Senior Workers Compensation Claims Adjuster

Gallagher; Charlotte (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

Gallagher seeks an experienced Claims Adjuster for a remote position in North Carolina. Ideal candidates will have 5 years of relevant experience and the necessary licenses, showcasing their skills in claims management and customer service while working collaboratively with clients. You will play a key role in investigating and resolving complex claims, ensuring compliance with regulatory standards while also benefiting from a comprehensive range of employee benefits.

Benefits

Medical/dental/vision plans

Life and accident insurance

401(K) and Roth options

Educational expense reimbursement

Paid parental leave

Digital mental health services

Flexible work hours

Training programs

Gallagher Thrive program

Charitable matching gift program

Qualifications

• Minimum 5 years claims handling experience, especially lost time and litigated files.
• Active Adjusters' licenses in NC and SC required.
• Knowledge of industry standards and practices.

Responsibilities

• Effectively manage and resolve complex workers' compensation claims.
• Communicate with all parties involved in claims process.
• Document and communicate claim activity efficiently.

Skills

Claims Management

Customer Service

Analytical Skills

Problem Solving

Education

High School Diploma

Bachelor's Degree

Tools

Claims Business Software

Job description

Role specifics : - Jurisdictions : NC, SC - Licenses : NC, SC - Location : This role is eligible for fully remote work. How you'll make an impact

• Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
• Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.
• Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process
• Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.
• Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You Ideal candidates for this position will have :
• Claims Background : A minimum of 3-5 years experience handling lost time / indemnity claims and have extensive experience with litigated files
• Jurisdictional Experience : NC, SC
• Active Adjusters' licenses : Applicable jurisdictional licensure As a key member of our experienced Claims Adjuster team, you will :
• Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
• Work in partnership with our clients to deliver innovative solutions and enhance the claims management process
• Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants Required Qualifications :
• High School Diploma.
• Minimum of 5 years related claims experience.
• Appropriately licensed and / or certified in all states in which claims are being handled.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software. Desired :
• Bachelor's Degree #LI-KD1 Compensation and benefits On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve : Medical / dental / vision plans, which start from day one! Life and accident insurance 401(K) and Roth options Tax-advantaged accounts (HSA, FSA) Educational expense reimbursement Paid parental leave Other benefits include : Digital mental health services (Talkspace) Flexible work hours (availability varies by office and job function) Training programs Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing Charitable matching gift program And more...

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