[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"job-casualty-claims-specialist-emc-de-":3},{"id":4,"slug":5,"title":6,"description":7,"company":8,"is_featured":11,"featured_until":7,"is_active":11,"deactivated_at":12,"is_enriched":13,"processed_job_posting_json":14,"processed_latitude":68,"processed_longitude":69,"processed_employment_types":70,"processed_working_hours":71,"processed_working_hours_labels":73,"processed_home_office":74,"processed_salary_min":65,"processed_salary_max":66,"processed_salary_currency":62,"processed_salary_source":75,"processed_benefits":76,"processed_benefits_labels":93,"processed_industry":94,"processed_skills":7,"processed_job_location":95,"processed_full_address_gmaps":96,"processed_street_gmaps":97,"processed_city_gmaps":98,"processed_postal_code_gmaps":99,"processed_country_gmaps":100,"processed_country_iso_code_gmaps":101,"full_description":17,"formatted_description":102,"processed_employment_types_labels":24,"processed_home_office_labels":22,"processed_industry_labels":26,"processed_it_skills":103,"processed_it_skills_labels":105,"processed_soft_skills":106,"processed_soft_skills_labels":108,"processed_job_expertise_skills":109,"processed_job_expertise_skills_labels":110,"processed_language_requirements":111,"processed_total_experience_years":118,"processed_professional_field":119,"processed_professional_field_labels":120,"processed_leadership_role":11,"processed_date_posted":20,"raw_job_url":121,"apply_url":7,"raw_hiringOrganization_logo_url":7,"translations":7,"canonical_industry_key":94,"canonical_industry_label":26,"max_cpc":122,"actual_cpc":7},83403,"casualty-claims-specialist-emc","Casualty Claims Specialist",null,{"name":9,"slug":10,"logo_url":7},"EMC","emc",false,"2026-11-01",true,{"@context":15,"@type":16,"title":6,"description":17,"hiringOrganization":18,"datePosted":20,"validThrough":21,"jobLocationType":22,"employmentType":23,"industry":25,"skills":27,"baseSalary":60},"https:\u002F\u002Fschema.org\u002F","JobPosting","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. **This position is eligible to work from home anywhere in the US** The Casualty Claims Specialist exercises independent judgment in the investigation, negotiation, and disposition of auto and casualty claims of severe complexity, including claims in litigation, within limitations of authority outlined in the Claims Guide. Maintains and reinforces department procedures. Communicates effectively with insureds, claimants, vendors, and agents, regarding coverage, claims status and other claims questions. Essential Functions: Promptly investigates and evaluates claims of severe complexity: Reviews the claim notice, contracts, state statutes and policies to verify the appropriate coverage, deductibles, and payees Investigates and evaluates complex coverage issues to determine applicable coverage, partnering with EMC Coverage Counsel and\u002For outside counsel as appropriate Initiates timely contact with insureds and claimants to explain the claim process and initiate the investigation Obtains statements from insureds, claimants, and witnesses and documents summaries within the claims system Requests and analyzes investigative and other relevant reports, claim forms and documents when appropriate Documents claim activities, reserve analysis, summaries of reports including Medicare (MSP) modules in the claim system Prepares claims and participates in claims roundtables to discuss unique cases to evaluate coverage, liability, and damages Sets timely, adequate reserves in compliance with the company reserving philosophy and methodology Identifies, investigates, and proactively pursues opportunities for recovery including partnering with attorneys and\u002For other experts to arrange of evidence preservation in legal compliance that meets custody, control, transfer, analysis, and disposition of physical and\u002For electronic evidence Adheres to all state requirements regarding regulatory compliance by sending out letters\u002Fforms containing appropriate language according to timelines Recommends and obtains authority from Supervisor\u002FDirector in the assignment of defense counsel Notifies people leader of claims that may need escalation or reassignment Assign and manage experts and third party vendors for accuracy and appropriateness with supervisory approval as required Drafts reservation of rights and denial letters when appropriate Provides prompt, detailed responses to agents, insureds and claimants on the status of claims Litigation Management: Manages litigation of moderate to complex claims Analyzes lawsuits by reviewing facts and allegations to determine coverage. Prepares any Reservation of Rights letters if allegations warrant· Prepares lawsuit analysis and formalizes plan to discuss with management Collaborates with defense counsel and others to prepare bodily injury and\u002For damage evaluations, negotiation ranges and target settlement numbers prior to negotiation. Obtains higher authority when appropriate Negotiates claim settlements with plaintiff’s attorneys· Completes litigation matters in CLMS claims system Assigns files and collaborates with defense counsel on action plans and litigation strategy to manage litigation expenses and obtain favorable outcomes Secures all necessary official reports, claim forms and documents Reviews legal budget\u002Finvoices and litigation related expenses for accuracy and appropriateness Identifies, investigates, and proactively pursues opportunities for recovery Oversees suits, attends and assists with mediations, arbitrations, and depositions Negotiates, settles and\u002For resolves claims: Resolves questions of coverage, liability and the value of the claims and communicates with insureds and claimants to resolve claims in a timely manner Prepares bodily injury and\u002For damage evaluations, negotiation ranges and target settlement numbers prior to negotiation. Obtains higher authority when appropriate Identifies and protects all liens as appropriate Investigates Medicare liens and timely resolve in accordance with EMC and Medicare guidelines Communicates with insureds, claimants, and attorneys to negotiate the settlement of claims Prepares and issues settlement and release documents verifying accuracy and ensuring they are properly executed Reviews and audits estimates written by independent adjusters, engineers and other vendors for accuracy and to ensure the most cost-effective repair approach Issues timely payments Serves as a technical resource for team members: Provides guidance to team members with technical issues of a claim and answers questions on coverage, compensability, investigations and plans of action. Serves as a subject matter expert for other claims team members. Assists in handling of claims or suits outside of their jurisdiction. Acts as a technical resource to other claims professionals providing guidance on claims handling practice. Assists other claims professionals with complex or problematic claims as necessary. Leads and\u002For participates in claims projects as a representative of casualty claims Collaboration: Submits referrals to the Estimatics, Special Investigation, Subrogation, Medical Review Units, and Corporate Office Coverage Counsel as appropriate Prepares risk reports for Underwriting and Risk Improvement· Reviews coverage intent and policy activity with Underwriting· Reviews account inspection information with Risk Improvement· Prepares claims and participates in claims roundtables to discuss unique cases to evaluate coverage and damage Education & Experience: Bachelor’s degree or equivalent relevant experience Eight years of casualty claims adjusting experience or related experience Relevant insurance designations preferred Knowledge, Skills & Abilities: 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 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. Occasional travel required; a valid driver’s license with an acceptable motor vehicle report per company standards required if driving The hiring salary range for this position will vary based on geographic location, falling within either of the following: $78,726 - $108,771 or $87,008 - $119,646 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit www.emcins.com\u002Fcareers. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles. Why should you choose to apply for a position at EMC? We can give you plenty of reasons why EMC is a great place to work: More than 105 years of financial strength and stability Named a five-star insurance carrier by Insurance Business America Two-time recipient of the Best Practices Award of Excellence from the Independent Agents & Brokers of America Multiple locations recognized as Top Workplaces based solely on team member feedback Corporate culture that engages and empowers team members to achieve their best Outstanding benefits with life, medical, dental, vision and prescription drug coverage Competitive paid time off plan and a full day of volunteer time off annually Financial incentives, including a 401(k) plan match, pension plan, OneEMC bonus plan and recognition and anniversary awards Professional development and growth opportunities, including 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 EMC complies with labor law requirements. View the federal and e-verify labor law posters. Notice at Collection Privacy Policy (EMCC) – California Consumer Privacy Notice (EMCNL) – California Consumer Privacy Notice",{"@type":19,"name":9},"Organization","2026-09-30","2027-09-30","REMOTE",[24],"PERMANENT",[26],"Insurance",[28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59],"Claims Management Systems","Microsoft Office","Communication","Interpersonal Skills","Organizational Skills","Problem-Solving","Empathy","Customer Service","Collaboration","Confidentiality","Professional Conduct","Ethics","Independent Judgment","Negotiation","Attention to Detail","Time Management","Casualty Claims Adjusting","Insurance Contracts Knowledge","Medical Terminology","Legal Knowledge","Litigation Management","Claims Investigation","Claims Negotiation","Claims Settlement","Reserve Analysis","Regulatory Compliance","Medicare Compliance","Subrogation","Risk Assessment","Vendor Management","Evidence Preservation","Claims Systems Proficiency",{"@type":61,"currency":62,"value":63},"MonetaryAmount","USD",{"@type":64,"minValue":65,"maxValue":66,"unitText":67},"QuantitativeValue",78726,119646,"YEAR",[],[],"permanent",[72],"FULL_TIME",[72],"remote","estimated",[77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92],"Life insurance","Medical insurance","Dental insurance","Vision insurance","Prescription drug coverage","Competitive paid time off plan","Volunteer time off","401(k) plan match","Pension plan","OneEMC bonus plan","Recognition and anniversary awards","Professional development and growth opportunities","Tuition reimbursement","Wellness initiatives","Flexibility to dress for your day","Alternative work arrangements",[77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92],"insurance",[],[],[],[],[],[],[],"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.\n\n**This position is eligible to work from home anywhere in the US**\n\nThe Casualty Claims Specialist exercises independent judgment in the investigation, negotiation, and disposition of auto and casualty claims of severe complexity, including claims in litigation, within limitations of authority outlined in the Claims Guide. Maintains and reinforces department procedures. Communicates effectively with insureds, claimants, vendors, and agents, regarding coverage, claims status and other claims questions.\n\n## Essential Functions:\n\n- Promptly investigates and evaluates claims of severe complexity:\n- Reviews the claim notice, contracts, state statutes and policies to verify the appropriate coverage, deductibles, and payees\n- Investigates and evaluates complex coverage issues to determine applicable coverage, partnering with EMC Coverage Counsel and\u002For outside counsel as appropriate\n- Initiates timely contact with insureds and claimants to explain the claim process and initiate the investigation\n- Obtains statements from insureds, claimants, and witnesses and documents summaries within the claims system\n- Requests and analyzes investigative and other relevant reports, claim forms and documents when appropriate\n- Documents claim activities, reserve analysis, summaries of reports including Medicare (MSP) modules in the claim system\n- Prepares claims and participates in claims roundtables to discuss unique cases to evaluate coverage, liability, and damages\n- Sets timely, adequate reserves in compliance with the company reserving philosophy and methodology\n- Identifies, investigates, and proactively pursues opportunities for recovery including partnering with attorneys and\u002For other experts to arrange of evidence preservation in legal compliance that meets custody, control, transfer, analysis, and disposition of physical and\u002For electronic evidence\n- Adheres to all state requirements regarding regulatory compliance by sending out letters\u002Fforms containing appropriate language according to timelines\n- Recommends and obtains authority from Supervisor\u002FDirector in the assignment of defense counsel\n- Notifies people leader of claims that may need escalation or reassignment\n- Assign and manage experts and third party vendors for accuracy and appropriateness with supervisory approval as required\n- Drafts reservation of rights and denial letters when appropriate\n- Provides prompt, detailed responses to agents, insureds and claimants on the status of claims\n\n## Litigation Management:\n\n- Manages litigation of moderate to complex claims\n- Analyzes lawsuits by reviewing facts and allegations to determine coverage. Prepares any Reservation of Rights letters if allegations warrant·\n- Prepares lawsuit analysis and formalizes plan to discuss with management\n- Collaborates with defense counsel and others to prepare bodily injury and\u002For damage evaluations, negotiation ranges and target settlement numbers prior to negotiation. Obtains higher authority when appropriate\n- Negotiates claim settlements with plaintiff’s attorneys·\n- Completes litigation matters in CLMS claims system\n- Assigns files and collaborates with defense counsel on action plans and litigation strategy to manage litigation expenses and obtain favorable outcomes\n- Secures all necessary official reports, claim forms and documents\n- Reviews legal budget\u002Finvoices and litigation related expenses for accuracy and appropriateness\n- Identifies, investigates, and proactively pursues opportunities for recovery\n- Oversees suits, attends and assists with mediations, arbitrations, and depositions\n\n## Negotiates, settles and\u002For resolves claims:\n\n- Resolves questions of coverage, liability and the value of the claims and communicates with insureds and claimants to resolve claims in a timely manner\n- Prepares bodily injury and\u002For damage evaluations, negotiation ranges and target settlement numbers prior to negotiation. Obtains higher authority when appropriate\n- Identifies and protects all liens as appropriate\n- Investigates Medicare liens and timely resolve in accordance with EMC and Medicare guidelines\n- Communicates with insureds, claimants, and attorneys to negotiate the settlement of claims\n- Prepares and issues settlement and release documents verifying accuracy and ensuring they are properly executed\n- Reviews and audits estimates written by independent adjusters, engineers and other vendors for accuracy and to ensure the most cost-effective repair approach\n- Issues timely payments\n\n## Serves as a technical resource for team members:\n\n- Provides guidance to team members with technical issues of a claim and answers questions on coverage, compensability, investigations and plans of action.\n- Serves as a subject matter expert for other claims team members.\n- Assists in handling of claims or suits outside of their jurisdiction.\n- Acts as a technical resource to other claims professionals providing guidance on claims handling practice.\n- Assists other claims professionals with complex or problematic claims as necessary.\n- Leads and\u002For participates in claims projects as a representative of casualty claims\n\n## Collaboration:\n\n- Submits referrals to the Estimatics, Special Investigation, Subrogation, Medical Review Units, and Corporate Office Coverage Counsel as appropriate\n- Prepares risk reports for Underwriting and Risk Improvement·\n- Reviews coverage intent and policy activity with Underwriting·\n- Reviews account inspection information with Risk Improvement·\n- Prepares claims and participates in claims roundtables to discuss unique cases to evaluate coverage and damage\n\n## Education & Experience:\n\n- Bachelor’s degree or equivalent relevant experience\n- Eight years of casualty claims adjusting experience or related experience\n- Relevant insurance designations preferred\n\n## Knowledge, Skills & Abilities:\n\n- Superior knowledge of best claims practices used to resolve the most serious and complex liability claims\n- Advanced knowledge of insurance contracts, medical terminology and substantive and procedural laws\n- Excellent knowledge of computers and claims systems.\n- Ability to obtain all applicable state licenses\n- Ability to adhere to high standards of professional conduct and code of ethics\n- Exceptional organizational and empathetic interpersonal skills.\n- Thorough written and verbal communication skills\n- Advanced customer service skills\n- Ability to maintain confidentiality\n- Thorough investigative and problem-solving abilities.\n- Occasional travel required; a valid driver’s license with an acceptable motor vehicle report per company standards required if driving\n\nThe hiring salary range for this position will vary based on geographic location, falling within either of the following: $78,726 - $108,771 or $87,008 - $119,646\n\nA hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit www.emcins.com\u002Fcareers.\n\nOur employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.\n\nWhy should you choose to apply for a position at EMC? We can give you plenty of reasons why EMC is a great place to work:\n\n- More than 105 years of financial strength and stability\n- Named a five-star insurance carrier by Insurance Business America\n- Two-time recipient of the Best Practices Award of Excellence from the Independent Agents & Brokers of America\n- Multiple locations recognized as Top Workplaces based solely on team member feedback\n- Corporate culture that engages and empowers team members to achieve their best\n- Outstanding benefits with life, medical, dental, vision and prescription drug coverage\n- Competitive paid time off plan and a full day of volunteer time off annually\n- Financial incentives, including a 401(k) plan match, pension plan, OneEMC bonus plan and recognition and anniversary awards\n- Professional development and growth opportunities, including tuition reimbursement\n- Wellness initiatives to improve team member well-being and reduce health insurance costs\n- Flexibility to dress for your day and opportunities for alternative work arrangements\n\nEMC complies with labor law requirements. View the federal and e-verify labor law posters. Notice at Collection Privacy Policy (EMCC) – California Consumer Privacy Notice (EMCNL) – California Consumer Privacy Notice",{"microsoft office":104,"claims management systems":104},3,[28,29],{"communication":107,"interpersonal skills":107,"organizational skills":107,"problem-solving":107,"empathy":107,"customer service":107,"collaboration":107,"confidentiality":107,"professional conduct":107,"ethics":107,"independent judgment":107,"negotiation":107,"attention to detail":107,"time management":107},4,[30,31,32,33,34,35,36,37,38,39,40,41,42,43],{"subrogation":107,"legal knowledge":107,"risk assessment":107,"reserve analysis":107,"claims settlement":107,"vendor management":107,"claims negotiation":107,"medical terminology":107,"medicare compliance":107,"claims investigation":107,"evidence preservation":107,"litigation management":107,"regulatory compliance":107,"casualty claims adjusting":107,"claims systems proficiency":107,"insurance contracts knowledge":107},[44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59],{"detected_language_jobad":112,"required":113},"en",[114],[115],{"language":116,"level":117},"ENGLISH","C2",8,[26],[26],"https:\u002F\u002Femcins.wd5.myworkdayjobs.com\u002Fen-us\u002Femc_careers\u002Fjob\u002Fremote-in-us\u002Fcasualty-claims-specialist_r6571",1]