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

American Family Mutual Insurance Company•Phoenix, AZ

2d•Remote

About The Position

In this senior level role, you'll investigate and maintain complex or highly complex claims general liability claims. You'll determine liability, secure information, review coverages, arrange appraisals, and settle claims. Complex casualty/GL claim across BOP, Commercial General Liability, and Farm/Ranch lines, including bodily injury and high-severity/complex coverage evaluations. You'll handle contractor-related losses and premises liability (work-product allegations, slip-and-fall injuries, and third-party property damage), with claim mix averaging 60% property damage and 40% bodily injury, primarily for the midwestern states. 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 experience providing customer-driven solutions, support or service.
Demonstrated experience handling 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.
General liability claims experience required.
State specific claims licensing as required.

Responsibilities

Investigate 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.
Identify complex issues and seeks assistance as needed.
Handles claims on a good faith basis.
Handle 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.
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.