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EMC Insurance Companies · 2 months ago

Property Claims Consultant

United States

Full-time

Remote

Senior Level, Lead/Staff

$110K/yr - $157K/yr

10+ years exp

EMC Insurance Companies is dedicated to making an impact through teamwork and support. The Property Claims Consultant serves as a subject matter expert, collaborating with various teams to address property claims concerns, streamline operations, and enhance customer interactions.

Financial ServicesInsurance

Responsibilities

Serves as a subject matter expert for coverage questions and claims handling procedures

Collaborates with property claims team members with the review of claims and collaborates on resolution strategies

Serves as a subject matter expert on commercial property policies and insurance programs

Represents the Property Claims department when addressing escalated property claims concerns or issues

Works closely with other appropriate teams, including Claims Legal, Coverage Counsel, Underwriting, and external vendors, to resolve property claims handling, coverage and/or contractual issues

Works collaboratively with property claims team members and other departments to identify and resolve issues and gain alignment on claim strategies

Validates claims data and maintains data integrity

Reviews multiple sources of data and reconciles inaccuracies as appropriate

Assesses current state claims handling practices and provides feedback and input to streamline claims operations internally as well as externally with insurance partners

Monitors existing and proposed legislation, court decisions and trends and pertaining to coverage issues that could impact EMC’s handling of property claims

Analyzes potential impact to claims policies and procedures, and advises Claims Management on appropriate action to mitigate risks

Organizes and provides educational opportunities and training for all Property Claims team members to ensure consistency within the entire department

Provides technical expertise and input on reserve recommendations to the Regional Property Claims Directors

Participates with the interviewing and hiring of claims team members

Reviews and evaluates allocated and unallocated expenses for the entire property claims department

Reviews findings with Regional Property Claims Directors to develop proposals on departmental policies for expense management and reports recommendations to the Property Department AVP’s

Evaluates and approves selection of independent adjuster firms, engineers, origin and cause investigators, appraisers, claim consultants and other vendors

Manages this information within EMC’s system to house and distribute vendor information

Represents the property claims department with Corporate Legal and Information Technology stakeholders to ensure all external vendor relationships and agreements follow legal and technology requirements and guidelines

Works closely with the Claims Compliance and Quality Assurance team and Regional Property Claims Directors to provide ongoing support for property claim handling, including oversight and implementation of best practices for the property team members

Serves as the point person to monitor progress on property claims wide audit action plan items implemented by the Property Claims leadership and works closely with these parties to report to the property claims AVP’s

Leverages Voice of the Customer insights on all aspects of customer interactions to identify customer pain points, challenges, and hurdles

Advises and collaborates with Property Claims leadership on approaches to positively enhance customer interactions and reduce undesirable experiences

Manages the direct repair program

Researches, develops, and implements any updates or adjustments necessary

Collaborates with the vendor to ensure a beneficial relationship to EMC

Reviews results and outcomes from claims using the direct repair program, and resolves issues as appropriate

Manages and implements Xactimate and XactAnalysis licenses and use requirements

Serves as the subject matter expert from the property claims department on the business continuity committee to ensure the property claims department is able to adapt and operate efficiently during a disaster or claims system interruption

Represents the property claims department for all CoreConnect reporting, questions, and requirements (GuideWire/ClaimsCenter)

Leads and/or participates in corporate claims projects

Coordinates resources and team members for implementation of policies and procedures for the Property Claims department

Follows-up on projects after implementation to ensure success

As part of the property claims leadership team, participates in establishing and maintaining of claims service standards and procedures for the investigation, evaluation, and disposition of claims

Serves on Corporate Office Claims Committee and other committees

Collaborates with Property Claims leadership to identify storm occurrences that require implementation of the catastrophe program

Provides recommendations on direction and guidance for the management, staffing, and resources required based on the storm details

Reviews, identifies, and resolves discrepancies identified as catastrophe related but not matching the required criteria

Evaluates and approves local and national independent adjuster companies and their fee schedules for catastrophe claim handling

Serves as the primary contact for the Property Claims department on all catastrophe communications with internal and external catastrophe response stakeholders

Assists Property Claims leadership with property incurred but not reported (IBNR) projections

Compiles data and performs reporting for PLRB Occurrence and PCS Event information to Property Claims leadership

Develops and fosters relationships with claims, underwriting, and marketing teams to educate agents on claim services offered by EMC, as well to ensure agents receive superior customer experiences and select EMC as their insurer of choice

Collaborates with Corporate Office Underwriting

Actuary and Marketing departments to track line of business development and review opportunities for improvement

Qualification

Property claims handlingInsurance designationsClaims systems expertiseLegal knowledgeOrganizational skillsComputer software knowledgeProblem-solving abilitiesLeadership qualitiesCommunication skills

Required

Bachelor's degree or equivalent relevant experience

Ten years of property claims handling experience in progressively responsible roles, including prior experience with large loss claims

Attainment of all applicable state licenses as required

Superior knowledge of the theory and practice of the property claim function

Superior knowledge of property insurance contracts, construction and weather terminology, as well as policy conditions and court procedures regarding disputes on loss value or coverage

Excellent knowledge of insurance contracts, and legal aspects of court procedures affecting legal liability for property line of insurance

Superior organizational and written and verbal communication skills

Superior investigative and problem-solving abilities

Excellent leadership qualities

Excellent knowledge of applicable computer software and claims systems

Occasional travel; a valid driver's license with an acceptable motor vehicle report per company standards required if driving