Senior WC Claims Adjuster, Complex/High-Exposure, Remote

Intercare Holdings, Inc.; Arizona; Remote; USD 95,000 - 106,000; Full time

Benefits offered by this job

HSA and FSA contributions

Company-paid life and disability ins.

401(k) with company match

PTO and holidays

Job summary

AvonRisk is seeking a senior Workers’ Compensation Claims Adjuster III, with 7+ years WC claims experience and strong expertise in independent indemnity management, litigated files, and complex settlements. The role supports medical management, litigation leadership, and strategic reserve setting while mentoring junior staff.

Remote or hybrid work arrangement depending on candidate location, with a preference for Arizona residents.

Qualifications

• Minimum 7 years of WC claims experience including at least 5 years of independent indemnity management.
• Bachelor’s degree and a minimum of 5 years of WC indemnity experience at an independent level.
• Comprehensive knowledge of public entity liability claims including JPAs, self-insured programs, and pooled insurance arrangements.

Responsibilities

• Lead medical management on catastrophic and high-complexity claims including directing specialists, coordinating life care planners, directing UR and IMEs, and managing PTD cases.
• Independently direct the full litigation process on the unit’s most complex files including selecting defense counsel, setting strategy, retaining experts, managing legal spend, and preparing for trial.
• Lead PD rating on complex cases including significant apportionment, overlapping injuries, and disputed ratings; establish and adjust reserves on high-exposure files with justification.
• Mentor Adjuster I and II and support unit-wide quality review; maintain client and carrier relationships with professionalism and technical authority.

Skills

WC claims experience

Litigation coordination

Independent indemnity management

Education

Bachelor’s degree in related field

CA SIP certificate

Professional designations (AIC, ARM, WCCP, CPCU) a plus

Job description

AvonRisk is seeking a senior Workers’ Compensation Claims Adjuster III, with 7+ years WC claims experience and strong expertise in independent indemnity management, litigated files, and complex settlements. The role supports medical management, litigation leadership, and strategic reserve setting while mentoring junior staff.

Remote or hybrid work arrangement depending on candidate location, with a preference for Arizona residents.