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Casualty Claim Adjuster (Current & Future openings)

Company: American Family Insurance
Location: Waukesha
Posted on: January 15, 2019

Job Description:

At American Family Insurance, we're driven by our customers and employees. That's why we provide more than just a job - we provide opportunity. Whether you're already part of our team in search of a new challenge or new to our company and ready for what's next, you're in the right place. Every dream is a journey that starts with a single step. Start your journey right here. Join our team. Bring your dreams. Quick Stats: Job ID: R10795 Casualty Claim Adjuster (Current & Future openings) (Evergreen) (Open)Summary: The current Casualty Claim Adjuster or Associate Casualty Claim Adjuster positions are: Denver, CO We are also accepting applications for future openings as they arise. The Casualty Claim Adjuster primarily handles non-injury casualty claims of minor to moderate complexity that may include, but are not limited to, comparative fault, coverage investigation, and auto thefts. Continues to build a mastery of skills and insurance knowledge required of this position. Supports the division goal of ensuring industry-leading customer service and works with business partners to deliver seamless claim service. Responsibilities: Travel Requirements Must be willing to travel for Catastrophe duty if necessary. This position requires travel up to 10% of the time. Specialized Knowledge and Skills Requirements Demonstrated experience providing customer-driven solutions, support or service Basic knowledge and understanding of policies and endorsements related to casualty coverage. Basic knowledge and understanding of each phase of the casualty claim handling process. Demonstrated experience handling casualty claims of minor complexity (e.g., clear liability, basic coverage questions). Additional Job Information: Job Description: Primary Accountabilities Securing Factual Evidence and Investigation (40%) Recognizes and interprets primarily Auto, Homeowner, Specialty and Recreational policies. Reviews loss report and any prior action taken on the file to determine next steps. Recognizes the need for and obtains non-waiver as needed. Recognizes the need for and sends reservation of rights letters. Secures, preserves, and maintains all evidence necessary (official reports, photographs, measurements, etc.) to complete a thorough claim investigation and determine the proper course of action. Secure statements and communicates with all parties as needed to obtain information in order to determine proximate cause of loss. Identifies, investigates, and evaluates subrogation and contribution opportunities. Consults with appropriate personnel on more complex issues. Analyzing and Evaluating Factual Evidence (15%) Analyzes and evaluates factual information to formulate an opinion on liability claim losses that do not involve bodily injury, including loss of use and related expenses. Escalates cases that involve injury and/or current or prior medical history/problems. Identifies state-specific differences in policies and contract coverages and applies to all parties for assigned losses. Reviews state-specific legislation and legal precedent based on prior legal cases for assigned geographic area and seeks assistance as needed. Interprets claim history coverages. Selects proper loss codes based on policy type. Recognizes economical, legal, and practical consequences of decisions. Utilizes company claim bulletins, manuals and best practices. Demonstrates knowledge of underwriting guidelines, evaluates risks and makes recommendations to the Underwriting Department as needed. Recognizes potentially fraudulent claims, utilizes SIU and other sources as needed, and consults with management. File Management (15%) Manages individual claim inventory and collaborates with peers to achieve unit and branch results. Utilizes the electronic integrated claim system and other technologies to complete and document actions throughout the life of the file. Contributes to the team environment by assisting with claims from other adjusters` inventories in their absence. Works with customers, responds to inquiries, makes appropriate decisions, and closes file as appropriate. Negotiation, Settlement (15%) Negotiates and settles claims in accordance with divisional expectations. Handles claim negotiations by providing a clear explanation of the coverage and/or liability decision to the customer, answering all questions and processing the claim payment. Recognizes, controls and resolves disputes. Utilizes arbitration, appraisal and alternate dispute resolution as needed. Reviews available data to determine extent of coverage or non-coverage and communicates results to appropriate parties. Business Partner Relationships (5%) Establishes rapport with business partners (agency, personal lines, legal, etc.) and builds ongoing relationships by including stakeholders in the claim handling process as appropriate. Partners with others to provide seamless customer service. Facilitates communication between customers, agents, vendors, third party administrators and other employees. Provides agents with important claim related information; provides all parties with claim process and status as appropriate; answers questions or redirects to other areas. Explains and discusses any circumstances that may affect customer service with agency, vendors, third party administrators or other claim personnel. Includes others in problem resolution as appropriate. Stay connected: Join our Talent Community LI:CP1

Keywords: American Family Insurance, Waukesha , Casualty Claim Adjuster (Current & Future openings), Other , Waukesha, Wisconsin

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