Claims Approver at Gallagher

Torrance, California, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Apr, 26

Salary

52000.0

Posted On

21 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Claims Processing, Problem Solving, Communication Skills, Medical Terminology, Data Analysis, Attention To Detail, Teamwork, Time Management, Microsoft Excel, Microsoft Outlook, Microsoft Word, Self-Funded Claims, PPO Claims, HIAA Group Courses

Industry

Insurance

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 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. Keenan has an exciting career opportunity for a Claims Approver. As a Claims Approver you will accurately adjudicate high volume benefit claims in accordance with all Plan provisions and within ERISA timely guidelines and respond promptly and professionally to issues related claims and benefits. How you'll make an impact Process claims and adjust claims previously processed incorrectly; determine appropriate action for reversal and/or reprocessing, request refund if necessary, and compose and distribute any other necessary correspondence. Follow-up on pending claims, review claim reports and call logs to determine necessary action, request additional information as needed, bring closure to claims when requested data has not yet been received. Refer complex claims and related service issues to Senior Claim Approvers due to intricacy, multiple procedures and/or dollar limits. Identify and process claims through Keenan vendors (e.g., network repricing, TPL) Observe and report trends. Other duties as assigned. Compensation: The target salary range for this position is $48,000 to $52,000 (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 and 0-1 year of customer service experience required. Preferred: 3 years previous group claims experience is preferred. with at least 1 years’ experience with self-funded/PPO claims recommended. Knowledge of medical terminology, familiarity with standard reference materials, required. Completion of HIAA Group Courses is preferred. Excellent problem-solving and written and verbal communication skills. Must be proficient in Outlook, Excel, and MS Word. Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. 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... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. 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 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.

Responsibilities

As a Claims Approver, you will accurately adjudicate high volume benefit claims and respond to issues related to claims and benefits. You will also process claims, follow up on pending claims, and refer complex claims to Senior Claim Approvers.