Top 18 Claims examiner Jobs in Hayward Ca

Claims Examiner
Gallagher —Oakland, CA
- $79,500 - $113,500 a year
- Remote
- 5 years
- Writing skills
- Mid-level
CLAIMS EXAMINER I MSO
NORTH EAST MEDICAL SERVICES —Burlingame, CA
- $38 an hour
- Full-time
- HIPAA
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
Claims Examiner Trainee
Berkshire Hathaway Homestate Companies —Walnut Creek, CA
- Hybrid work
- Spanish
- Writing skills
- Basic math
- Paid holidays
- Health insurance
Quick Apply
CLAIMS EXAMINER II
NORTH EAST MEDICAL SERVICES —Burlingame, CA
- $36.92 - $41.85 an hour
- Full-time
- HIPAA
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Workers' Compensation Claims Examiner
JT2 Integrated Resources —California
- From $90,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Liability Claims Examiner
Sedgwick —Concord, CA
- Full-time
- Hybrid work
- Mid-level
- Bachelor's degree
- Travel
- Health savings account
- Disability insurance
12d
Claims Examiner/Senior Claims Examiner
Berkley —Walnut Creek, CA
- $65,000 - $115,000 a year
- Full-time
- Computer literacy
- Analysis skills
- Organizational skills
- Profit sharing
- Health insurance
Examiner
JT2 —Oakland, CA
- Full-time
- Computer literacy
- Mid-level
- Analysis skills
Claims Examiner - Workers Compensation (HYBRID - Concord, CA)
Sedgwick —Concord, CA
- Full-time
- 5 years
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Claims Examiner III - Hybrid / Remote
TRISTAR RISK MANAGEMENT —Concord, CA
- $90,000 - $95,000 a year
- Full-time
- Hybrid work
- Spanish
- Microsoft Excel
- 5 years
- Paid holidays
- Health insurance
Quick Apply
Senior Claims Examiner
Athens Administrators —Concord, CA
- $50.29 - $55.87 an hour
- Urgently hiring
- Management
- Bachelor of Science
- Basic math
- Health savings account
- AD&D insurance
Quick Apply
Workers Compensation Claims Examiner III (Hybrid)
TRISTAR RISK MANAGEMENT —Concord, CA
- $90,000 - $100,000 a year
- Full-time
- Spanish
- Microsoft Excel
- 5 years
Quick Apply
Senior Claims Examiner, Workers' Compensation
Gallagher —San Jose, CA
- $61,000 - $119,000 a year
- Full-time
- Remote
- 5 years
- High school diploma or GED
- Bachelor's degree
- Paid parental leave
- Health savings account
Senior Claims Examiner Commercial GL
Venbrook —San Jose, CA
- Full-time
- Microsoft Excel
- 6 years
- Microsoft Outlook
- Paid holidays
- Disability insurance
Senior Claims Examiner, Complex General Liability
Gallagher —Oakland, CA
- $88,000 - $171,500 a year
- Remote
- 7 years
- Writing skills
- High school diploma or GED

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claims examiner jobs near hayward ca

Claims Examiner

Gallagher -
Oakland, CA

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Job Details

$79,500 - $113,500 a year

Qualifications

Customer inquiry handling
High school diploma or GED
Computer skills
Insurance claims management software

Full 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 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)

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Refine Your Search

claims examiner jobs in hayward ca

Claims Examiner

CLAIMS EXAMINER I MSO

Claims Examiner Trainee

CLAIMS EXAMINER II

Workers' Compensation Claims Examiner

Liability Claims Examiner

Claims Examiner/Senior Claims Examiner

Examiner

Claims Examiner - Workers Compensation (HYBRID - Concord, CA)

Claims Examiner III - Hybrid / Remote

Senior Claims Examiner

Workers Compensation Claims Examiner III (Hybrid)

Senior Claims Examiner, Workers' Compensation

Senior Claims Examiner Commercial GL

Senior Claims Examiner, Complex General Liability

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