Lead Complex Desk Adjuster, Third-Party General Liability (Primarily Home)

American Family Mutual Insurance Company•Phoenix, AZ

1d•Hybrid

About The Position

You'll investigate and maintain highly complex property/casualty claims including commercial general liability, bodily injury and property damage across all 50 states. Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims. Demonstrates experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. In this primarily home-based role, you will spend 4+ days per week working from home. Candidates must reside near of one of the following locations: Madison, WI 53783; Boston, MA 02110; Denver, CO 80112; Hopkins, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034 metro areas.

Requirements

Demonstrated ability to handle 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.
Commercial general liability claims handling experience is required.
Obtain state specific claims licensing as required.

Responsibilities

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 3rd party claims under multiple policy types and numerous endorsements.
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.