You'll investigate and maintain litigated commercial general liability claims. Determine liability, secure information, review coverages, arrange appraisals, and settle claims. May work in the field or central location. 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:$68,200.00/Year

Compensation Maximum:$111,000.00/Year

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

Job Level Summary
 

• Requires specialized depth or breadth of expertise in own job discipline or field.
• Leads others to solve complex problems.
• Works independently in on the most complex situations.
• May lead functional teams or projects.
   

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 policies 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 experience providing customer-driven solutions, support or service.
• Demonstrated ability to handle 1st and 3rd party, multi-line claims across our operating territories.
• 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.
   

Education & Licenses
 

• Valid driver's license required plus an acceptable driving record.
• Obtain state specific property casualty claims staff adjuster licensing as required.
   

Travel Requirements
 

• This position requires travel up to 10% of the time.
• Must be willing to travel for Catastrophe duty if necessary.
   

Working Conditions
 

• This position requires the ability to work in high, precarious places between 1 and 33% of the time.
• This position requires the ability to work with exposure to outside weather conditions between 66 and 100% of the time (applies to field position only).
   

Physical Demands
 

• This position requires the ability to climb or balance between 1 and 33% of the time (applies to field position only).
• This position requires the ability to work with distance vision (clear vision at 20 feet or more) for extended periods of time (applies to field position only).
• This position requires the ability to stoop, kneel, crouch or crawl between 1 and 33% of the time (applies to field position only).
• This position requires the ability to lift up to 50 pounds between 1 and 33% of the time.
• 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.
• Strong consideration will be made to experience with NY Labor Laws.
• Guidewire experience preferred.
• AIC or CPCU designations preferred.
• 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.
   

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.

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!

Looking for remote jobs near your area? At Yulys, thousands of employers are looking for exceptional talent like yours. Find perfect job now.