Claims Service Representative jobs in United States
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Gallagher · 4 hours ago

Claims Service Representative

Gallagher is a company that helps clients face risk with confidence. They are seeking a detail-oriented Claims Service Representative to manage lower exposure claims, ensuring fair and timely claim disposition while maintaining positive relationships with clients and stakeholders.

ConsultingFinancial ServicesInsuranceManagement ConsultingRisk Management
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H1B Sponsor Likelynote
Hiring Manager
Meredith Slotten, PHR
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Responsibilities

Administer exposure claims in accordance with company policies, procedures, and applicable state laws
Collaborate with clients, claimants, vendors, field personnel, and other internal/external resources to gather necessary information
Investigate losses to determine cause, scope, extent of damages, liability, and potential subrogation opportunities
Evaluate claims to set reserves, make appropriate payments, and ensure accurate documentation of all activities
Review large data files submitted by clients, analyze claims data, and price it against sold policies
Assist in difficult claims processing and provide support in claims management as needed
Communicate effectively with claimants, clients, and stakeholders to achieve high levels of satisfaction and maintain positive relationships
Support producers in reviewing losses from the past year and discussing market trends
Develop towards managing accounts within the Provider Stop Loss product
Client-facing work, providing SME knowledge to both internal and external stakeholders

Qualification

Claims managementProvider Stop LossMedical malpractice claimsClaims-related softwareAnalytical skillsVerbal communicationWritten communicationOrganizational skills

Required

High school diploma or equivalent
Minimum of 1 year of related experience in claims management
Appropriate licensing and/or certification in all states where claims are handled
Proficiency in MS Office applications and claims-related business software
Solid analytical skills to make decisions and resolve issues inherent in claims handling
Strong organizational skills to manage workload and respond to multiple demands
Excellent verbal and written communication skills

Preferred

Familiarity with Provider Stop Loss, HMO reinsurance, or managed care reinsurance products designed to cover catastrophic claims
Experience in medical malpractice claims or health benefit claims, including reviewing, accepting, or denying claims
Knowledge of medical coding, billing, or working in a health plan or health carrier environment
Ability to analyze claims data and understand reinsurance layers that protect entities from catastrophic claims

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

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Gallagher is an international insurance brokerage and risk management services firm.

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 Company
Total Funding
$9.7B
2024-12-09Post Ipo Equity· $8.5B
2023-06-22Post Ipo Debt· $1.2B
1984-06-29IPO

Leadership Team

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Alec Herring
Area Senior Vice President
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Mark Gresser
Executive Vice President
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Company data provided by crunchbase