Workers Compensation Claims Adjuster – Senior

Intercare Holdings Insurance Services

Claims Adjuster at AvonRisk managing complex indemnity cases for specialty risk management. Reporting to Claims Supervisor and documenting facts to facilitate claims resolution.

Posted 5/15/2026full-timeRemote • California • 🇺🇸 United StatesSeniorLead💰 $95,000 - $98,000 per yearWebsite

About the role

Key responsibilities & impact

Reports directly to the unit Claims Supervisor
Effectively managing an assigned inventory of claim files
Perform a three-point contact on all new losses within 24 hours
Accurately document ongoing case facts and relevant information
Form a partnership with the medical case manager
Initiate the referral to the SIU of cases with suspected fraud
Review and approve all vocational rehabilitation plans
Establish, monitor, and adjust monetary case reserves when warranted
Respond to telephone messages and inquiries within 24 hours

Requirements

What you’ll need

Bachelor's degree (B. A.) from four-year college or university
At least seven years related experience and/or training
Equivalent combination of education and experience
A minimum of at least five years experience managing indemnity cases
Requires a high degree of claims handling expertise including complex cases
Possess an SIP certificate

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims handlingcase managementvocational rehabilitationfraud investigationmonetary case reservesdocumentationinventory management

Soft Skills

communicationpartnership buildingtime management

Certifications

SIP certificate