Casualty Claims Consultant

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EMC Insurance Companies

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1911

Insurance

EMC Insurance Companies is a mutual insurance firm providing specialized business insurance solutions. They focus on commercial property insurance, liability insurance, workers' compensation, and business owners' policies. With a strong emphasis on personalized service, EMC collaborates closely with local agents to deliver comprehensive and tailored coverage. EMC is committed to understanding the unique challenges faced by its policyholders, offering risk management and loss control resources to help businesses safeguard their assets. Known for their dedicated partnerships and exceptional customer service, EMC ensures that businesses are prepared for the unexpected with their superior insurance solutions.

📋 Description

• Act as a key expert guiding complex casualty claims to strong outcomes • Partner with claims teams and leadership to shape strategy, provide direction on high-impact cases, and ensure consistent, best-in-class claim handling • Drive continuous improvement by analyzing trends, supporting audits, and elevating team performance through coaching and collaboration • Serve as a subject matter expert on casualty claims policies, insurance programs, and best practices • Collaborate with leadership on claim strategy, including reserving, expenses, and litigation management • Provide reserve, settlement guidance, and authority on high-exposure or complex claims • Monitor reserve development trends and evaluate claim performance across assigned teams • Act as escalation point for complex claims issues, partnering with Legal, Underwriting, and external vendors • Lead and participate in claim roundtables, committees, and case discussions to ensure strategic alignment • Maintain oversight of major/complex claim files to guide handling and ensure progress • Partner with Compliance and QA to implement audit action plans and improve claim handling quality • Leverage customer feedback insights to identify pain points and enhance the claims experience • Contribute to staffing, hiring, training, and development of casualty claims talent • Ensure compliance with claim handling standards, conducts file reviews, and drives continuous improvement

🎯 Requirements

• Bachelor’s degree or equivalent relevant experience • Ten years of casualty claims experience in progressively responsible roles or related experience • Attainment of all applicable state licenses as required • Insurance designations, such as AIC, CIC, AIM and CPCU preferred • Superior knowledge of the theory and practice of the casualty claims function • Strong analytical abilities and demonstrated experience of good judgment with respect to casualty loss and coverage • Proven knowledge of insurance contracts, medical terminology and legal aspects of court procedures affecting legal liability for all lines of insurance • Strong, current knowledge of all insurance lines, relevant court decisions, guidelines in the claims function, and policy changes and modifications • Excellent knowledge of computers and claims systems • Occasional travel; a valid driver’s license with an acceptable motor vehicle report per company standards required if driving.

🏖️ Benefits

• Outstanding benefits with life, medical, dental, vision and prescription drug coverage • Competitive paid time off plan and a full day of volunteer time off annually • Financial incentives, including a 401(k) plan match, pension plan, OneEMC bonus plan and recognition and anniversary awards • Professional development and growth opportunities, including tuition reimbursement • Wellness initiatives to improve team member well-being and reduce health insurance costs • Flexibility to dress for your day and opportunities for alternative work arrangements