Large Loss Field Claims Adjuster (Northern CA)

te Type:
Salary

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

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.

• May be required to complete other assignments, job duties, or participate in projects based upon skills, achievements, or experience.

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

• Valid driver's license required plus an acceptable driving record.

• Obtain state specific property casualty claims licensing as required.

Travel Requirements

• Up to 50%.

• Catastrophe travel up to 75% as applicable.

Physical 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.

• Moving self in different positions to accomplish tasks in various environments including tight and confined spaces.

• Adjusting or moving objects up to 50 pounds in all directions.

Working Conditions

• Low temperatures.

• High temperatures.

• Outdoor elements such as precipitation and wind.

• Noisy environments.

• Hazardous conditions.

• Poor ventilation.

• Small and/or enclosed spaces.

Additional Qualifications:

• Advanced Xactimate experience required.

• 5 or more years' experience handling field property personal lines claims required.

• Prefer someone who has handled claims over $50,000.

• #LI-Hybrid

• 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.

• Offer to selected candidate will be made contingent on the results of applicable background checks

• Offer to the 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.

#LI-MR1