Senior Claims Examiner, Complex Liability

Arthur J. Gallagher & Co. (AJG); Oakland (CA); On-site; USD 120,000 - 165,000; Full time

Job summary

Gallagher, a leading global insurance, risk management and consulting firm, is seeking a Senior Claims Examiner to manage complex liability and employment claims from intake to resolution. This remote California-based role requires staying within state lines and delivering cost-effective outcomes.

You will analyze coverage, coordinate investigations, negotiate settlements, guide junior adjusters, and report to reinsurers while upholding ethical standards.

Qualifications

• High school diploma and 7 years related claims experience.
• Licensed and/or certified in all states where claims are handled or able to obtain licenses per local requirements.
• Computer experience with related claims and business software.

Responsibilities

• Manages full life cycle of complex general liability claims per PLCA guidelines and client expectations.
• Analyzes coverage, reviews investigations, evaluates damages, and recommends settlement strategies.
• Prepares timely reports for reinsurers, JPAs, and Superpools, and maintains data.
• Directs defense counsel, controls litigation costs, and attends mediations or settlement conferences.
• 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 minimum billing productivity of 80% daily.

Skills

Claims management

Coverage analysis

Negotiation

Litigation cost control

Subrogation

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.

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)