Lead Litigation Desk Adjuster - Construction Defect

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 leveraging 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 thrive. We are problem solvers who ask critical questions and consistently tackle challenges big and small. Together, we change what's expected of insurance.
You'll investigate and maintain litigated commercial general liability claims. Determine liability, secure information, review coverages, arrange appraisals, and settle claims. The Specialty Claim Complex Adjuster position supports the Claim Division goal of ensuring customer service industry leadership and partners with agency to deliver seamless claim service. An experienced adjuster who has achieved mastery in and performs all areas of claim adjustment activities with the highest degree of competency and independence. Process highly complex claims of significant monetary exposure. May specialize in liability, property or catastrophe claims. This is a remote position reporting to the claims manager.Compensation Minimum:$84,000/YearCompensation Maximum:$139,000/Year

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

Primary Accountabilities

• Investigate 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. 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 both 1st party and 3rd party claims under multiple policy types and numerous endorsements.
• Conduct on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters.
• Respond to customer inquiries, makes appropriate decisions, and close file.
• Interpret and determine policies, leases, by-laws, declarations, articles, and contract coverages and applies 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; answers questions or redirects to other areas.
• Be 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 or support.
• Demonstrated ability to 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.

• 8+ Years Litigated Claims Handling experience.
• General Liability, Bodily Injury and Business Owners policy experience preferred.
• Construction Defect Claims experience required.
• Current adjusters license required.
• Guidewire experience preferred.
• AIC or CPCU designations preferred.
• Technical writing skills required.
• 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
• The candidate(s) selected for this role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of American Family Mutual Insurance Company, S.I.

In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home. Candidates must reside within a 50-mile radius (or 35-mile radius for Boston / Chicago) of one of the following locations: Madison, WI 53783; Boston, MA 02110; Chicago, IL 60601*; Denver, CO 80112; Eden Prairie, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034; Nashville, TN 37214 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.

Internal candidates are encouraged to apply regardless of location and will be considered based upon the needs of the role.

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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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