At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success.
EMC strives to hire and retain the best people by engaging, developing and rewarding employees.
This position is eligible to work from home ND, SD, NE, KS, OK, TX, NM, CO, WY, MT, ID, UT, AZ, CA, NV, ID, OR, WA
Essential Functions :
Supervises assigned specialty casualty claims team (construction defect).
Reviews all specialty claim files assigned to team and analyzes files for necessary facts, including reaching out to appropriate parties to gather any missing information.
Assigns claims to the appropriate handler with the right skills and experience.
Provides direction and recommendations for handling.
Guides team through complex questions of coverage, compensability, liability, claim value and strategy for resolution.
Handles complex specialty casualty claims as needed.
Reviews reservation of rights and denial letters and approves for sending to insureds.
Assigns or assists in the selection of counsel and monitors litigated matters. Ensures that timely, adequate reserves have been established on specialty claim files in compliance with the company’s reserve guidelines and methodology.
Ensures adjuster is handling claims in accordance with company’s claims handling best practices and claims philosophy.
Properly identifies files appropriate for the specialty roundtable or Claims Committee, coverage counsel or subrogation.
Ensures proper reserves and authorizes claim payments within authority. Controls claim and loss costs and adjustment expenses.
Advances file review reports to Specialty Director and / or Specialty Claims Consultant ensuring sufficient information is provided to support reserve increases above supervisory level.
Oversees and monitors the workload and performance of the team. Guides team through complex work issues and answers questions.
Routinely meets with team members to monitor business decisions made to ensure compliance with authority levels, good faith claim handling, and regulatory requirements.
Ensures files are properly documented and monitors claims system productivity metrics.
Collaborates with team members to establish performance goals and monitors status.
Conducts performance reviews and provides coaching.
Interviews, hires, and recommends salary adjustments for team members. Resolves disciplinary issues, reviews results, actions plans, and progress.
Develops and fosters excellent customer relations as it relates to specialty casualty claims.
Monitors the customer service metrics and ensure that customer experience levels are being met. Collaborates with Underwriting, Marketing, and Claims
Liaison to educate agents on EMC products and services to ensure agents and customers receive superior customer experiences and select EMC as their carrier of choice.
Communicates with agents proactively and anticipates agents’ and insureds’ needs. Visits agencies to discuss accounts and losses.
Education & Experience :
Bachelor’s degree or equivalent relevant experience
Eight years of experience in casualty claims adjusting or related experience, including at least six years of experience with specialty casualty claims handling
Attainment of all applicable state licenses as required
Prior leadership experience preferred
Insurance designations, such as INS, AIC, and CPCU preferred
Knowledge, Skills & Abilities :
Excellent understanding and application of casualty claims techniques and a current knowledge of knowledge of various jurisdictions, good faith claims handling requirements and legal environments.
Advanced knowledge of insurance terms and coverages in commercial lines
Strong leadership qualities with the ability to motivate staff
Excellent knowledge of computers and claims systems
Excellent organizational, written and verbal communication skills
Excellent ability to gather and analyze a variety of data points to appropriately triage claims handling
Advanced investigative and problem-solving abilities
Occasional travel including overnight, valid driver’s license with an acceptable motor vehicle report per company standards will be required if driving
Per the Colorado Equal Pay for Equal Work Act, the hiring range for this position for Colorado-based team members is $105,211.
24 - $135,116.83. The hiring range for other locations may vary.