Medical Only Workers Compensation Claims Service Representative

3 weeks ago


Portland Oregon, United States Gallagher Full time
About Us:
Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND.

 

We believe that every candidate brings something special to the table, including you So, even if you feel that you’re close but not an exact match, we encourage you to apply.

Overview:
Role specifics:
- Jurisdictions: OR and WA State (One or both)
- Licenses: OR and WA Designations/Licenses (One or both)
- Location: This role is eligible for fully remote work.

Responsibilities:
Administers lower exposure claims in accordance with all pertinent requirements, policies and procedures.

Works with and obtains information from clients, claimants, vendors, field personnel and other internal or external resources.

Investigates losses to determine cause, scope and extent of damages and/or liability and possible subrogation.

Evaluates claim for purposes of setting reserves and making appropriate payments.

Documents all activity to support the outcome of the claim file.

Achieves fair, equitable and timely claim disposition that is consistent with our customer and internal expectations.

Communicates effectively with claimants, clients and other internal or external contacts.

Maintains positive relationships, creates high level of satisfaction with our clients.

Qualifications:
Ideal candidates for this position will have:  
• Claims Background: Medical Only Workers Compensation Claims
• Jurisdictional Experience: OR and WA state (One or both) 
• Active Adjuster’s licenses OR and WA state designation/license (One or both)

 

REQUIRED QUALIFICATIONS: 
 
• High School Diploma. 
• Minimum of 3 years related claims experience. 
• Appropriate licensing and/or certification 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. 

 

#LI-CB1

#LI-Remote

Additional Information:
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 you’ll 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

to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and it’s 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.

 



  • Portland, Oregon, United States Insurance Placement Solutions Full time

    Insurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjuster with our client. As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will administer...


  • Portland, Oregon, United States Gallagher Full time

    About Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...

  • Claim Team Manager

    7 days ago


    Portland, United States Opportunities at MEMIC Full time

    MEMIC is seeking an experienced manager to join our team in Maine. This position requires 2x a week in the Portland office. Relocation options are available. The Claim Team Manager's primary responsibility is to oversee the specific team business activities while developing and implementing strategies related to the quality and function of the claim...


  • Portland, United States PMA Companies Full time

    As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues,...


  • Portland, United States PMA Companies, Inc. Full time

    As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goal Workers Compensation, Claims Supervisor, Claims, Residency, Supervisor, Worker


  • Portland, Oregon, United States Gallagher Full time

    About Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...


  • Portland, United States Eberl Claims Service Full time

    We are looking for experienced adjusters to handle daily claims for our carriers in Portland, OR. A Daily Claims Adjuster determines and communicates the extent of loss or damage associated with commercial/residential claims, assisting the insurer in fulfilling its obligation to policyholders and helping to safeguard the insurers reputation and efficacy....


  • Portland, United States Automobile Club of Southern California Full time

    Claims Service Representative II - MedpayThis position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, evaluation...


  • Portland, United States PMA Companies Full time

    As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, policy provisions and company guidelines while fostering a...


  • Portland, United States PMA Insurance Group Full time

    As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, policy provisions and company guidelines while fostering a...


  • Portland, Oregon, United States Northwest Workers' Justice Project Full time

    Northwest Workers' Justice Project seeks a Bilingual Paralegal/Worker Advocate* for the Cannabis Worker Resilience PartnershipThe Northwest Workers' Justice Project protects workplace dignity by supporting the efforts of low-wage, immigrant and contingent workers to improve wages and working conditions and to eliminate imbalances in power that lead to...


  • Portland, United States Northwest Workers' Justice Project Full time

    Northwest Workers’ Justice Project seeks a Bilingual Paralegal/Worker Advocate* for the Cannabis Worker Resilience Partnership! The Northwest Workers’ Justice Project protects workplace dignity by supporting the efforts of low-wage, immigrant and contingent workers to improve wages and working conditions and to eliminate imbalances in power that lead to...

  • Food Services Worker

    2 weeks ago


    Portland, United States Maine Medical Center Full time

    Summary Position Summary (Approximately 3 shifts per week, one of which will be a weekend shift). The Food Services Worker performs under close supervision of the Manager or Supervisor and according to defined procedures and established schedules. Food Services Workers perform a variety of duties that support the Nutrition & Food Services department...

  • Food Services Worker

    2 weeks ago


    Portland, United States Maine Medical Center Full time

    Summary ($3,000.00 Sign on Bonus paid in 3 installments, prorated for Part Time) Current MaineHealth employees not eligible for the sign on bonus. Must be separated from MaineHealth system for 6 months to be eligible. Position Summary (Schedule will be M-F 7:00am - 3:30pm) The Food Services Worker performs under close supervision of the Manager or...


  • Portland, United States NW Preferred FCU Full time

    NW Preferred FCU, is seeking a support services representative to join our support team. Duties include but are not limited to: • Provide exemplary service. • Process ACH, Share Draft and Remote Deposit Capture exception items. • Assist in the daily function of the Visa credit and debit card programs as well as the administration of the IRA and HSA...

  • Food Services Worker

    2 weeks ago


    Portland, United States Maine Medical Center Full time

    Summary Position Summary The Food Services Worker performs under close supervision of the Manager or Supervisor and according to defined procedures and established schedules. Food Services Workers perform a variety of duties that support the Nutrition & Food Services department including the kitchen, cafeteria, or other food locations. Required Minimum...


  • Portland, Oregon, United States ODORZX INC. Full time

    We are currently seeking a highly motivated and results-driven Commission Sales Representative in Portland, OR, to join our dynamic team. If you are a persuasive communicator with a passion for sales and a proven track record of exceeding targets, this is the opportunity you've been waiting for! Responsibilities: Identify and prospect potential clients...


  • Portland, Oregon, United States NW Preferred FCU Full time

    NW Preferred FCU, is seeking a support services representative to join our support team. Duties include but are not limited to: Provide exemplary service. Process ACH, Share Draft and Remote Deposit Capture exception items. Assist in the daily function of the Visa credit and debit card programs as well as the administration of the IRA and HSA programs....

  • Claims Supervisor

    1 day ago


    Portland, United States Cambia Health Solutions Full time

    Claims Supervisor Remote within WA, OR, UT, ID Onsite/Hybrid can be an option if an office is available in the local area. Primary Job Purpose: This role supports members, providers and various internal departments by mentoring staff, monitoring workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to...

  • Claims Supervisor

    2 days ago


    Portland, United States Cambia Health Solutions, Inc Full time

    Claims Supervisor Remote within WA, OR, UT, IDOnsite/Hybrid can be an option if an office is available in the local area.Primary Job Purpose:This role supports members, providers and various internal departments by mentoring staff, monitoring workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State,...