Senior Compensation Claims Adjuster - Hybrid

AvonRisk; Rocklin (CA); Hybrid; USD 55,000 - 69,000; Full time

Job summary

AvonRisk, a leading specialty risk manager, seeks a Senior Claims Specialist in California to manage complex indemnity claims under the guidance of the Claims Supervisor. You will document facts, manage reserves, and support subrogation and medical management to move cases toward closure.

Requirements include a Bachelor's degree with at least seven years’ related experience, including high-potential subrogation cases, SIP certification, and strong CA Labor Code knowledge.

Qualifications

• Strong problem-solving and analytical skills to resolve complex claims.
• Excellent customer service and communication abilities.
• Ability to collaborate with cross-functional teams.

Responsibilities

• Manage an assigned inventory of indemnity claims to closure.
• Document case facts, disability status, and treatment plans thoroughly.
• Coordinate with medical case managers and vendors for optimal outcomes.
• Initiate referrals to SIU for suspected fraud and pursue subrogation.

Skills

Problem Solving

Customer Service

Interpersonal

Team Work

Education

Bachelor's degree

SIP certificate

Job description

AvonRisk, a leading specialty risk manager, seeks a Senior Claims Specialist in California to manage complex indemnity claims under the guidance of the Claims Supervisor. You will document facts, manage reserves, and support subrogation and medical management to move cases toward closure.

Requirements include a Bachelor's degree with at least seven years’ related experience, including high-potential subrogation cases, SIP certification, and strong CA Labor Code knowledge.