Workers Compensation Claims Manager

Arthur J. Gallagher & Co. (AJG); Town of Florida (NY); On-site; USD 120,000 - 170,000; Full time

Job summary

Gallagher, through EGIS Insurance & Risk Advisors, seeks a Workers' Compensation Claims Manager to join the FIA program administration in Lake Mary, Florida. You will oversee workers' compensation claims operations, coordinate with TPAs, members, counsel, reinsurers, and other stakeholders to ensure best practices and service delivery.

Reporting to the Executive Vice President, you will monitor performance, attend mediations, drive process improvements, and guide defense strategies while

Qualifications

• Requires 10 years related claim experience.
• At least 3 years of supervisory experience.
• Licensed and/or certified in all states where claims are handled.
• Knowledge of all team member related functions.
• Bachelor’s degree preferred.

Responsibilities

• Oversee FIA's Workers' Compensation claims operations.
• Monitor TPA performance and ensure compliance with claims handling standards.
• Coordinate claims activities among FIA members, TPAs, counsel, reinsurers, and other stakeholders.
• Attend mediations, hearings, and other proceedings on behalf of FIA as needed.
• Facilitate reporting and communication of claims information to TPAs and reinsurers.
• Drive claims-related process improvements and operational initiatives.
• Assign defense counsel and oversee implementation of claim strategies.
• Collaborate with Underwriting, Loss Control, and Program Administration teams on strategic initiatives.

Skills

Analytical skills

Problem-solving

Supervisory experience

Claims handling knowledge

Licensed in applicable states

Education

High school diploma

Bachelor’s degree preferred

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

EGIS Insurance & Risk Advisors, now a part of Gallagher, is seeking a Workers' Compensation Claims Manager to join our Program Administration team in Lake Mary, Florida. As the Program Administrator for the Florida Insurance Alliance (FIA), the fastest-growing governmental insurance trust in Florida, EGIS provides insurance and risk management services to governmental entities and public charter schools across the state. This is an exciting opportunity to play a key role in overseeing workers' compensation claims operations while helping drive service excellence and positive outcomes for FIA members.

Reporting to the Executive Vice President, the Workers' Compensation Claims Manager will oversee FIA's Workers' Compensation claims operations and ensure Third-Party Administrators (TPAs) manage claims in accordance with FIA's claims philosophy, service standards, and policy guidelines. This highly visible role serves as a liaison between FIA, TPAs, members, legal counsel, reinsurers, and other stakeholders. The ideal candidate will bring strong workers' compensation claims expertise, a strategic mindset, and a commitment to delivering exceptional service while supporting operational improvements and claims best practices.

How you'll make an impact

• Oversee FIA's Workers' Compensation claims operations.
• Monitor TPA performance and ensure compliance with claims handling standards and best practices.
• Coordinate claims activities among FIA members, TPAs, legal counsel, reinsurers, and other stakeholders.
• Attend mediations, hearings, and other proceedings on behalf of FIA as needed.
• Facilitate timely reporting and communication of claims information to TPAs and reinsurers.
• Participate in TPA audits and support ongoing quality assurance initiatives.
• Analyze policy coverage and determine claim applicability under coverage provisions.
• Assign defense counsel and oversee implementation of appropriate claim strategies.
• Identify and report claims that meet reinsurer reporting requirements.
• Drive claims-related process improvements and operational initiatives.
• Establish accountability measures to promote service excellence and customer satisfaction.
• Support brokers and agency partners by responding to coverage questions and providing claim updates.
• Develop strong working relationships with members, management companies, brokers, vendors, reinsurers, and outside counsel.
• Collaborate with Underwriting, Loss Control, and Program Administration teams on strategic initiatives and member service enhancements.
• Participate in training, webinars, and professional development opportunities.
• Perform other duties as assigned.

About You

Required:

• High school diploma and 10 years related claim experience required.
• At least 3 of supervisor experience required.
• Appropriately licensed and/or certified in all states in which claims are being handled.
• Knowledge of all team member related functions.

Desired:

• Bachelor’s degree preferred.

Work Traits:

• Requires exceptional analytical and problem-solving skills.
• Ensures flawless and consistent execution of client service instructions and performance guarantees.
• Ability to actively review work of others via file reviews; identify coaching opportunities, act on needed coaching opportunities and position subordinates for successful development leading to advancement within the organization.

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)