Complex Claims Consultant (hybrid)

American Family Insurance

Madison, WI, US
Base: $99,000.00 - $167,000.00; bonus/equity: annu...
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7+ years handling complex high-severity claims
Strong technical judgment in coverage interpretation
Experience with quality audit processes
** The Complex Claims Consultant role at American Family Insurance involves leading the resolution of complex auto claims, providing technical direction, and mentoring claim handlers. The position requires a minimum of seven years of relevant experience and is hybrid, necessitating in-office work for at least 10 days per month. **

Job Summary

  • This role provides technical direction on complex auto claims while driving consistent, high-quality outcomes for the business.
  • The position requires coaching claim handlers, identifying process gaps, and partnering with cross-functional stakeholders to resolve challenging cases.
  • Candidates receive comprehensive benefits including medical, dental, vision, a competitive 401(k), pension plan, and paid time off.

Matching Summary

Match Score: 75

** The Complex Claims Consultant role at American Family Insurance involves leading the resolution of complex auto claims, providing technical direction, and mentoring claim handlers. The position requires a minimum of seven years of relevant experience and is hybrid, necessitating in-office work for at least 10 days per month. **

Salary

Base: $99,000.00 - $167,000.00; Bonus/Equity: Annual incentive included; Benefits: Medical, dental, vision, 401(k), pension, PTO

Skills & Requirements

Must-have

  • 7+ years handling complex high-severity claims
  • Strong technical judgment in coverage interpretation
  • Experience with quality audit processes
  • Direct leadership and mentoring experience
  • Knowledge of litigation and compliance questions

Nice-to-have

  • Experience developing training materials or job aids
  • Background handling East or West Coast claims
  • Ability to translate complexity into clear recommendations
  • Cross-functional partnership with Legal and SIU teams

Key Requirements

  • Minimum 7 years experience with complex claims
  • Extensive knowledge of policies and endorsements
  • Demonstrated ability to handle multi-line claims
  • Strong written and verbal communication skills

Work Rights

Not specified

Tailored Resume

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