1,001 – 5,000 कर्मचारी
बीमाEMC Insurance Companies एक पारस्परिक बीमा प्रदाता है, जो वाणिज्यिक संपत्ति, देयता, कामगार क्षतिपूर्ति और व्यवसाय स्वामी बीमा के माध्यम से व्यवसायों को सेवा प्रदान करता है। कंपनी स्थानीय एजेंटों के साथ मिलकर प्रत्येक पॉलिसीधारक की आवश्यकताओं के अनुरूप कवरेज तैयार करती है और इसके लिए जोखिम प्रबंधन तथा हानि नियंत्रण संसाधनों का सहयोग देती है। इसका व्यवसाय विशेषीकृत वाणिज्यिक सुरक्षा, एजेंटों के साथ घनिष्ठ साझेदारी और उन संगठनों के लिए उत्तरदायी सेवा पर केंद्रित है जो परिचालन तथा वित्तीय जोखिमों की तैयारी कर रहे हैं।
Senior Specialty Casualty Claims Specialist US Remote
Manage complex, litigated casualty claims for EMC Insurance Companies from initial investigation through resolution. The role covers coverage analysis, liability assessment, litigation strategy, negotiations, reserves, regulatory correspondence, and recovery efforts.
विवरण
- Oversee highly complex litigated casualty claims from initial investigation through final resolution
- Evaluate coverage, liability, damages, contracts, statutes, and policy language to establish claim exposure
- Shape litigation strategy with defense counsel through case analysis, action planning, and settlement recommendations
- Negotiate resolutions with claimants, plaintiff attorneys, insureds, and other involved parties
- Participate in and oversee trials, depositions, mediations, arbitrations, and related litigation proceedings
- Set and revise reserves, prepare large-loss reports, and present complex matters in claims roundtables
- Prepare reservation-of-rights, coverage-position, and denial letters in accordance with regulatory requirements
- Lead investigations by collecting statements, reviewing reports, preserving evidence, and coordinating attorneys, experts, and vendors
- Pursue recovery opportunities, administer Medicare and other liens, and manage subrogation and related cost-recovery actions
- Audit legal budgets, invoices, estimates, and vendor charges to support accurate and cost-conscious claim resolution
- Provide technical guidance and mentorship to other claims professionals
- Collaborate with Underwriting, Risk Improvement, Legal, SIU, Medical Review, and other internal groups to assess exposures and resolve claims effectively
आवश्यकताएँ
- Bachelor’s degree or equivalent relevant experience
- Eight years of casualty claims adjusting or related experience
- At least four years of experience in the assigned specialty line of business
- Public Entity, EPLI, E&O, and/or Law Enforcement claims experience is strongly preferred
- Relevant insurance designations are preferred
- Strong command of best practices for serious and complex liability claims
- Advanced knowledge of insurance contracts, medical terminology, and substantive and procedural law
- Strong proficiency with computers and claims systems
- Ability to obtain all required state licenses
- Commitment to high professional-conduct and ethics standards
- Exceptional organization and empathetic interpersonal skills
- Strong written and verbal communication skills
- Advanced customer-service capabilities
- Ability to protect confidential information
- Thorough investigative and problem-solving skills
- Willingness to travel occasionally and, when driving, a valid license with an acceptable motor vehicle report under company standards is required if driving
- A valid driver’s license with an acceptable motor vehicle report under company standards is required if driving
लाभ
- Comprehensive rewards package, with benefit details available at www.emcins.com/careers
- Work remotely from anywhere in the United States
- Tobacco-free workplaces and company vehicles