Claims Enablement Specialist
EMC Insurance Companies
•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
Requirements
- Bachelor’s degree, preferably in insurance, business, or related field, or equivalent relevant experience.
- Five years of experience in commercial Claims operations, claims systems, enablement, or related experience, including experience with claims systems such as Guidewire
- Prior experience in claims transformation, process improvement, system testing, or operational readiness
- Advanced knowledge of commercial Claims processes and system interactions
- Excellent knowledge of property and casualty insurance and terminology
- Strong knowledge of technology and ability to interpret data
- Excellent cross-functional communication and stakeholder management skills
- Strong documentation, organization, and training design abilities
- Ability to distill and communicate highly complex issues for technical and non-technical audiences
- Strong root cause analysis, business enablement solutioning, and analytical problem-solving skills
- Demonstrated ability to understand and explain issues from both a technical and a business functional point of view
- Proven ability to work in a fast-paced, iterative cycle with multiple projects under scheduled deadlines
- Ability to adapt to new technologies and changing priorities
- Strong interpersonal skills and conflict resolution.
Nice To Haves
- Project management experience with JIRA or similar agile methodology preferred
- Ability to leverage automation or AI-enabled tools to improve efficiency preferred
Responsibilities
- Act as the final escalation point for complex claims system and workflow issues; independently triage, resolve, or escalate defects to IT.
- Serve as a claims systems SME, advising on system usage, configuration impacts, and workflow alignment while supporting the Help Desk on complex issues.
- Partner with Claims leadership to ensure business readiness for system changes, including analyzing, prioritizing, and validating defects and enhancements.
- Act as the liaison between Claims, Help Desk, and IT, translating business needs into clear requirements and driving process improvements.
- Develop and maintain SOPs, troubleshooting frameworks, and knowledge resources to support consistent operations and user enablement.
- Translate data and business needs into actionable insights, providing guidance on system behavior and issue resolution.
- Lead UAT coordination and business validation for system changes, ensuring readiness for production releases.
- Support system rollouts and change execution, including user communications and adoption of new functionality.
- Drive continuous improvement through analysis of ticket trends, metrics, and user feedback to enhance performance and training.
- Support internal and external audits related to claims processes and system activity.
Benefits
- life, medical, dental, vision and prescription drug coverage
- Competitive paid time off plan
- a full day of volunteer time off annually
- 401(k) plan match
- pension plan
- OneEMC bonus plan
- recognition and anniversary awards
- Professional development and growth opportunities
- tuition reimbursement
- Wellness initiatives to improve team member well-being and reduce health insurance costs
- Flexibility to dress for your day and opportunities for alternative work arrangements
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
