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 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.

　　Job Summary

　　The 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 complex claims of monetary exposure. This role specializes in liabity claims. You will report to the Claims Manager.

　　Compensation Minimum:$84,000/year

　　Compensation Maximum:$139,000/year

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

　　Job Level Summary

　　Primary AccountabilitiesInvestigate 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. Participates in committee reviews to address coverage issues and exposure. Handle claims on a good faith basis.Handles 3rd party claims under multiple policies types and numerous endorsements.Conduct on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, and attorneys.Respond to customer inquiries, makes appropriate decisions and closes 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.Provide all parties with claim process and status; answers questions or redirect to other areas.Be a mentor and subject matter expert for less experienced adjusters.

　　Looking for candidates with 3+ years of 3rd party commercial liability experience.

　　The ideal candidate will have experience with the following :Handling investigation detail coverage analysis

　　Experience with policy interpretation

　　Writing ROR and disclaimer letters

　　This is a desk role.

　　You will be fully remote/work from home. On occasion, you may be asked to travel to an office location for in-person engagement activities such as team meetings, training and culture events.

　　#LI-Remote

　　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 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.

　　Based on candidate qualifications, we are open to hiring at the appropriate level.

　　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