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Claims Analyst
3 months ago
At Risk Placement Services, we're more than just a team we thrive on collaboration, creativity, and tackling challenges head-on. Our culture fosters an environment where every idea counts, and every individual's contribution matters. Step into a world of excitement and innovation as we work with top-rated carriers to design robust coverage for our clients. Unleash your potential and join our spirited team, where you'll have the freedom to explore and the support to grow.
We believe that every candidate brings something special to the table, including you So, even if you feel that youre close but not an exact match, we encourage you to apply.
How you'll make an impact:
This position is responsible for oversight of workers compensation claims in the State of California.
MUST HAVE EXPERIENCE AT LEAST 3 YEARS WITH CALIFORNIA WORKERS COMP CLAIMS.
HOW WILL YOU AFFECT THE BUSINESS?
Reports directly to the RPS Claims Supervisor.
Provide excellent service to our Members.
Review new claims received from TPA on a daily basis.
Complete Initial Claim Feedback Report within 48 hours of the TPA making 3 point contacts
Form a partnership and work closely with the TPA Claims Examiner to create claim summary reports for our members.
Conduct quarterly claim reviews with Members, Brokers and Defense Attorneys.
Maintain claim diary in CRM.
Participate in quarterly litigation calls with defense attorney firms.
Advise management regarding any financial impact of potential large loss claims.
Assure that TPA is reporting claims to the Excess Carrier when the criteria is met.
Communicate with Members, TPA, and Brokers in a professional, positive, and proactive manner.
Ability to work and support other RPS Claims Analysts.
Attend SIG Program Annual Meetings in person or telephonically when needed
Proficient using MicroSoft Office products such as Word, Excel, Outlook, etc.
Willing to travel as needed.
Excellent presentation skills
About you:Required: High school diploma and 3 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. 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 issues inherent in handling of claims. Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.
On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Below are the minimum core benefits youll get, depending on your job level these benefits may improve:
- Medical/dental/vision plans, which start from day one
- Life and accident insurance
- 401(K) and Roth options
- Tax-advantaged accounts (HSA, FSA)
- Educational expense reimbursement
- Paid parental leave
Other benefits include:
- Digital mental health services (Talkspace)
- Flexible work hours (availability varies by office and job function)
- Training programs
- Gallagher Thrive program elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
- Charitable matching gift program
- And more...
We value inclusion and diversity
Click Here to review our U.S. Eligibility Requirements
Inclusion and diversity (I&D) is a core part of our business, and its embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
Gallagher embraces our employees diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as protected characteristics) by applicable federal, state, or local laws.
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 person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
