Claims Adjuster - Workers' Compensation

Gallagher Bassett NZ Ltd Glendale , CA 91206

Posted 2 months ago

At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies throughout 100 offices worldwide. For the past several years GB has ranked among the largest TPA's by Business Insurance Magazine and was also a recipient of the Business Insurance Readers' Choice award for "Best Third Party Claims Administrator." If you're looking for a professional career with an industry leader then you have come to the right place. Wherever your interests lie, we're sure you will agree on one thing: our continued prosperity hinges on our greatest resource --- our people.

Position Summary:

Investigates, evaluates, disposes and settles less complex claims with moderate supervision and includes the investigation, determination and evaluation of coverage, liability and damages and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $5,000 liability and/or $10,000 workers compensation or greater.

Essential Duties & Responsibilities:

  • Exercises proper judgment and decision making to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim.

  • Interacts extensively with various parties involved in the claim process.

  • Handles claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethics requirements.

  • Documents and communicates all claim activity timely and effectively and in a manner which supports the outcome of the claim file.

  • Incumbents at this level should be able to work at full case load capacity.

Required:

  • High School Diploma

  • Minimum of 3 years related claims experience required.

  • Appropriately licensed and/or certified in all states in which claims are being handled.

  • Knowledge of accepted industry standards and practices.

  • Computer experience with related claims and business software.

Desired:

  • Bachelor's Degree

Work Traits:

  • 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 issues inherent in handling of claims.

  • Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.

U.S. Eligibility Requirements:

  • Interested candidates must submit an application and resume/CV online to be considered.

  • Must be 18 years of age or older.

  • Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation.

  • Must have unrestricted work authorization to work in the United States. For U.S. employment opportunities, Gallagher hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H or L visas), such as students in practical training status. Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Gallagher will require proof of work authorization.

  • Must be willing to execute Gallagher's Employee Agreement or Confidentiality and Non-Disclosure Agreement which requires, among other things, post-employment obligations relating to non-solicitation, confidentiality and non-disclosure.

Gallagher offers competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function) training programs, matching gift program, and more.

Gallagher believes that all persons are entitled to equal employment opportunity and does not discriminate against nor favor any applicant because of race, color, religion, sex, age, veteran status, disability, national origin, or any other legally protected status. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Workers Compensation Claims Specialist 100362

Liberty Mutual Holding Company Inc.

Posted 2 weeks ago

VIEW JOBS 11/3/2018 12:00:00 AM 2019-02-01T00:00 Advance your career at Liberty Mutual - A Fortune 100 Company! Review, analyze and process assigned claims within assigned authority limits and consistent with policy and legal requirements to ensure the delivery of quality service to customers while protecting the assets of the company. Responsibilities: * Reviews and administratively sets-up claims in software tracking system and writes or revises the brief description of loss to ensure that it accurately reflects the actual circumstances. * Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim. * Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. * Determines and documents, during the investigation process, the potential for subrogation and refers claims to the subrogation group as appropriate. * Evaluates claims for potential fraud and makes referrals to the Special Investigations Unit as appropriate. * Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. * Alerts underwriting, marketing and/or risk management regarding questionable risks encountered to ensure that potential hazards are clearly documented. * Performs other duties as assigned. NOTE:This is a range posting, the actual internal level/grade for this role will depend on the candidate's overall experience and skill level. Qualifications: * BS/BA degree or equivalent work experience. * Completion of formal training program or two years related experience required. * Some experience in claims adjustment, general insurance or formal claims training. * Required to obtain and maintain all applicable licenses. * Pursuing continuing education courses leading to industry certifications (e.g., AEI, IIA, CPCU). * General knowledge of claims investigation techniques, medical and legal aspects of claims. * Bilingual Spanish a plus! Benefits: We value your hard work, integrity and commitment to positive change. In return for your service, it's our privilege to offer you benefits and rewards that support your life and well-being. To learn more about our benefit offerings please visit: Liberty Mutual Holding Company Inc. Glendale CA

Claims Adjuster - Workers' Compensation

Gallagher Bassett NZ Ltd