EMC Insurance Companies
Complex Casualty Claims Specialist
Remote in US
Sponsorship not specified$100k-$138kDetected 6 hours ago
ComplianceNegotiationCustomer SupportEMI/EMCCommunicationCollaborationProblem SolvingUnderwritingClaims Management
About the role
- Promptly investigates and evaluates severely complex auto and casualty claims identified as complex per EMC's claims handling guidelines.
- Sets and updates timely, adequate reserves in compliance with the company reserving philosophy and methodology.
- Negotiates, settles and/or resolves severely complex claims.
Responsibilities
- Manages litigation of severely complex claims
- Collaborates with defense counsel and others to prepare bodily injury and/or damage evaluations, negotiation ranges and target settlement numbers prior to negotiation. Obtains higher authority when appropriate
- Assigns files and collaborates with defense counsel on action plans and litigation strategy to manage litigation expenses and obtain favorable outcomes
- Secures all necessary official reports, claim forms and documents
Requirements
- Assigns and manages experts and third-party vendors for accuracy and appropriateness with supervisory approval as required
Nice to have
- Bachelor's degree or equivalent relevant experience
- Ten years of casualty claims adjusting experience or related experience
- Relevant insurance designations preferred
Skills
- Superior knowledge of best claims practices used to resolve the most serious and complex liability claims
- Advanced knowledge of insurance contracts, medical terminology and substantive and procedural laws
- Excellent knowledge of negotiation and alternative resolution techniques
- Excellent knowledge of computers and claims systems.
- Ability to obtain all applicable state licenses
- Ability to adhere to high standards of professional conduct and code of ethics
- Exceptional organizational and empathetic interpersonal skills.
- Thorough written and verbal communication skills
- Advanced customer service skills
- Ability to maintain confidentiality
- Thorough investigative and problem-solving abilities.
Compensation
- The hiring salary range for this position will vary based on geographic location, falling within either of the following:
Benefits
- Analyzes lawsuits by reviewing facts and allegations to determine coverage.
- Prepares any Reservation of Rights letters and coverage position letters if warranted
Company info
- At EMC, we're all about working together to make an impact.
- As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters.
- We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work.
- Join us, and let's improve lives together.
- This position is eligible to work from home anywhere in the United States**
Visa & Work Authorization
- national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or loc
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This listing is sourced directly from EMC Insurance Companies's careers page and normalized into a canonical job model.