Workers Compensation 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 reasonable caseloads, strong training and collaborative teams. Role summary As a Workers' Compensation Claims Adjuster II you'll independently manage a complex inventory of indemnity claims from intake through resolution, applying sound judgment, strong knowledge of applicable WC statutes, and a proactive approach to medical management, litigation, and recovery. You'll report to your unit Claims Supervisor and work across a diverse portfolio of self-insured client accounts. Location: hybrid, three (3) days per week at your designated AvonRisk office (Glendale, CA). Essential duties - Claims investigation and compensability: three-point contact within 24 hours on new losses; assess compensability; refer fraud indicators to SIU. - Medical management: direct care through the claim lifecycle, UR and IME direction, early return-to-work; rate permanent disability. - Reserving and reporting: set and adjust reserves within authority; prepare 90-day carrier status reports. - Litigation management: direct defense counsel, manage legal budgets, attend mediations and settlement conferences. - Settlements and recovery: negotiate settlements and lien resolution; pursue subrogation. - Communicate proactively with injured workers, employers, carriers, counsel, and vendors. Qualifications - 3 years of California Workers' Compensation claims adjusting experience with a Bachelor's degree, or 5 years without one. - Active adjuster license required; SIP preferred but not required; AIC, ARM or WCCP a plus. - Working knowledge of WC statutes; experience directing defense counsel and managing litigated claims; proficiency in Microsoft Office. Pay: $37.00 - $43.00 per hour.