Office Adjuster - Medical Claims

Company: American Family Insurance
Location: Madison
Posted on: April 17, 2024

Job Description:

Investigate and maintain complex property/casualty claims. Determine liability, secure information, reviews coverages, arrange appraisals, and settle claims. Demonstrate experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. May specialize in property or catastrophe claims. You will report to the Claims Manager.

Investigate 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.
Handle claims on a good faith basis.
Handle 1st party claims under multiple policy types and numerous endorsements.
Coordinate on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters.
Interpret and determine policies, leases, by-laws, declarations, articles, and contract coverages and applies to all parties for assigned losses. Interpret claim history coverages.
Make independent decisions but recognize when assistance is needed.
Provide all parties with claim process and status; Demonstrated ability to handle 1st party, multi-line claims across our operating territories.
- 3+ years of experience handling complex claims.
- Knowledge of policies and endorsements coverages.
- Apply knowledge of each phase of the claim handling process.


Obtain state specific property casualty claims licensing as required.

Travel Requirements

Catastrophe travel up to 75% as applicable.

On Occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, training and culture events.

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). Interns and contingent workers are not eligible for American Family Insurance Group benefits.

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.

#

Keywords: American Family Insurance, Madison , Office Adjuster - Medical Claims, Healthcare , Madison, Wisconsin