Gallagher · 4 hours ago
Senior Claims Examiner, Workers' Compensation
United States
Full-time
Remote
Senior Level
5+ years expGallagher is a leading insurance brokerage and consulting firm dedicated to helping clients manage risk effectively. The Senior Claims Examiner will be responsible for administering indemnity claims and resolving complex claim issues, utilizing strong litigation management and customer service skills.
ConsultingFinancial ServicesInsuranceManagement ConsultingRisk Management
Responsibilities
Maintain current diary
Identify, prevent and mitigate potential penalties
Update claim notes in computer
Provide timely reporting of excess files to the Reinsurance Manager
Report SIU/Fraud
Identify and pursue subrogation
Complete Rehab forms/benefit notices/SJDB/RTW form
Refer all PRIME deletions only to office designee
Update reserves no later than 30 days of receipt of information modifying the financial exposure of a claim
Prepare for and attend file reviews
Accept or deny delayed claims within 90 days
Request settlement authorization/notification within 30 days of a final P&S report and prior to the MSC date
Complete Stipulation and/or Compromise and Release paperwork
Maintain 100% closing ratio on active accounts and reduce run off accounts by 25% annually
Prepare legal referrals, provide direction to and monitor defense attorney
Return all phone calls within 24 hours
Complete instruction sheets for Assistant/Technician/Claims entry clerk
Review mail daily
Correct error report daily
Maintain client/claimant satisfaction
Update Unit Stat forms
Oversee new set-ups, reserves and instruction sheets
Prepare cover letters to AME/defense QME, AOE/COE evaluations
Negotiate outstanding liens
Make 3-point contact
File Answer/Application
Interaction with nurse on case management
Other duties assigned
Qualification
Required
High school diploma and 5 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
Extensive knowledge of accepted industry standards and practices
Computer experience with related claims and business software
Preferred
Bachelor's degree preferred
Benefits
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
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...
Company
Gallagher
Gallagher is an international insurance brokerage and risk management services firm.
10001+ employees
H1B Sponsorship
Gallagher has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (58)
2024 (31)
2023 (32)
2022 (45)
2021 (36)
2020 (15)
Funding
Current Stage
Public CompanyTotal Funding
$9.7B2024-12-09Post Ipo Equity· $8.5B
2023-06-22Post Ipo Debt· $1.2B
1984-06-29IPO
Leadership Team
Alec Herring
Area Senior Vice President
Mark Gresser
Executive Vice President
Recent News
2025-12-04
2025-11-19
Company data provided by crunchbase