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Temporary Claims Adjuster

Role overview

Summary

This role is for a Claims Adjuster who provides direct support to public entity clients, focusing on general liability claims. You will exercise independent judgement in claims management and resolution, collaborating with various stakeholders throughout the claims process.

Qualifications

  • At least three (8) years of experience with insurance claims, self insurance, pooled insurance.
  • Excellent written and verbal communication skills.
  • The ability to speak and write fluently in Spanish is a requirement.
  • Preferred: Bachelors degree

Responsibilities

  • Investigate, analyze, and determine the extent of insurance provider's liability concerning personal, casualty, or property loss or damages.
  • Recommend claims action and set and adjust proper reserves as appropriate.
  • Communicate with claimants, clients, and attorneys throughout the claims process.
  • Create and maintain records, diaries, and reports in the claims system and/or the client's system.

Key facts

Hard skills

Other skills

  • Negotiation
  • Report Writing
  • Record Keeping
  • Communication
  • Collaboration

About the company

AvonRisk logo

AvonRisk

  • Insurance
  • 501–1,000
AvonRisk is a leading third-party administrator (TPA) and managed care solutions provider, backed by Aquiline Capital Partners. Formed through the combination of established TPA and managed care businesses, AvonRisk is building a platform designed to elevate what clients expect from claims and risk partners. We’re focused on creating a new kind of company—entrepreneurial at its core, collaborative in its model, and committed to bringing people, data, and technology together to deliver better outcomes across workers’ compensation, liability, and managed care. At AvonRisk, we see opportunity in change and strength in partnership. Our goal is to bring together like-minded teams across the country to build a modern, national platform that remains grounded in local expertise, service, and accountability.

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Job description

Job Type Temporary Description

We are seeking a Claims Adjuster who will provide direct support to assigned public entity clients, exercising independent judgement and personal discretion on matters related to general liability claims, claims management, and claims resolution/settlement. Duties of the Claims Adjuster include, but are not limited to:

  • Investigate, analyze, and determine the extent of insurance provider's liability concerning personal, casualty, or property loss or damages.
  • Recommend claims action and setting and adjusting proper reserves as appropriate while complying with accepted guidelines regarding reserve practice and authority levels. 
  • Communicate with claimants, clients, and attorneys throughout the claims process.
  • Correspond with, interview medical specialists, agents, witnesses, or claimants to compile information.
  • Create and maintain records, diaries, and reports in the claims system and/or the client's system.
  • Calculate benefit payments, negotiate claim resolutions, and approve payments, within a certain monetary limit.
  • Collaborate with counsel in preparation for litigation including assembling evidence to support contested claims and keeping clients advised of litigation status.
Requirements

Education and Experience

  • Bachelors degree preferred.
  • At least three (8) years of experience with insurance claims, self insurance, pooled insurance.
  • Excellent written and verbal communication skills.
  • The ability to speak and write fluently in Spanish is a requirement. 

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