[Hiring] Claims Assistant @Gallagher

Role Description

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.

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.

Qualifications

• High school diploma or GED.
• 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.

Requirements

• Preferred: Licensed for all states in which claims are being handled.
• One year relevant Worker's Compensation experience.

Benefits

• 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.