Job Description

Claims Adjuster II

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 — investing in tools and workflows that reduce friction, not increase volume, so our people can build real careers here.

Our commitment to claims excellence has been recognized industry-wide: George Hills was named the 2026 U.S. Insurance Awards Claims Management Team of the Year, with Intercare also named a finalist in the same category.

Role Summary:

The Claims Adjuster II investigates, evaluates, and adjusts General and Automobile Liability claims. Although assigned claims generally consist of low to medium exposure, first and third-party automobile bodily injury and property damage claims, as well as premises liability accidents, product liability claims, the claims adjuster must be qualified legally and technically to handle all claims competently.

Location & Work Arrangement:

Position is fully remote with preference for candidates in California. Regular travel is required for mediations, settlement conferences, and hearings, which may exceed two hours each way.

Essential Duties & Responsibilities:

The employee shall be asked to perform all of the following essential functions, and other duties as assigned.

Claims Investigation & Liability Evaluation:

• Investigate and process a variety of auto, bodily injury, property damage, and general liability claims.

• Consult police and hospital records, examine photographs and statements, and take recorded statements as needed to render a sound liability position.

Bodily Injury & Property Damage Evaluation:

• Evaluate and review bodily injury demands and negotiate claims to settlement.

• Evaluate and calculate automobile total loss settlements and diminishment of value claims.

• Evaluate and calculate non-vehicle property damage, including supporting documentation.

Settlements & Recovery:

• Negotiate and finalize claim settlements including lien resolution (Medicare, Medi-Cal, provider, attorney liens) in alignment with client authority.

Create & Maintain Records:

• Maintain records, reports, diaries, and files on the CMIS in accordance with the Company Procedure Manual and established Company and regulatory criteria.

• Document spoken and written case activity on the CMIS and prepare timely status reports for clients.

Professionalism & Communication:

• Respond to inquiries within required timeframes; maintain proactive communication with injured workers, employers, carriers, counsel, and vendors throughout the life of each claim.

Requirements

Education & Experience:

• Bachelor's degree from an accredited college or university preferred but not required; relevant work experience will be considered.

• At least 5 years of experience adjusting auto and general liability claims.

• Governmental immunity experience a plus but not required.

Skills & Knowledge:

• Excellent oral and written communication, including presentation skills.

• Strong negotiation and settlement skills.

• PC literate, including Microsoft Office products.

• Analytical and interpretive skills.

• Strong organizational and interpersonal skills.

• Ability to work effectively in a team environment and meet or exceed service expectations.

Compensation:

Salary Range: $75,000 - $90,000

The salary range listed is an estimate. Actual compensation will be determined based on several factors such as a candidate's experience, qualifications, skill set, and work location. Position is eligible for AvonRisk's full benefits package.

Benefits:

We take care of our people so they can take care of their work and their teams. AvonRisk offers a competitive, people first benefits package designed to support your health, financial security, and career growth, including:

• Comprehensive medical, dental, and vision benefits

• Company contributions to HSA and FSA plans

• Employer-paid life and disability insurance

• 401(k) with company match

• Paid time off (PTO) and company-paid holidays

• Learning and development opportunities that support real career advancement

• Employee assistance resources and a supportive culture that values balance and wellbeing

Equal Opportunity Employer:

AvonRisk is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.

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