Workers Compensation Claims Adjuster III

Intercare Holdings Insurance Services

. Perform three-point contact on all new losses and apply heightened scrutiny to complex, catastrophic, and high-exposure cases .

Posted 10/23/2026full-timeRemote • Arizona • United StatesMid-LevelSenior💰 $95,000 - $106,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Expertise in managing complex, high-exposure workers' compensation claims, including litigation, settlement negotiations, and multi-party liability. Strong ability to mentor junior adjusters and maintain client relationships while ensuring compliance with state statutes and reporting requirements.

Highest-signal resume keywords

Workers' Compensation Claims ManagementComplex Litigation DirectionIndemnity Management ExpertiseClient Relationship ManagementFraud Indicator Identification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdministrationPermanent Disability RatingMulti-Party Lien ResolutionMedical Management CoordinationSettlement NegotiationStrategic Resolution PlanningFraud DetectionReserve EstablishmentLife Care Planning CoordinationSubrogation Recovery

Soft Skills

MentoringProactive CommunicationStakeholder EngagementProblem SolvingLeadership

Tools & Technologies

Claims Processing PlatformsMicrosoft OfficeClaims Management Platforms

Certifications & Qualifications

Active Adjuster LicenseCA SIP CertificateAICARMWCCPCPCU

Industry Keywords

Public Entity Liability ClaimsSelf-Insured ProgramsPooled Insurance ArrangementsCalifornia Workers' Compensation StatutesMulti-Jurisdiction Experience

About the role

Key responsibilities & impact

Perform three-point contact on all new losses and apply heightened scrutiny to complex, catastrophic, and high-exposure cases
Maintain detailed plans of action with strategic resolution planning on assigned indemnity files
Identify fraud indicators and refer cases to SIU
Gather and document facts on files involving multi-party liability, catastrophic injury, significant subrogation potential, or novel legal issues
Lead medical management on catastrophic and high-complexity claims
Direct specialists, coordinate life care planners, direct UR and IMEs, and manage PTD cases
Partner with case managers to maximize early RTW
Review medical bills for appropriateness on high-cost and unusual treatment patterns
Lead permanent disability ratings on complex cases
Establish and adjust reserves on high-exposure files
Ensure status reports comply with client reporting timelines and formats
Direct the full litigation process on complex files, including selecting defense counsel, setting strategy, retaining experts, managing legal spend, and preparing for trial
Lead mediations, settlement conferences, and arbitrations
Make or recommend high-value settlement authority decisions with the Claims Supervisor and client
Negotiate and finalize high-value settlements, including C&R and Stipulated Awards
Manage multi-lien resolution and coordinate with lien counsel and CMS
Pursue subrogation, multi-defendant contribution, and apportionment recovery
Coordinate with recovery vendors and outside subrogation counsel
Serve as technical backup for the Claims Supervisor
Provide guidance on complex decisions, reserve adequacy, and escalated client issues
Mentor Adjuster I and II colleagues and support unit-wide quality review
Serve as senior point of contact for key client accounts
Maintain client and carrier relationships
Maintain proactive, transparent communication with stakeholders and respond within required timeframes

Requirements

What you’ll need

Minimum 7 years of WC claims experience including at least 5 years of independent indemnity management with expertise in complex, high-exposure, and litigated files; OR Bachelor’s degree and a minimum of 5 years of WC indemnity experience at an independent level; OR equivalent combination
Comprehensive knowledge of public entity liability claims including JPAs, self-insured programs, and pooled insurance arrangements
Active adjuster license in applicable state(s); Arizona required; multi-state preferred
CA SIP certificate required for CA files
Deep expertise in applicable state WC statutes; California statute mastery strongly preferred
Multi-jurisdiction experience highly valued
Direct experience with claims administration or claims processing platforms used in workers’ compensation/insurance claims handling
Demonstrated experience directing complex litigation through mediation, settlement conference, and trial preparation
Advanced knowledge of PD rating, MSA requirements, and multi-party lien resolution
Experience with catastrophic injury management and life care planning coordination
Familiarity with claims management platforms
Proficiency in Microsoft Office
Demonstrated ability to mentor junior adjusters and serve as a supervisory backup or senior technical resource
Strong client relationship management skills
Experience handling escalated concerns at a senior level
Professional designations such as AIC, ARM, WCCP, or CPCU are a plus but not required

Benefits

Comp & perks

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
Supportive culture that values balance and wellbeing
Full benefits package