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 Representative position is an entry-level position, you will investigate, evaluate, and adjust general, property damage and automobile liability claims for a large, dedicated client. 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, and product liability claims.

 Essential Duties & Responsibilities: 

• Investigate, analyze, and determine the extent of the insurance provider's liability concerning personal, casualty, auto or property loss or damages, and attempt to settle with claimants.
• Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate and approve payment of claims within a certain monetary limit.
• Investigate claims:
• Assess and estimate vehicle or property damage.
• 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.
• Conduct court searches.
• Interview claimants or witnesses
• Search legal records Interviews, telephones, and or correspond with claimants and witnesses.
• Evaluate liability exposure:
• 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 in our claims system.
• Maintain all cases on an active diary in our claims system pursuant to established GHC criteria.
• Assist in the preparation of timely reports to clients.
• Comply with all reporting requirements/steps set out in the GHC Claims Handling Best Practices
• Comply with regulatory requirements.
• Diary spoken or written information.
• Litigation management support:
• Collect evidence to support contested claims in court.
• Keep clients advised.

Requirements

Qualifications:

Education & Experience:

• Bachelor's degree preferred.
• One to three years of experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities preferred.
• Possess basic knowledge relating to the handling of public entity liability claims.
• At least two (2) years of using Microsoft Windows on a PC including Microsoft Word, Excel, Outlook (no 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 functionalities.
• 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.

Compensation:

Salary Range: $28.00 - $32.00 

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.