Specialty Casualty Claims Specialist

EMC Insurance Companies

3d•$92,670 - $140,845•Remote

About The Position

As a Specialty Casualty Claims Specialist, you'll take the lead on some of the most complex and high-exposure casualty claims, making a direct impact on claim outcomes, customer experience, and EMC's overall risk management strategy. You'll investigate and evaluate complicated coverage and liability issues, manage litigation from start to finish, collaborate with defense counsel and industry experts, and negotiate settlements that balance fair outcomes with strong financial stewardship. In this highly visible role, you'll serve as a trusted technical resource to fellow claims professionals while partnering closely with underwriting, legal, risk improvement, and agents to deliver exceptional service and protect the interests of EMC and its policyholders.

Requirements

Bachelor’s degree or equivalent relevant experience
Eight years of casualty claims adjusting experience or related experience, including at least four years of experience within assigned specialty line of business
Ability to obtain all applicable state licenses
Ability to adhere to high standards of professional conduct and code of ethics
Thorough written and verbal communication skills
Advanced customer service skills
Ability to maintain confidentiality
Thorough investigative and problem-solving abilities.
Occasional travel required; a valid driver’s license with an acceptable motor vehicle report per company standards required if driving

Nice To Haves

Experience with Public Entity, EPLI, E&O, and/or Law Enforcement claims highly preferred
Relevant insurance designations preferred
Excellent 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 computers and claims systems.
Exceptional organizational and empathetic interpersonal skills.

Responsibilities

Manage highly complex litigated casualty claims from investigation through resolution.
Analyze coverage, liability, damages, contracts, statutes, and policy language to determine claim exposure.
Develop litigation strategies with defense counsel, including lawsuit analysis, action plans, and settlement recommendations.
Negotiate settlements with claimants, plaintiff attorneys, insureds, and other stakeholders.
Attend and oversee trials, depositions, mediations, arbitrations, and other litigation proceedings.
Set, monitor, and adjust reserves while preparing large loss reports and presenting complex cases in claims roundtables.
Draft reservation of rights, coverage position, and denial letters while ensuring regulatory compliance.
Direct investigations by gathering statements, reviewing reports, preserving evidence, and coordinating with attorneys, experts, and vendors.
Identify recovery opportunities, manage liens (including Medicare), and pursue subrogation and other cost-recovery efforts.
Review legal budgets, invoices, estimates, and vendor expenses to ensure accuracy and cost-effective claim resolution.
Serve as a technical expert and mentor, providing guidance on complex coverage, liability, investigation, and claims handling issues.
Partner with Underwriting, Risk Improvement, Legal, SIU, Medical Review, and other internal teams to evaluate risk exposures and deliver exceptional claim outcomes.