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Senior Bodily Injury Claims Adjuster (Primarily Home)

American Family Insurance Agency Staff
paid time off, paid holidays, 401(k)
United States, Massachusetts, Boston
Dec 24, 2024
Job Description Summary 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. This is a senior level role that Investigates and maintains complex or highly complex claims bodily injury claims. You will determine liability, secures information, reviews coverages, arranges appraisals, and settles claims. Will specialize in liability and bodily injury claims. You will report to the Bodily Injury Claims Manager. Position Compensation Range: $68,000.00 - $113,000.00 Pay Rate 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 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. 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. Makes independent decisions and self-supervises most files and 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 experience providing customer-driven solutions, support or service. Demonstrated experience handling 1st and 3rd party, multi-line claims. Demonstrated experience handling simple to moderately complex. Extensive knowledge and understanding of policies and endorsements. Extensive knowledge of each phase of the claim handling process. Licenses Obtain state specific property casualty claims licensing as required. Travel Requirements Up to 10%. Catastrophe travel up to 75% as applicable. Physical Requirements Work that primarily involves sitting/standing. Internal candidates are encouraged to apply regardless of location and will be considered based upon the needs of the role. In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home, proximate to one of our office locations (within approximately 35-50 miles). 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. #LI-Remote 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-JA2