Senior Workers' Comp Claims Adjuster - Complex

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

Benefits offered by this job

Medical, dental, vision benefits

HSA and FSA contributions

Employer-paid life and disability

Job summary

AvonRisk, a leading specialty risk manager, seeks a Workers’ Compensation Claims Adjuster III in Rocklin, CA. You will handle complex, high-exposure indemnity cases, coordinate medical management, RTW and life care planning, and manage PD ratings and settlements with senior-level independence.

Responsibilities include directing litigation, subrogation efforts, and lien resolution, while mentoring junior staff and maintaining client relations within a multi-state framework.

Qualifications

• Minimum 7 years of WC claims experience including at least 5 years of independent indemnity management with expertise in complex, high-exposure, and litigated files.
• Bachelor’s degree and a minimum of 5 years of WC indemnity experience at an independent level; OR equivalent combination.
• Comprehensive knowledge of public entity liability claims including JPAs, self-insured programs, and pooled insurance arrangements.

Responsibilities

• Complex Claims Investigation & Compensability: perform three-point contact on all new losses and apply scrutiny to complex, high-exposure cases.
• Medical Management, RTW & Vocational Rehabilitation: lead medical management on catastrophic/high-complexity claims and coordinate life care planning.
• Permanent Disability, Reserving & Financial Stewardship: lead PD rating on complex cases and establish reserves with justification.
• Litigation Management: direct the full litigation process including selecting counsel and managing spend.
• Settlements, Lien Resolution & Recovery: negotiate high-value settlements and coordinate lien resolution.
• Technical Leadership & Supervisory Backup: act as technical backup to supervisor and mentor junior adjusters.
• Professionalism & Communication: maintain proactive, transparent communication with stakeholders.

Education

Bachelor’s degree

Equivalent combination

Job description

AvonRisk, a leading specialty risk manager, seeks a Workers’ Compensation Claims Adjuster III in Rocklin, CA. You will handle complex, high-exposure indemnity cases, coordinate medical management, RTW and life care planning, and manage PD ratings and settlements with senior-level independence.

Responsibilities include directing litigation, subrogation efforts, and lien resolution, while mentoring junior staff and maintaining client relations within a multi-state framework.