Remote Medical-Only Claims Examiner - California

Gallagher

Oregon

Hybrid

Confidential

Full time

9 days ago

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Benefits offered by this job

Competitive compensation

Comprehensive benefits programs

Career development opportunities

People-first culture

Global reach with local impact

Job summary

Gallagher, a global leader in risk management and consulting, is seeking a Medical Only Claims Examiner to join our Workers' Compensation Claims team. This is a remote position based in California, requiring a detail-oriented, customer-focused approach and strong claims processing experience.

You will administer Medical Only workers' compensation claims, ensure timely processing, maintain accurate records, and deliver exceptional service to clients and injured workers while adhering to

Qualifications

Bachelor's degree required.
3+ years claim handling experience in a brokerage or insurance industry.

Responsibilities

Process and administer Medical Only workers' compensation claims according to policies.
Perform data entry and establish all new Medical Only claims.
Conduct claim investigations and verify injury details, compensability, and status.
Review notices, correspondence, and required documentation.
Calculate mileage reimbursements and other applicable benefits.
Verify lost time, waiting periods, and eligibility.
Monitor and manage modified duty programs.
Maintain claim notes and timely diary entries.
Identify claims needing escalation or conversion to Indemnity status with documentation.

Education

Bachelor's degree

Job description

You will administer Medical Only workers' compensation claims, ensure timely processing, maintain accurate records, and deliver exceptional service to clients and injured workers while adhering to

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