Senior Claims Examiner, Complex Liability

Remote, USA Full-time
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 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. This is a remote position located in California. 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 We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. 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... • *The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Apply tot his job
Apply Now

Similar Jobs

Auto Bodily Injury Claims Examiner | Remote

Remote, USA Full-time

[Hiring] Claims Processor @Independence Pet Group

Remote, USA Full-time

[Hiring] Clinical Documentation Specialist I @Cleveland Clinic

Remote, USA Full-time

[Hiring] Associate Strategy Partner I @Cleveland Clinic

Remote, USA Full-time

Client Experience & Relationship Associate

Remote, USA Full-time

Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote)

Remote, USA Full-time

[Remote] Clinical Research Associate I or II (CRA)

Remote, USA Full-time

ABA Compliance Specialist

Remote, USA Full-time

AWS SageMaker Administrator / Cloud Engineer (Remote, PST zone)

Remote, USA Full-time

Medical Coding Auditor – Inpatient, OIG Focus

Remote, USA Full-time

Senior Data Scientist, Consumer

Remote, USA Full-time

Project Manager – Insurance Claims (Residential & Commercial)

Remote, USA Full-time

**Experienced Part-Time Amazon Data Entry Specialist – Remote Opportunity**

Remote, USA Full-time

Software Developer - COBOL to Java Conversion

Remote, USA Full-time

Experienced Remote Independent Trader - Equity and Options Trading with Maverick Trading in Minneapolis

Remote, USA Full-time

Experienced Remote Data Entry and Customer Service Agent – Flexible Full/Part Time Opportunities with blithequark

Remote, USA Full-time

**Experienced Full Stack Business Data Scientist – Impact Measurement & Analytics**

Remote, USA Full-time

Teller Reading (Remote - hybrid)

Remote, USA Full-time

Advanced Clinical Dental Hygienist (O-4 Billet) Non-supervisory

Remote, USA Full-time

Remote Construction Recruiter No Experience Necessary

Remote, USA Full-time
Back to Home