Senior Claims Examiner, Complex Liability

Gallagher; Oakland (CA); Remote; Confidential; Full time

Benefits offered by this job

Competitive compensation

Comprehensive benefits programs

Career development opportunities

Collaborative culture with accessible/

Global reach with local impact

Job summary

Gallagher is seeking a Senior Claims Examiner for a remote position based in California. You will manage complex liability claims, oversee coverage issues, and guide junior adjusters to ensure cost-effective resolutions for clients.

A strong background in claims and licensing across states is required, with preference for a Bachelor's degree and extensive experience. You will join a team dedicated to risk management and client service, with opportunities to influence outcomes, expand expertise,

Qualifications

• High school diploma and at least 7 years of experience in the applicable specialty claims area.
• Licensed/certified in all states where claims are handled or able to obtain required licenses/certifications.
• Knowledge of industry standards and practices; computer experience with claims software.

Responsibilities

• Manage the full life cycle of complex general liability claims per PLCA guidelines.
• Analyze coverage, oversee investigations, evaluate damages, and recommend settlements.
• Prepare reports for reinsurers, JPAs, and Superpools; maintain data accuracy.
• Direct defense counsel, control litigation costs, attend mediations or settlement conferences.
• Pursue subrogation opportunities and adjust reserves as needed.
• Draft coverage letters, negotiate settlements, ensure compliance with standards.
• Guide junior adjusters and support client file reviews.
• Maintain a minimum daily billing productivity of 80%.

Skills

Critical thinking

Problem solving

Planning & organizing

Negotiation

Verbal & written communication

Client service

Mentoring junior adjusters

Education

Bachelor's degree

Tools

Claims software

Job description

Introduction

At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate. You’ll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you’re not just improving clients' risk profiles, you’re building trust. You’ll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you’re ready to bring your unique perspective to a place where your work truly matters; think of Gallagher.

Introduction

At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate. You’ll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you’re not just improving clients' risk profiles, you’re building trust. You’ll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you’re ready to bring your unique perspective to a place where your work truly matters; think of Gallagher.

Overview

This is a remote position based in California, and candidates must reside within the state.

Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability. Keenan is committed to delivering innovative solutions that protect and empower the communities we serve.

As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive.

The Senior Claims Examiner will be responsible for managing complex liability claims, employment & civil rights claims to their conclusion in the most cost-effective way possible for the client. In addition, the Sr. Claims Examiner will be responsible for recognizing claims involving coverage issues and bring to the Claims and Coverage Committees for referral to counsel.

How You'll Make An Impact

• Manages the full life cycle of complex general liability claims in accordance with PLCA guidelines and client expectations.
• Responsibilities include analyzing coverage, assigning and reviewing investigations, evaluating damages, and recommending settlement strategies.
• Prepares timely reports for reinsurers, JPAs, and Superpools, and maintains accurate statistical data.
• Directs defense counsel, controls litigation costs, and attends mediations or settlement conferences as needed.
• Actively pursues subrogation opportunities and adjusts reserves based on claim developments.
• Drafts coverage letters, negotiates settlements, and ensures compliance with statutory and ethical standards.
• Provides guidance to junior adjusters and supports client file reviews.
• Maintains a minimum billing productivity of 80% daily and performs other duties as assigned.

About You

Required: High school diploma and 7 years related experience working within the applicable specialty claims area. Demonstrated ability to handle unique/challenging claims issues at a senior adjuster level. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Knowledge of accepted industry standards and practices. Computer experience with related claims and business software.

Preferred: Bachelor's Degree highly preferred. 10 or more years of prior experience adjusting claims in applicable specialty area highly preferred.

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 issues inherent in handling of claims. Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.

Compensation And Benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

• Competitive compensation
• Comprehensive benefits programs designed to support your well-being
• Career development opportunities and ongoing learning
• A collaborative, people-first culture with accessible leadership
• The opportunity to do meaningful work with global reach and local impact

At Gallagher, we are dedicated to building an inclusive and authentic workplace.

If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)