Job Description
Job DescriptionDescription:
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.
For 70 years George Hills has offered our clients unparalleled service and innovative excellence in claims administration and offered our employees a positive and collaborative culture that builds relationships based on pride and respect. As an “Employer of Choice”, we are pleased to offer employees a flexible hybrid work schedule, competitive salary, and excellent benefits including medical, dental, vision, PTO, holidays, and 401k. To learn more, please visit our website at https://georgehills.com/ . George Hills is an equal-opportunity employer.
The Claims Adjuster 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.
Requirements
Primary responsibilities:
Based on the area of responsibility, the employee shall be asked to all of the following essential functions:
- Investigate, analyze, and determine the extent of insurance provider's liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants.
- Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of claims within a certain monetary limit.
- Investigate claims:
- Assess and estimate vehicle damage.
- Assist with business or managerial research.
- Compile information through interviews.
- Evaluate customer records.
- Examine evidence to determine if it will support claims.
- Follow contract, property, or insurance laws.
- Follow rules of evidence procedures in legal setting.
- Gather physical evidence.
- Inspect property to determine damages.
- Research property records.
- Search legal records Interviews, telephones, and or corresponds with claimant and witnesses.
- Evaluate liability exposure:
- Review insurance applications.
- Review insurance policies to determine appropriate coverage.
- Obtain, review and evaluate records, police, medical, etc.
- Recommend claim action.
- Properly reserve for the claim.
- Adjust reserve as appropriate.
- Comply with accepted guidelines regarding reserving practice and authority levels.
- Create and maintain records
- Maintain records, reports, and files which are primarily found on the SIMS and/or Renaissance system.
- Maintain all cases on an active diary on the SIMS and/or Renaissance system pursuant to established Company criteria.
- Prepare timely reports to clients.
- Comply with all reporting requirements/steps set out in the GHC Procedure Manual.
- Comply with regulatory requirements.
- Diary spoken or written information.
- Litigation management support:
- Collect evidence to support contested claims in court.
- Keep clients advised.
- Other duties as assigned.
Requirements:
Education and Experience
- Bachelor’s degree preferred.
- At least three (3) years of experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities.
- Possess comprehensive knowledge relating to the handling of public entity liability claims.
- At least three (3) years of using Microsoft Windows on a PC including Microsoft Word, Excel, Outlook and PowerPoint.
- At least two (2) years of using streaming video conferencing including Teams and Zoom with the ability to set and host group meetings with all included functionality.
- At least two (2) years of using claims management software and/or ability to quickly learn new software systems related to claims management.
- Excellent written and verbal communication skills.
Salary Range:
$70,000 -$73,335
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.
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
We’re 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.