Senior Claims Examiner - Complex Liability (Remote, CA)

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

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.