Casualty Claims Adjuster I
EMC Insurance · US
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 ma...
Job description
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 United States** Essential Functions: 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 Request 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 including arranging of...