Senior Workers' Comp Claims Adjuster (Remote, TX)

AvonRisk; Clifton (TX); Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Employer-paid life and disability

PTO and company holidays

Job summary

AvonRisk, a leading specialty risk manager, seeks a senior Workers’ Compensation Claims Adjuster III based in Texas with remote work options. You will handle the industry’s most complex, high-exposure indemnity cases, mentor junior staff, and coordinate with clients, carriers, and legal teams.

You’ll oversee litigation management from strategy to settlement, review medical management plans, and establish reserves with precise justification for large-scale claims.

Qualifications

• 7+ years of WC claims experience, including 5+ years in independent indemnity management.
• Experience with high-exposure, complex, litigated files.
• Bachelor’s degree and 5+ years of independent WC indemnity experience.
• Direct experience with one or more claims administration or processing platforms.

Responsibilities

• Lead complex investigations and compensability determinations for high-exposure claims.
• Direct medical management for catastrophic and high-complexity claims, coordinating UR, IMEs, and life care planning.
• Establish and adjust reserves with justification for high-exposure files.
• Direct the full litigation process for the unit’s complex files, select defense counsel, and manage legal spend.

Skills

WC claims experience

Indemnity management

Litigation management

Mentoring junior adjusters

Supervisory backup

Education

Bachelor's degree

Tools

Claims processing platforms

Job description

AvonRisk, a leading specialty risk manager, seeks a senior Workers’ Compensation Claims Adjuster III based in Texas with remote work options. You will handle the industry’s most complex, high-exposure indemnity cases, mentor junior staff, and coordinate with clients, carriers, and legal teams.

You’ll oversee litigation management from strategy to settlement, review medical management plans, and establish reserves with precise justification for large-scale claims.