Claims Specialist

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.

Essential Functions

• Investigate, evaluate, and resolve severe and complex workers’ compensation claims across multiple jurisdictions, determining coverage, compensability, liability, and settlement value.
• Manage all aspects of claims handling, including investigations, documentation, reserves, benefit calculations, payments, and jurisdiction-specific reporting.
• Coordinate medical care, return-to-work efforts, and complex cost-containment strategies, including catastrophic claims, Medicare requirements, and lien resolution.
• Manage litigation in partnership with defense counsel, develop resolution strategies, negotiate settlements, and attend depositions, hearings, trials, and mediations.
• Direct vendors and experts, monitor expenses, and pursue subrogation and other recovery opportunities.
• Serve as a technical resource for team members, contribute to claims roundtables, collaborate with specialized units, and communicate emerging risks to underwriting and risk improvement teams.
• Maintain required licenses and continuing education.
• This role covers Iowa, Arizona, Utah, and Texas

EDUCATION & EXPERIENCE

• Bachelor’s degree or equivalent relevant experience
• Seven years of claims adjusting experience or related experience
• Must have adjusters experience in Iowa, Arizona, and Utah
• Adjusters experience in Texas is preferred
• Prior experience with a third party administrator (TPA) preferred
• INS, AIC, SCLA, WCLA and CPCU designation preferred

KNOWLEDGE, SKILLS & ABILITIES

• Advanced knowledge of best claims practices used to resolve the serious and complex injury and worker’s compensation, general liability, property and auto commercial claims
• Excellent knowledge of the claim function
• Advanced analytical, investigative, and problem-solving abilities with liability and coverage
• Excellent knowledge of insurance contracts, medical terminology and legal aspects of court procedures affecting legal liability for all lines of insurance
• Advanced computer skills, including claims systems
• Exceptional organizational, written and verbal communication skills, including documentation
• Thorough investigative and problem-solving abilities 
• Excellent ability to advise, partner, and effectively consult with diverse internal and external stakeholders
• Occasional travel required

The hiring salary range for this position will vary based on geographic location, falling within either of the following:

A 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.

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