95 applicants

Company

EMC Insurance Companies · 5 hours ago

Senior Complex Claims Specialist - Commercial Casualty

Iowa, United States

Full-time

Remote

Senior Level, Lead/Staff

$114K/yr - $146K/yr

10+ years exp

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Responsibilities

Proactively handles assigned claims to conclusion while modeling best claims handling practices, managing expenses, and pursuing early resolution when appropriate to positively impact indemnity outcomes

Serves as the subject matter expert on highly complex coverage issues impacting assigned claims, seeks assistance when needed or appropriate, issues coverage correspondence, and takes coverage into account when setting reserves and driving claims towards resolution

Sets timely, accurate, and well-documented reserves with proper communication to the agent, Branch VPs, and claims leadership while taking exposure, liability, allocation, and coverage into account

Conducts timely, thorough investigations into coverage, liability and damages while identifying, utilizing, and managing appropriate vendors based on need, expertise, expense, and geographic considerations

Reviews and communicates comprehensive evaluations of assigned claims presenting serious injuries (such as fatality, amputation, loss of sight, burns, paraplegia, quadriplegia, sex abuse, etc.), intellectual property claims, and claims with exposures of $750,000 or greater

Provides timely communication and assistance to various claims adjusters, managers, directors and/or claims leadership on issues requiring special attention

Identifies, recommends, develops, and delivers new training programs based on identified needs, opportunities, and industry trends, in collaboration with Learning and Development and claims leadership

Prepares engaging presentation materials and provides significant contributions as a leader and/or facilitating member during trainings

Delivers timely, expert support to the Casualty claims teams on technical claims handling, negotiation strategy, coverage, liability, damages, and reserves

Provides insureds and agents with concise, accurate status of claim activity and explanations of coverage, claim value and settlements

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Claims handlingLitigation managementInsurance contractsNegotiation strategyAIC certificationCPCU certificationComplex claims experienceTechnical file handlingCustomer service skillsComputer proficiencyMedical terminologyLegal aspects knowledgeCollaboration skills

Required

Bachelor’s degree, preferably in business, economics, or related field, or equivalent related experience

Ten years of experience in complex claims handling or claims litigation, or relevant experience, including at least three years of claims litigation experience

Exceptional knowledge of litigation management, coverage, and technical file handling

Strong knowledge of the theory and practice of the claims function

Strong ability to evaluate legal liability, damages, coverages, and exposure

Excellent knowledge of insurance contracts, medical terminology and legal aspects of court procedures affecting legal liability for all commercial lines of insurance

Excellent leadership, collaboration, and negotiation skills

Excellent knowledge of computers and claims systems

Strong organizational, written and verbal communication skills

Excellent customer service skills

Advanced investigative and problem-solving abilities

Travel required (20%); a valid driver’s license with an acceptable motor vehicle report per company standards required if driving

Preferred

Insurance designations such as AIC, CPCU, and/or other insurance education preferred

Company

EMC Insurance Companies

Glassdoor

3.5

EMC Insurance Companies is among the top 60 insurance organizations in the country based on net written premium, and we have more than 2,500 employees.

Founded in 1911

Des Moines, Iowa, USA

1,001-5,000 employees