Complex Claims Adjuster

Investigates and maintains highly complex property/casualty claims. Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims. Demonstrates experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. May specialize in liability, property or catastrophe claims.

Position Compensation Range:

$84,000.00 - $139,000.00

Pay Rate Type:

Salary

Compensation may vary based on the job level and your geographic work location.

Primary Accountabilities
•Investigates origin and cause of high exposure 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.
•Participates in High Damage Reviews (HDR) to address coverage issues and exposure. Handles claims on a good faith basis.
•Handles both 1st party and 3rd party claims under multiple policy types and numerous endorsements.
•Conducts on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters.
•Responds to customer inquiries, makes appropriate decisions, and closes file as needed.
•Interprets and determines policies, leases, by-laws, declarations, articles, and contract coverages and applies to all parties for assigned losses. Interprets claim history coverages.
•Makes independent decisions but recognizes when assistance is needed.
•Proactively provides all parties with claim process and status as appropriate; answers questions or redirects to other areas.
•Serves as a mentor and subject matter expert for less experienced adjusters.

Specialized Knowledge & Skills Requirements
•Demonstrated ability to handle 1st and 3rd 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 endorsements 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%.
•Catastrophe travel up to 75% as applicable.

Physical Requirements
•Work that primarily involves sitting/standing.

Working Conditions
•Not applicable.

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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