Job Description
Introduction
At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate. You'll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you're not just improving clients' risk profiles, you're building trust. You'll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you're ready to bring your unique perspective to a place where your work truly matters; think of Gallagher.
Overview
This is a remote position based in California, and candidates must reside within the state.
Keenan, now a part of Gallagher, is seeking a detail-oriented and organized Claims Assistant to join our Workers' Compensation Claims team. In this role, you will be responsible for supporting our Claims Examiners in the administration and management of workers' compensation claims. You will play a critical part in delivering exceptional service to injured workers, clients, medical providers, and internal teams while ensuring claims are handled accurately and efficiently. 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.
How you'll make an impact
* Setting up and maintaining new claims files and entering claim data accurately.
* Processing indemnity payments, benefit calculations, and payment cycles.
* Requesting and reviewing wage statements and performing wage calculations.
* Monitoring claims to identify, prevent, and mitigate potential penalties.
* Conducting 3-point contact to verify injury details, compensability, and work status.
* Reviewing and processing Division of Workers' Compensation (DWC) notices, letters, and forms.
* Managing claim correspondence, including delay letters, statute letters, denial notices, and closing letters.
* Calculating and processing mileage reimbursements and related benefits.
* Verifying lost time, waiting periods, and return-to-work status.
* Assisting with modified duty and return-to-work programs.
* Maintaining diaries, claim notes, and electronic claim records.
* Identifying issues that may require escalation or conversion to indemnity claims.
* Coordinating medical appointments and processing Qualified Medical Evaluator (QME) referrals.
* Processing Independent Medical Review (IMR) requests and utilization review referrals.
* Preparing and serving legal documents, including Stipulations and Compromise & Release agreements.
* Reviewing mail, medical bills, and documentation daily to ensure timely processing and compliance.
* Investigating questionable claim circumstances and escalating concerns when appropriate.
* Collaborating with claims examiners, nurse case managers, medical providers, attorneys, and clients.
* Maintaining high levels of client and claimant satisfaction through responsive communication and service.
Compensation: The target salary range for this position is $45,000 to $55,000 (US Dollar) annually. The actual salary will vary based on applicant's education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant's geographic location.
About You
Required: High school diploma or GED and a minimum of 1 year transferrable work experience within an office environment. Ability to pass any required licensing exams within three attempts. Excellent written, verbal and mathematic skills. Working knowledge of current PC software such as Word and Excel. Familiar with medical terminology.
Preferred: Licensed for all states in which claims are being handled. One year relevant Worker's Compensation experience.
Behaviors: Ability to operate in a team environment with the expectation of enhancing and contributing to the offices overall effectiveness and success. Able to maintain strict confidence regarding information contained in assigned work. Ability to professionally interact with all levels of branch personnel, as well as, clients, vendors and all other office visitors.
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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)
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