Claims adjuster • berkeley ca
This is a remote position located in California.Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts.Specializing in emplo... Show more
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The Claims Examiner is responsible for reviewing, processing, and adjudicating complex employee benefit claims with accuracy, timeliness, and regulatory compliance.This role requires deep experienc... Show more
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Program Manager - Workers Compensation Claims | CA Claims Exp.Preferred (Hybrid - El Dorado Hills, CA).Primary Purpose: To manage the technical and operational functions within assigned office(s) i... Show more
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Workers' Compensation Manager (Human Resources Manager).AC Transit's Human Resources Department is seeking an experienced Workers' Compensation Manager to oversee the District's workers' compensati... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more
The average salary range is between $ 47,112 and $ 83,739 year , with the average salary hovering around $ 58,316 year .
Overview
This is a remote position located in California. 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. As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive. The Claims Examiner is responsible for liability claims and property damage claims to their conclusion in the most cost-effective way possible for the client. In addition, the Claims Examiner will be responsible for recognizing claims involving coverage issues and present them to the Claims and Coverage Committees for referral to counsel. How you'll make an impact 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. About You 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. 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 complex issues inherent in handling losses. Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation. Compensation and benefits At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page. Competitive compensation Comprehensive benefits programs designed to support your well-being Career development opportunities and ongoing learning A collaborative, people-first culture with accessible leadership The opportunity to do meaningful work with global reach and local impact At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles. Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)
