At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the center of what we do best – protecting and restoring their dreams when they need us most. We're leveraging our expertise, technology and new ways of working to actively reinvent one of America's largest industries—creating positive impact that empowers our customers, communities, and company to thrive. We are problem solvers who ask critical questions and consistently tackle challenges big and small. Together, we disrupt what's expected of insurance.

Maximize subrogation recoveries cost effectively for all policy lines for simple to moderately complex files. Evaluate and resolve subrogation issues and acts as a technical resource. Promotes a climate conducive to resolving minor subrogation issues.

You will handle subrogation for low complex medical claims and will report to the PIP & Med Pay subrogation managers.

Position Compensation Range:

$23.00 - $33.17

Pay Rate Type:

Hourly

Compensation may vary based on the job level and your geographic work location.

Primary Accountabilities

• Present subrogation claims on behalf of the company/insured based on file analysis for simple to moderately complex files. Prepare cases for arbitration.
• Generate communication strategies with adverse carrier or claimants and negotiate settlement recovery on simple to moderately complex subrogation claims.
• Evaluate simple to moderately complex claims and determine if adverse carrier/self-insured's settlement offer on property, physical damage, and medical reimbursement claims.
• Obtain additional investigative and damage support evidence and can apply information received to maximize recovery opportunities.
• Assess new simple to moderately complex files to determine completeness of investigation and factual evidence (e.g. scene investigations, police reports, statements). Analyze information to determine appropriate liability percentage to maximize subrogation recoveries. Handle claims involving multiple insureds/carriers, product liability, and fire losses.
• Analyze the cost effectiveness of pursuing a subrogation claim based on potential recovery versus cost of recovery.
• Identify, obtain, and discuss strength of factual evidence from manager 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. Apply applicable case law and statutes, considering geographic location and local ordinances.
• Determine if damages are accident/incident related.

Specialized Knowledge & Skills Requirements

• Demonstrated experience providing customer-driven solutions, support, or service.
• Demonstrated knowledge of processing simple to moderately complex claims
• Demonstrated ability to communicate with customers and internal/external business partners
• Successfully applied knowledge of each phase of the claim handling process.
• Demonstrated fundamental understanding of policies and endorsements related to claims.

Licenses

• Obtain state specific property casualty claims licensing as required.

Travel Requirements

• Up to 10%.
• Catastrophe duty up to 75% as applicable.

Physical Requirements

• Work that primarily involves sitting/standing.

Additional Preferred Qualifications

• Claims Center software experience
• Experience with PIP or Med Pay claims
• Experience with subrogation and/or identifying subrogation potential

Location

In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home. 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.

In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home. Candidates must reside within a 50-mile radius (or 35-mile radius for Boston /Chicago) of one of the following locations: Madison, WI 53783; Boston, MA 02110; Chicago, IL 60601*; Denver, CO 80112; Eden Prairie, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034; Nashville, TN 37214.

Internal candidates are encouraged to apply regardless of location and will be considered based upon the needs of the role.

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• 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 (visa) to specialty occupations. Sponsorship will not be considered for this position
• 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.

We encourage you to apply even if you do not meet all of the requirements listed above. Skills can be used in many different ways, and your life and professional experience may be relevant beyond what a list of requirements will capture. We encourage those who are passionate about what we do to apply!

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). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.

We are an equal opportunity employer. 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.

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