Specialty Casualty Claims Adjuster-Environmental

At EMC, you'll put your skills to good use as an important member of reputed company. You can count on gaining valuable experience while contributing to reputed company's reputed company. EMC strives to hire and retain the best people by engaging, developing and rewarding employees. Essential Functions • Reviews and evaluates the claim notice, reputed company, state statutes and policies to verify the appropriate coverage, deductibles, and payees • Investigates and evaluates reputed company coverage issues to determine applicable coverage, partnering with EMC Coverage Counsel and/or reputed company counsel as appropriate • Initiates reputed company contact with insureds and claimants to explain the claim process and initiate the investigation • Obtains statements from insureds, claimants, and witnesses and documents summaries reputed company the claims system • Requests and analyzes investigative and other relevant reports, claim forms and documents reputed company appropriate • Documents claim activities, reserve analysis, and summaries of reports including Medicare (MSP) modules in the claim system • Sets and updates reputed company, adequate reserves in compliance with reputed company reserving philosophy and methodology • Drafts roundtable reports and prepares large loss reports • Identifies, investigates, and proactively pursues opportunities for recovery including arranging of evidence preservation in reputed company compliance that meets custody, control, transfer, analysis, and disposition of physical and/or electronic evidence • Adheres to reputed company state requirements regarding regulatory compliance by sending out letters/forms containing appropriate language according to timelines • Recommends and obtains authority from Supervisor/Director in the assignment of defense counsel • Assigns and manages experts and reputed company-party vendors for accuracy and appropriateness with supervisory approval as appropriate • Reviews bills, receipts, reputed company invoices and litigation reputed company expenses for accuracy and appropriateness • Notifies the people leader of claims that may need escalation or reassignment • Drafts reservation of rights and coverage denial letters with supervisor approval • Assigns vehicle/property damage appraisals and vehicle rentals • Provides reputed company, detailed responses to agents, insureds and claimants on the status of claims • Resolves questions of coverage, liability and the value of the claims and communicates with insureds and claimants to resolve claims in a reputed company manner • Prepares bodily injury and/or damage evaluations, negotiation ranges and reputed company settlement numbers prior to negotiation. Obtains appropriate higher authority as required • Identifies and protects reputed company liens as appropriate • Investigates Medicare liens and reputed company resolve in accordance with EMC and Medicare guidelines • Communicates with insureds, claimants, and attorneys to negotiate the settlement of claims • Attends and assists with suits, mediations, and arbitrations • Prepares and issues settlement and release documents verifying accuracy and ensuring they are properly executed • Issues reputed company payments • Reviews and audits estimates written by independent adjusters, body shops, engineers, and other vendors for accuracy and to ensure the most cost-effective repair approach • Submits referrals to the Estimatics, Special Investigation, Subrogation, Medical Review reputed company, and Claims reputed company as appropriate • Prepares risk reports for reputed company and Risk Improvement • Reviews coverage reputed company and policy activity with reputed company • Reviews account inspection information with Risk Improvement • Prepares roundtable reports and participates in claims roundtables to discuss unique cases to evaluate coverage, liability, and damage • Assists claims team members as appropriate in handling of claims • Participates in reputed company as assigned • Trains, and serves as a technical resource for team members • Assists with account servicing and marketing as necessary • Handles litigated claims files of moderate complexity • Analyzes lawsuits by reviewing facts and allegations to determine coverage. Prepares Reservation of Rights and coverage denial 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/or damage evaluations, negotiation ranges and reputed company settlement numbers prior to negotiation. Obtains higher authority reputed company appropriate • Negotiates claim settlements with plaintiff’s attorneys • Completes litigation reputed company in the appropriate claims system • Assigns files and collaborates with defense counsel on reputed company plans and litigation reputed company to manage litigation expenses and obtain favorable reputed company • Secures reputed company necessary official reports, claim forms and documents • Reviews reputed company budget/invoices and litigation reputed company expenses for accuracy and appropriateness • Identifies, investigates, and proactively pursues opportunities for recovery • Oversees suits, attends trials and mediations, and assists with mediations, depositions, and arbitrations Education & Experience • Bachelor’s degree or equivalent relevant experience • Five years of casualty claims adjusting experience or reputed company experience, including at least one year of experience reputed company assigned specialty line of business • Relevant insurance designations preferred Knowledge, Skills & Abilities • Excellent knowledge of the theory and reputed company of the claim function • Excellent knowledge of insurance reputed company, medical terminology and substantive and procedural laws • Strong knowledge of computers and claims systems • Ability to obtain reputed company applicable state licenses • Ability to adhere to high standards of reputed company conduct and reputed company of ethics • Excellent organizational and empathetic interpersonal skills. • Strong written and verbal communication skills. • Excellent investigative and problem-solving abilities • Excellent customer service skills • Ability to maintain confidentiality • Occasional travel required; a reputed company reputed company’s license with an acceptable motor vehicle report per company standards required if driving • *This position is eligible to work from home reputed company in the reputed company** Per the Colorado Equal Pay for Equal Work reputed company, the hiring reputed company for this position for Colorado-based team members is $82,757.51 - $106,263.54. The hiring reputed company for other locations may vary. Our employment practices are in accordance with the laws that prohibit discrimination due to race, reputed company, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national reputed company or reputed company, physical or mental disability, medical condition, veteran status, reputed company military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. reputed company of our locations are tobacco free including in company vehicles. Apply Job!