EMC Insurance Companies
EMC Insurance Companies
1,001 – 5,000 Employees
Insurance
EMC Insurance Companies is a mutual insurance provider serving businesses through commercial property, liability, workers’ compensation, and business owners’ insurance. The company works with local agents to develop coverage suited to each policyholder’s needs, supported by risk management and loss control resources. Its business is centered on specialized commercial protection, close agent partnerships, and responsive service for organizations preparing for operational and financial risks.

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.

Description

  • 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

Requirements

  • 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

Benefits

  • 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

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