Casualty Claims Consultant
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AI Summary
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**
In this role, you’ll act as a key expert guiding complex casualty claims to strong outcomes. You’ll partner with claims teams and leadership to shape strategy, provide direction on high-impact cases, and ensure consistent, best-in-class claim handling. You’ll also drive continuous improvement by analyzing trends, supporting audits, and elevating team performance through coaching and collaboration. Your work will directly influence claim results, customer experience, and overall business performance, making you a critical player in both daily operations and long-term success.
Essential Functions:
Serves as a subject matter expert on casualty claims policies, insurance programs, and best practices
Partners with claims teams to review files, develop resolution strategies, and drive optimal outcomes
Collaborates with leadership on claim strategy, including reserving, expenses, and litigation management
Provides reserve, settlement guidance, and authority on high-exposure or complex claims
Monitors reserve development trends and evaluates claim performance across assigned teams
Acts as escalation point for complex claims issues, partnering with Legal, Underwriting, and external vendors
Leads and participates in claim roundtables, committees, and case discussions to ensure strategic alignment
Maintains oversight of major/complex claim files to guide handling and ensure progress
Supports and enforces best practices across Claims Directors, supervisors, and adjusters
Partners with Compliance and QA to implement audit action plans and improve claim handling quality
Leverages customer feedback insights to identify pain points and enhance the claims experience
Contributes to staffing, hiring, training, and development of casualty claims talent
Leads or supports enterprise and departmental initiatives aligned to claims strategy and financial goals
Ensures compliance with claim handling standards, conducts file reviews, and drives continuous improvement
Education & Experience:
Bachelor’s degree or equivalent relevant experience
Ten years of casualty claims experience in progressively responsible roles or related experience
Attainment of all applicable state licenses as required
Insurance designations, such as AIC, CIC, AIM and CPCU preferred
Knowledge, Skills, & Abilities:
Superior knowledge of the theory and practice of the casualty claims function
Strong analytical abilities and demonstrated experience of good judgment with respect to casualty loss and coverage
Proven knowledge of insurance contracts, medical terminology and legal aspects of court procedures affecting legal liability for all lines of insurance
Strong, current knowledge of all insurance lines, relevant court decisions, guidelines in the claims function, and policy changes and modifications
Excellent leadership qualities with the ability to motivate branch claims team members in the handling and disposition of claims
Excellent knowledge of computers and claims systems
Superior organizational and written and verbal communication skills
Excellent investigative and problem-solving abilities
Occasional travel; 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:
$112,276 - $161,326 or $124,084 - $177,469A 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/careers.
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.
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