Senior Claims Examiner, Worker's 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

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. At Gallagher, we’re united by a commitment to excellence and innovation. As a Senior Claims Examiner, you’ll play a vital role in helping businesses and individuals navigate complex Workers' Compensation claims. This is your opportunity to make a meaningful impact by resolving claims efficiently, mitigating risks, and delivering exceptional service.

How you'll make an impact

In this role, you’ll manage Workers' Compensation indemnity claims, ensuring they’re handled with care and precision. You’ll oversee complex claim issues, leveraging your expertise in litigation management and lien resolution to achieve fair outcomes. Your day‑to‑day will involve maintaining accurate claim diaries, updating reserves, and ensuring timely reporting to key stakeholders. You’ll also collaborate with legal teams, identify opportunities for subrogation, and work closely with clients to maintain satisfaction.

Additionally, you’ll:

• Prepare and attend file reviews to ensure claims are progressing effectively.
• Negotiate settlements and resolve outstanding liens.
• Monitor and guide defense attorneys to achieve optimal outcomes.
• Ensure compliance with all regulatory requirements and deadlines.

About You

Required: High school diploma and 5 years related claims experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Extensive knowledge of accepted industry standards and practices. Computer experience with related claims and business software. Preferred: Bachelor's degree 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 complex issues inherent in handling losses. Ability to successfully negotiate the settlement and disposition of serious 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)