Senior Claims Specialist at American Family Insurance Group

Los Angeles, California, United States

Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

InsuranceIndustries

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
Generally, a minimum of 13 years of experience in property and casualty claims handling
Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
Works at the highest authority limits on assignments of the highest technical complexity and coordination
Excellent analytical, negotiation, and problem-solving skills
Demonstrates expert knowledge of insurance policies, coverage, and claims handling procedures
Maintains and leverages knowledge of industry laws and regulations
Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims
Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations
Proven ability to handle confidential information with discretion
Recognized as a subject matter expert within the company, potentially operating at a peer level to management

Manages a large inventory of highly complex claims to evaluate compensability/liability
Strategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages
Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials
Conveys highly complex information regarding coverage and settlements to insureds, claimants, and external partners
Authorizes payments in accordance with assigned authority limit, ensuring timely disbursement
Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements
May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports
Performs other duties as assigned