Claims Assistant

Claims Assistant

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.

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 Assistant, you'll be the backbone of our claims team, assisting Examiners in every aspect of claims administration. Your role will involve ensuring accuracy, preventing penalties, and delivering outstanding service to our clients. From data entry to investigating claims, you'll be instrumental in maintaining our high standards of efficiency and client satisfaction.

How you'll make an impact:

• Input data for all new claims and maintain accurate records.
• Process indemnity payments, wage statements, and mileage calculations.
• Identify and mitigate potential penalties while ensuring compliance.
• Deliver 3-point contact to verify injury mechanics, compensability, and discharge.
• Manage correspondence, including DWC letters, delay letters, and statute letters.
• Investigate questionable claims and escalate as needed.
• Schedule medical appointments and manage related documentation.
• Collaborate with nurses on return-to-work cases.
• Maintain a 100% closing ratio and ensure timely responses to inquiries.

About you:

Required: High school diploma or GED and a minimum of 1 year transferrable work experience within an office environment. Ability to pass any required licensing exams within three attempts. Excellent written, verbal and mathematic skills. Working knowledge of current PC software such as Word and Excel. Familiar with medical terminology.

Preferred: Licensed for all states in which claims are being handled. One year relevant Worker's Compensation experience. Behaviors: Ability to operate in a team environment with the expectation of enhancing and contributing to the offices overall effectiveness and success. Able to maintain strict confidence regarding information contained in assigned work. Ability to professionally interact with all levels of branch personnel, as well as, clients, vendors and all other office visitors.