Senior Workers Compensation Claims Adjuster

Gallagher Bassett NZ Ltd South Bend , IN 46601

Posted 2 months ago

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way.

Position Summary:

Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. 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 $10,000 liability and/or $25,000 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.

  • Able to clearly communicate concise action plans, and present plans for moving the case to conclusion.

  • Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions.

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

  • Demonstrated ability to comply with carrier reporting and threshold requirements.

  • Able to recognize and pursue excess insurance recoveries. Incumbents will have the ability to handle a full case load, with proven ability to handle cases of increased severity

Additional Considerations:

Required:

  • High school diploma

  • 5 or more years related claims experience required

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

  • Extensive knowledge of accepted industry standards and practices Computer experience with related claims and business software

Desired:

  • Bachelor's Degree

  • Jurisdiction - IN

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 complex issues inherent in handling losses.

  • Ability to successfully negotiate the settlement and disposition of serious 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

  • Are you 18 years of age or older or can you demonstrate legal capacity to enter a contract?

  • 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/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, sex, color, disability, national origin, religion, creed, age, marital status, citizenship, veteran status, gender, gender identity / expression, actual or perceived sexual orientation, or any other protected characteristic. 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.

#LI-KQ1


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
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
Senior Claims Specialist IN Workers Compensation

Great American Insurance Group (Dba)

Posted 3 months ago

VIEW JOBS 11/19/2022 12:00:00 AM 2023-02-17T00:00 <p>Be Here. Be Great. <br><br> Working for a leader in the insurance industry means opportunity for you Great American Insurance Group's member companies are subsidiaries of American Financial Group, a Fortune 500 company. We combine a &quot;small company&quot; culture where your ideas will be heard with &quot;big company&quot; expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.</p><p>At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best.</p><br><br><p>When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? <br><br> Never? <br><br> Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact we received 98% rating for overall job satisfaction from the participants in our last employee survey, clearly indicating the passion and energy our staff has for our company and for the job they do!</p><p>Currently we have an opening for a Senior Claims Specialist in your territory. Are you innovative, high energy, resilient, determined, assertive, clever, and competitive? <br><br> Do you see each new claim as a puzzle to work and a challenge to be won? Does this sound like you? If so, this might be the right job for you.</p><p>Here's who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872. <br><br> Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. <br><br> AFG's common stock is listed and traded on the New York Stock Exchange (&quot;NYSE&quot;) and NASDAQ under the symbol &quot;AFG&quot;.</p><p>Here's what we do. We insure workers' compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none. <br><br> We've found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning they enjoy working with us too!</p><p>Here's what you would be doing if hired for the Senior Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high potential exposure. <br><br> We take an extremely aggressive and pro-active approach in claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution. The person hired for this position will work from an office in their home with occasional travel to claims reviews and meetings.</p><p>Responsibilities</p><ul><li><p>Investigating losses</p></li><li><p>Analyzing coverage, determining compensability and benefits</p></li><li><p>Establishing reserves and negotiating settlements</p></li><li><p>Conducting meetings on the phone with insureds and claimants</p></li><li><p>Preparing large loss reports to both internal and external audiences</p></li><li><p>Attending settlement conferences as assigned</p></li><li><p>Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.</p></li></ul><p>Qualifications</p><ul><li><p>A minimum of 10 years of Indiana workers' compensation claims adjusting experience with higher exposure claims is required</p></li><li><p>Strong consideration will be given to candidates with industry designations including Associate in Claims</p></li><li><p>You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts</p></li><li><p>Candidates must be located in Indiana</p></li></ul><p>#LI-REMOTE</p><p>Business Unit:</p><p>Strategic Comp</p><p>Benefits:</p><p>We offer competitive healthcare, retirement and paid time off benefits.</p><br> Great American Insurance Group (Dba) south bend IN

Senior Workers Compensation Claims Adjuster

Gallagher Bassett NZ Ltd