Lead level Adjuster role that investigates and maintains high complex property 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. You will work in the field and handle complex homeowner property field claims. The position will be located in Newark, NJ. A fleet vehicle is provided with the position. You will report to a Large Loss Senior Manager. In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home and/or in the field handling claims. On occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events. Primary Accountabilities include investigating 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 both 1st party and 3rd party claims under multiple policy types and numerous endorsements. Conducts on-site inspections when needed, 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. Specialized Knowledge & Skills Requirements include demonstrated ability to handle 1st and 3rd party, multi-line claims across operating territories, providing customer-driven solutions, support or service, efficiently and effectively handling complex claims, extensive knowledge of policies and endorsements coverages, and successfully applied knowledge of each phase of the claim handling process. Licenses required include a valid driver's license plus an acceptable driving record and obtaining state specific property casualty claims licensing as required. Travel requirements up to 50%, catastrophe travel up to 75% as applicable. Physical requirements include ascending or descending ladders, stairs, scaffolding, ramps, poles and the like, moving self in different positions to accomplish tasks in various environments including tight and confined spaces, adjusting or moving objects up to 50 pounds in all directions. Working conditions include low and high temperatures, outdoor elements such as precipitation and wind, noisy environments, hazardous conditions, poor ventilation, small and/or enclosed spaces. Advanced Xactimate experience required. 5 or more years' experience handling field property personal lines claims required. Prefer someone who has handled claims over $50,000. The candidate(s) selected for this role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of American Family Mutual Insurance Company, S.I. Offer to selected candidate will be made contingent on the results of applicable background checks and signing a non-disclosure agreement for proprietary information, trade secrets, and inventions. The policy restricts consideration of applicants needing employment sponsorship (visa) to specialty occupations. Sponsorship will not be considered for this position. Benefits include comprehensive medical, dental, vision and wellbeing benefits, competitive 401(k) contribution, pension plan, annual incentive, 9 paid holidays, paid time off program (23 days accrued annually for full-time employees), student loan repayment program, and paid-family leave. Interns and contingent workers are not eligible for benefits. The company is an equal opportunity employer and complies with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. They also consider qualified applicants with criminal histories, consistent with applicable laws.
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