Claims Examiner - Workers' Compensation
Gallagher
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 This is a remote position based in California, and candidates must reside within the state. 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. At Gallagher, we’re united by a commitment to excellence and innovation. As a Claims Examiner, you’ll take ownership of indemnity claims, ensuring timely and accurate resolution. You’ll use your strong customer service skills to interact with clients and your expertise in lien resolution to handle routine claims without legal representation. From managing diaries to negotiating settlements, you’ll play a critical role in maintaining our high standards of service and efficiency. How You'll Make An Impact Maintain accurate claim diaries and update notes in IVOS. Identify, prevent, and mitigate potential penalties. Report excess files, SIU/Fraud cases, and subrogation opportunities. Prepare 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 exceptional client and claimant satisfaction through timely communication and resolution. About You Required: High school diploma and 3 years related claims experience required. 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 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 ('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. #J-18808-Ljbffr Gallagher
$80k - $100k
## Workers Compensation Claims ExaminerBy joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every... ...Financial Services & InsuranceWorkers Compensation Claims Examiner* Apply your knowledge and experience to adjudicate complex...SuggestedWork at officeRemote workFlexible hours$80k - $100k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve...SuggestedWork at officeRemote workFlexible hours- Overview As a Senior Claims Examiner, you’ll play a vital role in helping businesses and individuals navigate complex Workers’ Compensation claims. This remote position is based in California and requires all candidates to reside within the state. How You’ll Make an Impact...SuggestedFull timeWork at officeRemote workFlexible hours
- A leading claims management company is looking for a Workers Compensation Claims Examiner to analyze complex claims, negotiate settlements, and manage the litigation process. This role offers a hybrid work environment and a diverse benefits package including medical, dental...Suggested
$63.4k - $95k
...Job Title: Claims Examiner – Workers Compensation, CA (Remote) Primary Purpose of the Role We are looking for driven individuals that embody our caring model and core values that include empathy, accountability, collaboration, growth, and inclusion. Responsibilities Analyze...SuggestedRemote workFlexible hours$60.23k - $90k
...ESSENTIAL RESPONSIBILITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate and... ...As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency...Flexible hours$60.23k - $90k
...with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Claims Examiner Workers Compensation I NV experience required Are you looking for an opportunity to join a global industry leader where you can bring...Flexible hours- ...Sedgwick Claims Management Services Ltd is hiring a Workers Compensation Claims Examiner for their offices in Roseville, CA or Long Beach, CA. This role involves analyzing claims, negotiating settlements, and ensuring compliance with industry standards. Ideal candidates...Flexible hours
$80k - $90k
...Role Overview This role requires an individual to analyze Lost‑Time Workers Compensation claims on behalf of clients to determine benefits due and ensure ongoing adjudication within service expectations, industry best practices, and specific client service requirements...Remote workFlexible hours$52.6k - $86.8k
...loving what you do and where you do it. Compensation Overview The annual base salary range provided... ...3 What Is the Opportunity? Travelers' Claim Organization is at the heart of our... ...employees in their time of need. The Travelers Workers Compensation Claim team is committed to...Work experience placementInternshipLocal area- ...Claims Adjuster At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is... ...candidates for this position will have: Claims Background: Workers Compensation Jurisdictional Experience: Minimum 5 years Active...Live outWork at officeLocal areaRemote workFlexible hours
$75k - $101k
...Job Description: As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer...Work experience placementRemote work$27.69 per hour
Claims Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job that offers an opportunity to develop a professional career? This entry‑level trainee position offers a 4‑week professional training program, mentorship, and the chance...TraineeshipWork at officeFlexible hours$84.82k - $116.37k
...Senior Claims Professional BHHC has an immediate opportunity for experienced Workers Compensation Claims Professionals. This position requires a self-starter who can work under minimum direction, can achieve defined results, and is willing to accept ownership for their...Work at officeImmediate startWork from home- ...Claims Supervisor Workers Compensation at Gallagher Bassett summary: CVWalletExtranet.Domain.Entities.JobShortDescription Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job,...Full timeLive outWork at officeLocal areaRemote workFlexible hours
- ...California Designation. SIP Optional. Location: This role is fully remote work. Responsibilities Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service. Promote Best...Full timeWork at officeRemote workFlexible hours
$80k - $100k
A nationwide claims management company is seeking a Workers Compensation Claims Examiner in California. The role involves analyzing complex workers' compensation claims, negotiating settlements, and managing litigation processes. Ideal candidates should possess a bachelor...Flexible hours$85k - $95k
Acrisure is seeking a Workers’ Compensation Claims Examiner to manage California-based claims from assignment through resolution. Candidates must have hands-on experience managing claims and hold a California Adjuster License or CWCP designation. The role is fully remote...Remote job$80k - $100k
Sedgwick is seeking a Workers Compensation Claims Examiner in Roseville, CA, to analyze claims on behalf of clients, ensuring benefits are dispensed correctly and efficiently. Responsibilities include negotiating settlements and maintaining clear communication with all...Remote job- The Travelers Indemnity Company in Rancho Cordova, California, is seeking an Associate Claim Representative for Workers Compensation. This role focuses on developing the skills necessary to manage workers compensation claims. The position involves structured training and...
$80k - $100k
Sedgwick is a global risk and claims administration partner serving clients across 80 countries. Primary Purpose Analyze complex workers’ compensation claims to determine benefits, oversee litigation and rehabilitation, and ensure timely adjudication according to service...Remote workFlexible hours$80k - $98k
Worker's Compensation Claims Examiner Location: Roseville or Long Beach, California (2 days in-office, 3 days remote) Primary Purpose of the Role Analyze workers’ compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication...Work at officeRemote workFlexible hours- Primary Purpose of the Role To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements....Work at officeRemote workFlexible hours
$80k - $98k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Remote - Must Reside in Central Valley, CA Are you looking for an opportunity to join a global industry leader...Remote jobWork at officeFlexible hours$100k - $115k
Opportunity to lead workers compensation claims team at Sedgwick in Rancho Cordova, CA. Primary Purpose of the Role Oversees a team of examiners and technical staff handling workers compensation claims for clients. Manages workloads, provides training, monitors claim activities...Flexible hours- ...year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region. As a Workers... ...adjusters, cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations...Work experience placementLocal areaRemote work
- ...role is fully remote work. How you'll make an impact Apply claims management experience to execute decision-making to analyze... ...candidates for this position will have: Claims Background: Workers Compensation; Jurisdictional Experience: Minimum 5 years; Active Adjusters...Work at officeLocal areaRemote workFlexible hours
- ...Senior Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast-growing company that consistently outpaces the... ..., cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations...Work experience placementRemote work
$27.69 per hour
Claims Representative (IAP) - Workers Compensation Training Program | Roseville, CA or San Diego, CA Are you looking for an impactful job that offers an opportunity to develop a professional career? Program Highlights A stable and consistent work environment in an office...Work at officeFlexible hours- Sedgwick is seeking driven individuals for claims management roles in Sacramento, California. Candidates will analyze and process claims, negotiate settlements, and communicate with both claimants and clients. A minimum of 5 years claims management experience is required...Flexible hours
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