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R24557 Respondent Arbitration Claim Adjuster (100% remote) (Open)
Compensation may vary based on the job level and your geographic work location.
Job Family Summary
Investigates and maintains property/casualty claims.
Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims.
Remote, work from home position.
The Claim Adjuster position supports the Claim Division goal of ensuring customer service industry leadership and partners with agency to deliver seamless claim service.
An experienced adjuster who can work on moderately complex claims.
Will specialize in arbitration response for liability claims.
Job Level Summary
Requires working knowledge and experience in own job discipline and broadens capabilities.
Continues to build knowledge of the company, processes and customers.
Performs a range of assignments related to job discipline.
Uses prescribed guidelines or policies in analyzing situations.
Receives a moderate level of guidance and direction.
Filing Arbitration (40%)
Understands how to write quality contentions to obtain a favorable result on behalf of the Company/insured based on file analysis for simple to complex files.
Prepares a response for arbitration.
Would potentially file a counter claim for qualifying files.
Obtains additional investigative and damage support evidence and is able to apply information received in order to maximize recovery opportunities.
Respond to arbitration on simple to complex claims.
Understands the fundamental aspects of claim investigation and elements of damage for the presentation in arbitration forum.
Hearing Arbitration Cases (10%)
Obtains certification as an arbitration panelist through Arbitration Forums
Hears and decides the outcome of arbitration filings from other companies as an arbitration panelist in accordance with management directives.
Analyze and Evaluate Factual Evidence and Subrogation Potential (15%)
Assesses new files to determine completeness of investigation and factual evidence (e.g. scene investigations, police reports, statements).
Analyzes and evaluates factual information to determine appropriate liability percentage.
Identifies, obtains opinions and discusses strength of factual evidence when appropriate from manager , peers or experts.
Exhibits basic knowledge of unfair claim practice acts, corporate claim standards, company claim bulletins and the company code of ethics.
Handles claims in good faith.
Understands and applies applicable case law and statutes, considering geographic location and local ordinances.
Securing Factual Evidence (10%)
Understands and is able to access multiple internal systems and software to gather necessary documentation to prove our claim.
Demonstrates basic knowledge of when to secure additional investigative and damage support evidence to maximize subrogation recovery.
Agency Relationship (10%)
Establishes rapport with agents and builds on-going relationships by including agents in the claim handling process as appropriate.
Gains knowledge of circumstances that may affect customer service with agency, vendors, third party administrators or other claim personnel.
Provides agents with claim handling information via phone conversations, office visits or presentations at district meetings.
Acquiring and Applying Claim Knowledge (15%)
Develops an ability to apply legal and medical terminology, regulations and procedures to resolve claim issues.
Acquires the ability to answer and direct questions on claims and procedures.
Develops the ability to compose quality written correspondence.
Reviews estimates of damage.
Applies current recommended vehicle repair and replacement procedures.
Adheres to Corporate Claim Standards, Company Bulletins, and Company Code of Ethics.
Education & Licenses
Valid driver's license required plus an acceptable driving record.
Obtain state specific property casualty claims licensing as required.
This position requires travel up to 10% of the time.
Must be willing to travel for Catastrophe duty if necessary.
Specialized Knowledge & Skills Requirements
Demonstrated experience providing customer-driven solutions, support or service.
Demonstrated experience handling 1st and 3rd party, multi-line claims across our operating territories.
Demonstrated experience handling moderately complex claims.
Solid knowledge and understanding of policies and endorsements related to casualty coverages.
Solid knowledge and understanding of each phase of the claim handling process.
Additional Job Information:
Ideal candidates will have:
Ability to write quality contentions based on evidence and claim facts
Strong understanding of legal liability
Multi-line insurance experience
Demonstrated ability to communicate with customers and internal/external business partners
Florida license is preferred or ability to obtain.
Offer to selected candidate will be made contingent on the results of applicable background checks.
Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions.
Our policy restricts consideration of applicants needing employment sponsorship (visas) to specialty occupations.
Sponsorship will not be considered for this position.
100% remote position
When you work at American Family Insurance Claims Services you can expect 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, and a paid-time off program.
In addition, our student loan repayment program and paid-family leave are available to support our employees and their families.
Interns and contigent workers are not eligable for American Family Enterprise benefits.
We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.
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