Temporary Workers' Compensation Claims Adjuster III

Intercare Holdings Insurance Services

Claims Adjuster managing complex worker's compensation claims for AvonRisk. Responsible for case documentation, management, and resolution involving various stakeholders.

Posted 6/26/2026full-timeRemote • California • 🇺🇸 United StatesSeniorLeadWebsite

About the role

Key responsibilities & impact

Reports directly to the unit Claims Supervisor
Provide technical backup in the absence of the Claims Supervisor
Manage an assigned inventory of claim files that may include complex cases
Conduct a three-point contact on all new losses within 24 hours of receipt
Document relevant facts surrounding incidents and treatment status
Assure claims have an up-to-date plan of action
Partner with the medical case manager for early return to work potential
Initiate referrals for suspected fraud cases
Pursue subrogation from culpable third parties
Review and approve vocational rehabilitation plans
Monitor and adjust monetary case reserves when warranted
Exhibit a professional image and respond to inquiries within specified timeframes

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
Requires a high degree of claims handling expertise
Minimum of at least five years experience managing indemnity cases
Complex or high potential subrogation, rehabilitation, medical management, and/or legal issues
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 handlingindemnity case managementsubrogationvocational rehabilitationmedical managementfraud investigationcase reserve managementdocumentationthree-point contact

Soft Skills

professional imagecommunicationorganizational skillsproblem-solving

Certifications

SIP certificate