Claims Ceded Reinsurance Access Specialist

EMC Insurance Companies

6d•$72,726 - $109,786•Remote

About The Position

At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together. Position is eligible to work from home anywhere in the US. Serves as a subject matter expert for the entire ceded reinsurance process within Claims. Reviews all reinsurance claims completed by team members. Reviews monthly CEDED/CLMS/ClaimCenter generated reports. Participates in department projects. Serves as the primary contact for Claims Leadership and IT to set up access and authority for all Claims team members. Reviews and processes ACH rejection notices for CLMS and ClaimCenter.

Requirements

Bachelor’s degree, preferably in insurance, finance, accounting, business administration or related field or equivalent relevant experience
Five years of experience with claims, accounting, or data reporting or related experience
Excellent knowledge of insurance policies and claims philosophy, procedures and terminology
Excellent knowledge of claims data reporting
Excellent computer skills, including Microsoft Office Suite
Excellent communication and interpersonal skills
Ability to work effectively in a team as well as independently
Ability to manage multiple priorities and changing deadlines
Excellent research and analytical skills

Nice To Haves

Insurance industry experience or certifications (e.g. INS, AIC, CPCU) preferred

Responsibilities

Leads and monitors the workload in the coding and closeout process, including reviewing all claims with newly established reserves and various data elements for accuracy and to align exposure to coverage.
Assigns reinsurance claims to team members to manage reporting and billing to our brokers.
Reviews and validates all reinsurance work completed by team members; collaborates to resolve errors and facilitates final reporting, updates, and submissions to the reinsurance broker.
Manages reinsurance inquiries by triaging, assigning, and tracking responses to ensure timely resolution and communication with brokers.
Participates in department and corporate projects.
Reviews and analyzes monthly ceded reinsurance reports (CLMS/ClaimCenter), ensuring accurate reporting of threshold, reserve, payment, and status changes.
Partners with IT to enhance and maintain ceded reinsurance reporting capabilities within claims systems and communicates data or reporting issues to leadership.
Serves as the primary contact for Claims access management; establishes, audits, and maintains appropriate system access and authority levels across platforms.
Performs and tracks annual access audits, ensuring alignment of system access with roles and governance requirements.
Reviews and processes ACH rejection notices; partners with adjusters to correct banking information, resolve issues, and monitor for recurring discrepancies.
Oversees maintenance and updates of claims forms within CLMS and ClaimCenter, including coordinating changes, testing functionality, and validating deployment.
Provides training and guidance to team members on ceded reinsurance processes, reporting requirements, and system usage.