Temp Workers Compensation Claims Adjuster III (LAPD)

InterMed Cost Containment Services; Glendale (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

AvonRisk is seeking a claims professional to manage a portfolio of workers’ compensation cases across California, ensuring timely contact and thorough documentation. You will work with the medical team to promote early return-to-work while maintaining compliance with state laws.

The role requires sharp case management, strong communication, and a meticulous approach to reserving and bill review. Join a team focused on rigorous training and collaborative problem solving.

Qualifications

• Experience handling workers' compensation claims in California.
• Ability to document case facts and maintain accurate records.
• Strong understanding of case management workflows and timelines.

Responsibilities

• Perform a three-point contact on all new losses within 24 hours of receipt.
• Document ongoing case facts and information for compensability and disability.
• Maintain up-to-date action plans for indemnity claims.
• Collaborate with medical case managers to maximize early return-to-work.
• Refer cases with suspected fraud to the SIU.
• Pursue subrogation and apportionment when applicable.
• Ensure claim files comply with statutes and contracts.
• Review vocational rehabilitation plans and approve when appropriate.
• Establish and monitor monetary reserves within authority limits.
• Review medical bills for appropriateness before payment.
• Provide courteous, professional service representing AvonRisk.
• Respond to messages within 24 hours and inquiries within one week.
• Utilize knowledge of the California Labor Code as it pertains to workers' comp.

Skills

Caseload management

Case documentation

Communication skills

Legal knowledge

Fraud detection

Job description

Description

AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, InterMed, George Hills, and AS&G Claims Administration, we’re a people-focused, operations-driven organization that prioritizes reasonable caseloads, strong training, collaborative teams, and expert support. We invest in tools and workflows that reduce friction—not increase volume—and create real career paths for professionals who want to grow their careers or move into leadership. At AvonRisk, you’re part of a team that values good judgment, curiosity, and accountability, and gives you the support to succeed.

Job Type

Full-time, Temporary

Description

AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, InterMed, George Hills, and AS&G Claims Administration, we’re a people-focused, operations-driven organization that prioritizes reasonable caseloads, strong training, collaborative teams, and expert support. We invest in tools and workflows that reduce friction—not increase volume—and create real career paths for professionals who want to grow their careers or move into leadership. At AvonRisk, you’re part of a team that values good judgment, curiosity, and accountability, and gives you the support to succeed.

Summary

Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files that may include cases of extreme complexity or with unique or unusual issues.

Essential Duties And Responsibilities

• Perform a three-point contact on all new losses within 24 hours of receipt of the claim to include the claimant, employer, and treating physician to document relevant facts surrounding the incident itself as well as disability and treatment status.
• Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability, the need for disability payments, the use of vendors, medical and expense payments, and what is being done to move the case toward closure.
• Assure that all assigned indemnity claims have an up to date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
• Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.
• Initiate the referral to the SIU of cases with suspected fraud.
• Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
• Assure that the claim file is handled totally in accordance with applicable statutes as well as in-force service contracts and company guidelines.
• Review and approve all vocational rehabilitation plans.
• Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
• Review all medical bills for appropriateness prior to referral to InterMed for payment and posting to the claim file.
• Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company.
• Respond to telephone messages and inquiries within 24 hours of receipt and to written inquiries within one week of receipt.
• Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them.
• Litigation management - Direct, manage, and control the