What are the responsibilities and job description for the Office Adjuster - Medical Claims position at American Family Insurance?
At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best – protecting and restoring their dreams when they need us most. We're using our expertise, technology and new ways of working to reinvent one of America's largest industries—creating positive impact that empowers our customers, communities, and company to succeed. Together, we change what's expected of insurance. You will investigate and maintain property catastrophe claims. You will determine liability, secures information, review coverages, arrange appraisals, and settles claims. You will report to the CAT Property Claims Manager. You will be deployed to the field when a catastrophe occurs. This role offers a company fleet vehicle with the position and there's an option to use the vehicle for personal use. You will be required to travel up to 75% for CAT duty. In this primarily home / field-based role, you will spend 80% of your time (4 days per week) working from home or in the field. On occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events. Relocation support is offered for eligible candidates.
Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. Identifies complex issues and seeks assistance as needed. 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. Interprets and determines policies, leases, by-laws, declarations, articles and contract coverages and applies to all parties for assigned losses. Provides all parties with claim process and status; Demonstrated experience handling 1st and 3rd party, multi-line claims across our operating territories, or other equivalent experience. Demonstrated experience handling moderately complex claims, or other equivalent experience. Solid knowledge and understanding of policies and endorsements related to casualty coverages, or equivalent knowledge. Solid knowledge and understanding of each phase of the claim handling process, or other equivalent knowledge.
Demonstrated experience handling 1st and 3rd party, multi-line claims across our operating territories, or other equivalent experience. Demonstrated experience handling moderately complex claims, or other equivalent experience. Solid knowledge and understanding of policies and endorsements related to casualty coverages, or other equivalent knowledge. Solid knowledge and understanding of each phase of the claim handling process, or other equivalent knowledge.
Obtain state specific property casualty claims licensing as required.
Travel Requirements
Ascending or descending ladders, stairs, scaffolding, ramps, poles and the like. This position may require employees to visit areas that have a higher hazard than a typical office such as customer homes, body shops, or other locations.
Outdoor elements such as precipitation and wind. One or more years property field claims experience. Construction, restoration, or mitigation experience.
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). Interns and contingent workers are not eligible for American Family Insurance Group benefits.
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.
