Specialty Casualty Claims Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $92.7k - $140.8k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📋 Claims Specialist

👻 Ghost score 0%

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EMC Insurance Companies

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1911

🛡️ Insurance

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

• Manage highly complex litigated casualty claims from investigation through resolution • Analyze coverage, liability, damages, contracts, statutes, and policy language to determine claim exposure • Develop litigation strategies with defense counsel, including lawsuit analysis, action plans, and settlement recommendations • Negotiate settlements with claimants, plaintiff attorneys, insureds, and other stakeholders • Attend and oversee trials, depositions, mediations, arbitrations, and other litigation proceedings • Set, monitor, and adjust reserves; prepare large loss reports and present complex cases in claims roundtables • Draft reservation of rights, coverage position, and denial letters while ensuring regulatory compliance • Direct investigations by gathering statements, reviewing reports, preserving evidence, and coordinating with attorneys, experts, and vendors • Identify recovery opportunities, manage liens including Medicare, and pursue subrogation and other cost-recovery efforts • Review legal budgets, invoices, estimates, and vendor expenses for accuracy and cost-effective claim resolution • Serve as a technical expert and mentor to claims professionals • Partner with Underwriting, Risk Improvement, Legal, SIU, Medical Review, and other internal teams to evaluate risk exposures and deliver exceptional claim outcomes

🎯 Requirements

• Bachelor’s degree or equivalent relevant experience • Eight years of casualty claims adjusting experience or related experience • At least four years of experience within the assigned specialty line of business • Experience with Public Entity, EPLI, E&O, and/or Law Enforcement claims highly preferred • Relevant insurance designations preferred • Excellent knowledge of best claims practices for serious and complex liability claims • Advanced knowledge of insurance contracts, medical terminology, and substantive and procedural laws • 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 • Occasional travel required • Valid driver’s license with an acceptable motor vehicle report per company standards required if driving

🏖️ Benefits

• Comprehensive rewards package; benefits details provided at www.emcins.com/careers • Work from home anywhere in the US • Tobacco-free workplaces and company vehicles