will administer Medical Only workers' compensation claims, perform data entry, investigate claims, review notices, process bills, and maintain accurate claim records while delivering outstanding service to clients and injured workers.

Qualifications

• Bachelor's degree and a minimum of 3 years claim handling experience in a brokerage firm or insurance industry.
• Preferred: California IEA class course completion.

Responsibilities

• Process and administer Medical Only workers' compensation claims.
• Perform data entry and establish all new Medical Only claims.
• Conduct claim investigations and verify injury details, compensability, and claim status.
• Review and process DWC notices, correspondence, and required documentation.
• Calculate and issue mileage reimbursements and other applicable benefits.
• Verify lost time, waiting periods, and eligibility requirements.
• Monitor and manage modified duty programs.
• Maintain accurate claim notes and timely diary management.
• Identify claims requiring escalation or conversion to Indemnity status and provide supporting documentation.
• Deliver exceptional service and maintain positive client and claimant relationships.

Education

Bachelor's degree

California IEA class

Job description

Gallagher is seeking a detail-oriented Medical Only Claims Examiner for its Workers' Compensation team. This remote role is based in California and candidates must reside in the state.

You will administer Medical Only workers' compensation claims, perform data entry, investigate claims, review notices, process bills, and maintain accurate claim records while delivering outstanding service to clients and injured workers.