Complex Desk Claims Adjuster (Primary Home)

At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the center of what we do best - protecting and restoring their dreams when they need us most.

We're leveraging our expertise, technology, and new ways of working to actively reinvent one of America's largest industries-creating a positive impact that empowers our customers, communities, and company to thrive.

We are problem solvers who ask critical questions and consistently tackle challenges big and small. Together, we disrupt what's expected of insurance.

In this role, you will investigate and maintain highly complex property / casualty claims. Interpret policies, evaluate coverages, Draft coverage position letters, Determine liability, secure information, evaluate bodily injuries and / or Property damages, arrange appraisals, engage in settlement negotiations / Mediation, and settle claims.

Demonstrate experience to perform all areas of claim adjustment activities with the highest degree of competency and independence.

May specialize in high-severity property or bodily injury general liability claims.

Position Compensation Range :

$84,000.00 - $139,000.00

Pay Rate Type : Salary

Salary

Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.

Job Description

Primary Accountabilities

Investigate origin and cause of high exposure non-litigated claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc.

Checks for prior claims and recognizes environmental exposures.

• Participate in High Damage Reviews (HDR) to address coverage issues and exposure.
• Handle claims on a good faith basis.
• Handle Third-Party claims under multiple policy types and numerous endorsements.
• Participate in on-site inspections when needed, evaluate damages, and handle claim negotiations with insureds, claimants, attorneys, and public adjusters.
• Respond to customer inquiries, make appropriate decisions, and close files as needed.
• Interpret and determine policies, leases, by-laws, declarations, articles, and contract coverages and apply to all parties for assigned losses.

Interpret claim history coverages.

• Make independent decisions but recognize when assistance is needed.
• Proactively provide all parties with claim process and status as appropriate; answers questions or redirects to other areas
• Serve good-faith as a mentor and subject matter expert for less experienced adjusters.

Specialized Knowledge & Skills Requirements

• Demonstrated ability to handle Third-Party, multi-line claims across our operating territories.
• Demonstrated experience providing customer-driven solutions, support or service.
• Demonstrated ability to efficiently and effectively handle complex claims.
• Extensive knowledge of policies and endorsement coverages.
• Successfully applied knowledge of each phase of the claim-handling process.

Licenses

Obtain state-specific property casualty claims licensing as required.

Travel Requirements

Up to 10%.

Physical Requirements

• Work that primarily involves sitting / standing.
• Internal candidates are encouraged to apply regardless of location and will be considered based upon the needs of the role.
• Offer to selected candidate will be made contingent on the results of applicable background checks.
• Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions.
• Our policy restricts consideration of applicants needing employment sponsorship (visa) to specialty occupations. Sponsorship will not be considered for this position.

We encourage you to apply even if you do not meet all of the requirements listed above. Skills can be used in many different ways, and your life and professional experience may be relevant beyond what a list of requirements will capture.

We encourage those who are passionate about what we do to apply!

We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health.

We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees).

In addition, our student loan repayment program and paid-family leave are available to support our employees and their families.

Interns and contingent workers are not eligible for American Family Insurance Group benefits.

We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity.

We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.

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