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Gallagher · 1 day ago

Claims Examiner

United States

Full-time

Remote

Senior Level

$76K/yr - $122K/yr

5+ years exp

Gallagher is a leading insurance brokerage and consulting firm specializing in employee benefits and risk management. The Claims Examiner is responsible for managing liability and property damage claims, ensuring they are handled cost-effectively while addressing coverage issues and collaborating with legal counsel as needed.

ConsultingFinancial ServicesInsuranceManagement ConsultingRisk Management

Responsibilities

Review assigned claims within the PLCA guidelines

Prepare appropriate response letter to Government Claims within the required timelines

Assignment of Investigations

Review investigative reports, evaluate damages and make recommendations to clients regarding assigned files

Direct attorneys on litigated files and control defense costs

Prepare timely Reports to Reinsurers

Prepare appropriate write ups for JPA’s/ Superpools on a quarterly basis

Monitor/adjust reserves when developments occur

Review files for Subrogation potential and actively pursue subrogation

Manage and respond to client inquiries

Maintain accurate statistical data in computer

Assist in client file reviews

Attend Court ordered Mediations/MSC’s or any meeting required to facilitate settlement

Bill at minimum 80% of the work day

Other duties as assigned

Qualification

Claims experienceLicensingCertificationAnalytical skillsComputer software proficiencyCritical thinkingProblem solvingNegotiation skillsEffective communication

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