Job Description
Job DescriptionDescription:
AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, InterMed, George Hills, and AS&G Claims Administration, we’re a people-focused, operations-driven organization that prioritizes reasonable caseloads, strong training, collaborative teams, and expert support — investing in tools and workflows that reduce friction, not increase volume, so our people can build real careers here.
Our commitment to claims excellence has been recognized industry-wide: George Hills was named the 2026 U.S. Insurance Awards Claims Management Team of the Year, with Intercare also named a finalist in the same category.
Role Summary:
The Adjuster III investigates, evaluates, and adjusts assigned claims, which typically consist of medium to complex non-litigated and litigated general liability, third-party automobile bodily injury and property damage claims, and may include claims involving more specialized lines of business. This role independently selects and directs defense and coverage counsel and serves as a technical resource for less experienced adjusters on complex coverage, litigation, or reserving questions, as needed. Must be qualified legally and technically to handle all claims competently and be able to handle more complex, litigated claims.
Location & Work Arrangement:
Position is fully remote with preference for candidates in California. Regular travel is required for mediations, settlement conferences, and hearings, which may exceed two hours each way.
Essential Duties & Responsibilities:
The employee shall be asked to perform all of the following essential functions, and other duties as assigned.
Investigate Claims:
• Investigate, analyze, and determine the extent of liability concerning personal, casualty, or property loss or damages, including assessing and estimating vehicle or property damage.
• Correspond with, interview, and telephone the client's employees, claimants, witnesses, medical specialists, and agents to compile relevant facts and supporting business or managerial research.
• Obtain and evaluate client, customer, legal, and property records to determine whether evidence supports the claim.
• Gather physical evidence and inspect properties to determine damages, following applicable contract, property, and insurance law and evidentiary procedures.
• Obtain all necessary reports and documents to analyze and evaluate the loss or damages, and attempt to effect settlements with claimants when appropriate.
Evaluate Liability Exposure:
• Review insurance applications, contracts, and policies or memoranda of coverage to determine appropriate coverage.
• Obtain, review, and evaluate records — police, medical, and other supporting documentation — to recommend claim action.
• Establish, monitor, and adjust reserves as appropriate throughout the life of the claim.
Create & Maintain Records:
• Maintain records, reports, diaries, and files on the CMIS in accordance with the Company Procedure Manual and established Company and regulatory criteria.
• Document spoken and written case activity on the CMIS and prepare timely status reports for clients.
Litigation Management Support:
• Collect evidence to support contested claims in court.
• Select and manage defense and coverage counsel and experts; provide direction to defense counsel in managing litigated cases.
• Keep clients advised throughout the litigation process.
• Serve as a technical resource for less experienced adjusters on complex coverage, litigation, or reserving questions, as needed.
• Attend litigation hearings including settlement conferences and mediation as necessary.
Requirements:
Qualifications:
Education & Experience:
• Four-year college degree (preferred).
• Possess comprehensive knowledge relating to the handling of public entity liability claims.
• At least five (5) years’ experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities (JPAs), including at least two (2) years handling litigated claims.
• Prior experience using claims management software and/or ability to quickly learn new software systems related to claims management.
Certificates and Licenses:
• Appropriate jurisdictional adjuster license required where applicable to assigned jurisdictions.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.
Compensation:
Salary Range: $90,000 - $100,000
The salary range listed is an estimate. Actual compensation will be determined based on several factors such as a candidate’s experience, qualifications, skill set, and work location. Position is eligible for AvonRisk’s full benefits package.
Benefits:
We take care of our people so they can take care of their work and their teams. AvonRisk offers a competitive, people first benefits package designed to support your health, financial security, and career growth, including:
• Comprehensive medical, dental, and vision benefits
• Company contributions to HSA and FSA plans
• Employer-paid life and disability insurance
• 401(k) with company match
• Paid time off (PTO) and company-paid holidays
• Learning and development opportunities that support real career advancement
• Employee assistance resources and a supportive culture that values balance and wellbeing
Equal Opportunity Employer:
AvonRisk is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.
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