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Arthur J. Gallagher & Co.

Global insurance brokerage, risk management, consulting

Claims Examiner - Workers' Compensation

Claims AdjudicationUpdated on Nov 13
Full-timeCalifornia, USANo salary listed

About the Job

Requirements

  • A high school diploma is required.
  • Three years of related claims experience is required.
  • Must be appropriately licensed and/or certified in all states where claims are handled, or be able to obtain the licenses or certification under local requirements.
  • Knowledge of accepted industry standards and practices is required.
  • Computer experience with related claims and business software is required.
  • Must be able to think critically, solve problems, plan and organize activities, serve clients, negotiate, communicate verbally and in writing, and embrace new challenges.
  • Analytical skill is necessary to make decisions and resolve issues inherent in handling claims.
  • Must be able to negotiate the settlement and disposition of claims, including interpreting related documentation.

Responsibilities

  • Maintain accurate claim diaries and update notes in the claim system.
  • Identify, prevent, and mitigate potential penalties.
  • Report excess files, SIU/Fraud cases, and subrogation opportunities.
  • Prepare for and attend file reviews, ensuring timely claim resolutions.
  • Negotiate settlements, oversee legal referrals, and manage defense attorneys.
  • Ensure compliance with reporting deadlines and update reserves as needed.
  • Maintain a 100% closing ratio on active accounts and reduce runoff accounts by 25% annually.
  • Provide client and claimant satisfaction through timely communication and resolution.
  • Take ownership of indemnity claims, ensuring timely and accurate resolution.
  • Handle routine claims without legal representation using expertise in lien resolution.

Desired Qualifications

  • A bachelor's degree is preferred.

About the Company

Arthur J. Gallagher & Co.

Global insurance brokerage, risk management, consulting

Arthur J. Gallagher & Co. is a global insurance brokerage and risk management firm. It helps businesses, public entities, and individuals manage risk and obtain insurance through three segments: brokerage, risk management, and corporate. The brokerage unit offers a full range of retail and wholesale insurance brokerage and consulting services to match clients with coverage. The risk management unit handles contract claim settlements, claim administration, loss control consulting, and risk management information services to reduce exposures. The corporate unit oversees the company’s clean energy and other investments. The firm differentiates itself by providing end-to-end risk solutions across insurance placement, claims handling, risk counseling, and investment activities, rather than focusing on a single service. Its goal is to help clients manage risk effectively, protect assets, and pursue value through diverse investments, including clean energy.

Company size
10,001+
Company stage
IPO
Headquarters
Itasca, IL
Founded
1927

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