Casualty Claims Quality Assurance Consultant

🔥 8 minutes ago

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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

• Strengthening the quality and consistency of casualty claims handling across the organization • Partnering closely with Casualty, Complex, and Specialty teams to review claim files • Evaluating performance against best practices and KPIs • Identifying opportunities to improve outcomes through targeted audits and broader claims reviews • Preparing and delivering audit reports, summaries, and presentations • Recommending process improvements and future audit focus areas • Supporting implementation of new audit processes and continuous improvement efforts • Collaborating with leadership to shape audit standards and support training efforts

🎯 Requirements

• Bachelor’s degree, preferably in insurance, finance, accounting, business administration or related field or equivalent relevant experience • Eight years of commercial lines casualty claim handling experience, including experience with litigated claims or related experience • Prior audit experience preferred • Insurance industry designations (e.g. INS, AIC, CPCU) preferred • Excellent understanding of the casualty claims function • Strong understanding of casualty claims handling procedures, principles, standards and best practices • Strong knowledge of medical and legal terminology and legal aspects of court procedures affecting legal liability • Ability to audit claim files for consistency • Strong ability to gather facts, analyze alternatives and recommend solutions • Excellent organizational and analytical skills • Excellent customer service and communication skills • Strong computer skills, including Microsoft Office Suite • Ability to manage multiple tasks and meet deadlines.

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off plan • Volunteer time off • Professional development opportunities • Wellness initiatives • Flexibility in dress code and work arrangements