Complex Casualty Claims Specialist
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Job Description
Complex casualty claims specialist managing severe casualty litigation, investigations, reserves and settlements for EMC. Providing technical claims expertise while collaborating with counsel, underwriting and recovery teams nationwide.
Responsibilities:
- Manage litigation of severely complex auto and casualty claims
- Investigate and evaluate complex claims, coverage, liability and damages
- Set and update timely, adequate reserves
- Analyze lawsuits, prepare coverage positions, lawsuit analyses and litigation plans
- Collaborate with defense counsel and other experts on evaluations, negotiations and litigation strategy
- Negotiate, settle and resolve complex claims with insureds, claimants and attorneys
- Complete litigation matters in CLMS and Claims Center
- Assign and manage defense counsel, experts and third-party vendors
- Attend trials and mediations and assist with arbitrations and depositions
- Investigate and pursue recovery opportunities, including subrogation and liens
- Prepare claims, roundtable reports, large loss reports, risk reports and underwriting materials
- Provide technical guidance and serve as a subject matter expert for claims professionals
- Handle complex claims nationwide and participate in claims projects
- Collaborate with Estimatics, Special Investigation, Subrogation, Medical Review, Coverage Counsel, Underwriting and Risk Improvement teams
Requirements:
- Bachelor’s degree or equivalent relevant experience
- Ten years of casualty claims adjusting experience or related experience
- Relevant insurance designations preferred
- Superior knowledge of best claims practices used to resolve the most serious and complex liability claims
- Advanced knowledge of insurance contracts, medical terminology and substantive and procedural laws
- Excellent knowledge of negotiation and alternative resolution techniques
- 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
- Frequent travel required nationwide
- Valid driver’s license with an acceptable motor vehicle report per company standards required if driving
Benefits:
- Comprehensive rewards package; benefits information provided at www.emcins.com/careers
- Work from home anywhere in the US
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