At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees.
- This position is eligible to work from home anywhere in the United States
Exercises independent judgment in the investigation, negotiation, and disposition of auto and casualty claims of moderate complexity within limitations of authority outlined in the Claims Guide. Communicates effectively with insureds, claimants, vendors, and agents, regarding coverage, claims status and other claims questions. Negotiates, settles, and / or resolves claims.
Essential Functions :
Reviews the claim notice, contracts, state statutes and policies to verify the appropriate coverage, deductibles, and payeesInitiates timely contact with insureds and claimants to explain the claim process and initiate the investigationObtains statements from insureds, claimants, and witnesses and documents summaries within the claims systemRequest and analyze investigative and other relevant reports, claim forms and documents when appropriateIdentifies, investigates, and proactively pursues opportunities for recovery including arranging of evidence preservation in legal compliance that meets custody, control, transfer, analysis, and disposition of physical and / or electronic evidenceAdheres to all state requirements regarding regulatory compliance by sending out letters / forms containing appropriate language according to timelinesDrafts reservation of rights and coverage denial letters with supervisor approvalAssigns vehicle / property damage appraisals and vehicle rentalsMakes recommendations to people leader on the assignment of independent adjustersProvides prompt, detailed responses to agents, insureds, and claimants on the status of claimsResolves questions of coverage, liability and the value of the claims and communicates with insureds and claimants to resolve claims in a timely mannerPrepares bodily injury and / or damage evaluations, negotiation ranges and target settlement numbers prior to negotiation. Obtains authority when requiredIdentifies and protects all liens as appropriateInvestigates Medicare liens and resolves issues in accordance with EMC and Medicare guidelinesPrepares and issues settlement and release documents verifying accuracy and ensuring they are properly executedReviews and audits estimates written by independent adjusters for accuracy and to ensure the most cost-effective repair approachSubmits referrals to the Estimatics, Special Investigation, Subrogation, Medical Review Units and Claims Legal teams as appropriatePrepares claims and participates in claims roundtables to discuss unique cases to evaluate coverage and damageEducation & Experience :
Bachelor's degree or equivalent relevant experienceOne year of casualty claims adjusting experience or related experienceRelevant insurance designations preferredKnowledge, Skills, & Experience :
Good knowledge of the theory and practice of the claim functionGood knowledge of insurance contracts, medical terminology and substantive and procedural lawsStrong knowledge of computers and claims systemsAbility to obtain all applicable state licensesAbility to adhere to high standards of professional conduct and code of ethicsGood organizational and empathetic interpersonal skillsStrong written and verbal communication skillsGood investigative and problem-solving abilitiesExcellent customer service skillsAbility to maintain confidentialityOccasional travel required; a valid driver's license with an acceptable motor vehicle report per company standards required if travelingPer the Colorado Equal Pay for Equal Work Act, the hiring range for this position for Colorado-based team members is $58,618.44 - $75,262.27. The hiring range for other locations may vary
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.
Salary : $58,618 - $75,262
