Assistant Manager - Claims Adjusting

Introduction


How you'll make an impact

Responsibilities:

• Professionals in this group focus on processing insurance claims.
• They validate members, provider and other claims information.
• Professionals determine accurate payment criteria for clearing pending claims based on defined policy and procedure.
• They maintain productivity goals, quality standards and aging timeframes and scrutinize medical claim documents and settlements.
• They are involved in settlement of disputes and preparing case recovery through negotiations with the third party and providers.
• Professionals in this group work act as subject matter experts (SME's).
• They complete varied complex/non-standard tasks in area of responsibility.
• They understand and act on complex situations, and adapts work to business goals.
• They operate with wide latitude for making independent decisions/recommendations, which typically have financial, operational, legal, or image/reputation impact.
• They assists junior team members with work related to standard issues/queries.
• Possess working knowledge of one functional area/sub process.

About you

Qualifications:

• Typically requires a University Degree or equivalent experience and minimum 7 years of prior relevant experience.

Additional Information

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)