Casualty Claims Adjuster I

EMC Insurance Companies

Casualty Claims Adjuster I at EMC reviewing claims, verifying coverage, and negotiating settlements while ensuring compliance. Collaborating with insureds, claimants, and attorneys throughout the claims process.

Posted 6/30/2026full-timeRemote • 🇺🇸 United StatesJunior💰 $55,795 - $84,000 per yearWebsite

About the role

Key responsibilities & impact

Reviews the claim notice, contracts, state statutes and policies to verify the appropriate coverage, deductibles, and payees
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 analyze investigative and other relevant reports, claim forms and documents when appropriate
Documents claim activities, reserve analysis, and summaries of reports including Medicare (MSP) modules in the claim system
Sets timely, adequate reserves in compliance with the company reserving philosophy and methodology
Identifies, investigates, and proactively pursues opportunities for recovery
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

Requirements

What you’ll need

Bachelor’s degree or equivalent relevant experience
One year of casualty claims adjusting experience or related experience
Relevant insurance designations preferred
Good knowledge of the theory and practice of the claim function
Good knowledge of insurance contracts, medical terminology and substantive and procedural laws
Strong 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
Good organizational and empathetic interpersonal skills
Strong written and verbal communication skills
Good investigative and problem-solving abilities
Excellent customer service skills
Ability to maintain confidentiality
A valid driver’s license with an acceptable motor vehicle report per company standards required if traveling

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Claims AnalysisReserve AnalysisMedical TerminologyState Statutes KnowledgeClaims Documentation

Soft Skills

Organizational SkillsEmpathetic Interpersonal SkillsProblem-Solving Abilities

Certifications

Relevant Insurance DesignationsState Licenses