Remote Senior Claims Examiner – Workers' Compensation

Arthur J. Gallagher & Co. (AJG); San Jose (CA); Remote; USD 90,000 - 120,000; Full time

Job summary

Gallagher, a leading insurance brokerage, seeks a Senior Claims Examiner to manage Workers’ Compensation indemnity claims, oversee complex issues with litigation and lien resolution, and maintain claim diaries, reserves, and timely reporting to stakeholders. This remote role in California requires a high school diploma and 5 years of claims experience; licensed in applicable states.

Collaboration with legal teams, pursuing subrogation, negotiating settlements, and ensuring regulatory compliance

Qualifications

• High school diploma required; licensure/certification in states handled or ability to obtain per local requirements.
• Bachelor's degree preferred.
• Strong knowledge of industry standards and practices in workers' compensation claims.
• Proficiency with claims and business software.

Responsibilities

• Manage Workers' Compensation indemnity claims with accuracy and care.
• Oversee complex claim issues, including litigation and lien resolution.
• Maintain accurate claim diaries and update reserves; ensure timely reporting to stakeholders.
• Collaborate with legal teams and pursue subrogation opportunities.
• Negotiate settlements and monitor defense counsel for optimal outcomes.
• Ensure compliance with regulatory requirements and deadlines.

Skills

Claims experience

Litigation management

Lien resolution

Subrogation

Negotiation

Regulatory compliance

Client communication

Record keeping

Reserves management

Education

High school diploma

Bachelor's degree preferred

Tools

Claims software

Job description

Gallagher, a leading insurance brokerage, seeks a Senior Claims Examiner to manage Workers’ Compensation indemnity claims, oversee complex issues with litigation and lien resolution, and maintain claim diaries, reserves, and timely reporting to stakeholders. This remote role in California requires a high school diploma and 5 years of claims experience; licensed in applicable states.

Collaboration with legal teams, pursuing subrogation, negotiating settlements, and ensuring regulatory compliance