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 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.

Position Summary

This dynamic claims management and leadership role reports to the Head of the Liability Division and combines hands-on claim and account management with division operations and national business development. You will help run the Liability Division, serve as a trusted resource on complex coverage and legal issues, and represent Intercare with clients, brokers, and industry peers.

Our Core Values: Integrity, Collaboration, Accountability, Respect, and Excellence.

Our Mission: To be the leading third-party administrator offering professional and technological resources through pro-active and aggressive claims and managed care solutions in support of our clients’ objectives.

Location & Work Arrangement

Position is fully remote with travel required as needed (approximately 10%)

What You’ll Do:

Claim & Account Management

• Manage to conclusion an assigned inventory of liability claims, including cases of extreme complexity, in accordance with applicable statutes, client guidelines, and company standards.

• Establish contact on all new losses within 24 hours; evaluate coverage; investigate liability and damages; and document the plan to move each claim toward closure.

• Direct and control the litigation process, obtain expert reviews, and pursue contribution and apportionment where appropriate.

• Set and adjust reserves within assigned authority levels and maintain active 30 to 90-day diaries and plans of action.

• Provide subject matter expertise on general, auto, professional, dental, and medical benefits liability claims.

• Deliver exceptional client service, prepare for and participate in client claim meetings and audits, and prepare annual Stewardship Reporting.

• Travel for mediations, arbitrations, trials, and/or client meetings.

Operations

• Partner with the EVP, VP, managers, and supervisors to run day-to-day division operations.

• Develop and present training programs, and help revise division policies, procedures, and forms.

• Serve as a dedicated resource on complex coverage and legal matters and assist with contract renewals and negotiations.

• Help lead monthly Roundtable meetings and ensure compliance with client contracts, quality measures, and regulatory requirements.

Marketing & Growth

• Network nationally with clients, risk managers, brokers, captive managers, and prospects to cultivate new business.

• Attend national conferences, speak at industry events, and develop white papers and articles for trade publications.

• Work with the Business Development Team, Client Services Team, and Division Heads, and help respond to RFPs and deliver oral presentations.

Culture

• Lead by example and through service, and help build a culture of positivity, respect, collaboration, accountability, and excellence.

What You Bring

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Juris Doctorate (JD) or Bachelor’s degree preferred.

• Minimum of ten years’ experience managing liability claims and/or defending liability lawsuits (professional, products, EPLI, general, auto, property, medical benefits), including knowledge of national claims management rules and regulations.

• Minimum of 5 years’ experience supervising or managing claims professionals.

• Experience with governmental and/or public entity claims and risk management preferred.

• Home state adjuster and/or law licensure required; candidates who do not currently hold it must obtain it within 60 days of hire, as permitted by state law.

• Working knowledge of medical and dental terminology and various jurisdictional issues.

• Ability to read and interpret insurance policies, statutes, legal opinions, and regulations, and to write complex coverage letters, reports, and client correspondence. Fluent spoken and written English.

• Strong analytical, problem-solving, and project management skills.

• Proficiency with Microsoft Office, RMIS/claims management software, and video conferencing platforms such as Zoom and Teams.

• Strong leadership, communication, and customer service skills, with business acumen and the ability to adapt quickly to change.

Compensation

Salary Range: $140, 000 – $150,000 annually

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

AvonRisk offers a competitive, people-first benefits package:

• 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

• 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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