Specialty Casualty Claims Specialist

EMC Insurance Companies

. Manage highly complex litigated casualty claims from investigation through resolution .

Posted 10/5/2026full-timeRemote • United StatesSeniorLead💰 $92,670 - $140,845 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex litigated casualty claims, including analysis of coverage, liability, and damages, while ensuring regulatory compliance and effective negotiation strategies. Possesses strong investigative, problem-solving, and communication skills to deliver exceptional claim outcomes.

Highest-signal resume keywords

Casualty Claims Adjusting ExperienceLitigation Strategy DevelopmentRegulatory ComplianceAdvanced Knowledge of Insurance ContractsExceptional Organizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisSettlement NegotiationTrial OversightClaims ReportingSubrogation ManagementMedical TerminologyInsurance Contracts KnowledgeCost RecoveryInvestigation TechniquesClaims Systems Proficiency

Soft Skills

Empathetic Interpersonal SkillsThorough Communication SkillsCustomer Service SkillsOrganizational SkillsProblem-Solving Abilities

Certifications & Qualifications

Relevant Insurance DesignationsState Licenses

Industry Keywords

Public Entity ClaimsEPLIE&OLaw Enforcement ClaimsBest Claims PracticesProfessional ConductCode of Ethics

About the role

Key responsibilities & impact

Manage highly complex litigated casualty claims from investigation through resolution
Analyze coverage, liability, damages, contracts, statutes, and policy language to determine claim exposure
Develop litigation strategies with defense counsel, including lawsuit analysis, action plans, and settlement recommendations
Negotiate settlements with claimants, plaintiff attorneys, insureds, and other stakeholders
Attend and oversee trials, depositions, mediations, arbitrations, and other litigation proceedings
Set, monitor, and adjust reserves; prepare large loss reports and present complex cases in claims roundtables
Draft reservation of rights, coverage position, and denial letters while ensuring regulatory compliance
Direct investigations by gathering statements, reviewing reports, preserving evidence, and coordinating with attorneys, experts, and vendors
Identify recovery opportunities, manage liens including Medicare, and pursue subrogation and other cost-recovery efforts
Review legal budgets, invoices, estimates, and vendor expenses for accuracy and cost-effective claim resolution
Serve as a technical expert and mentor to claims professionals
Partner with Underwriting, Risk Improvement, Legal, SIU, Medical Review, and other internal teams to evaluate risk exposures and deliver exceptional claim outcomes

Requirements

What you’ll need

Bachelor’s degree or equivalent relevant experience
Eight years of casualty claims adjusting experience or related experience
At least four years of experience within the assigned specialty line of business
Experience with Public Entity, EPLI, E&O, and/or Law Enforcement claims highly preferred
Relevant insurance designations preferred
Excellent knowledge of best claims practices for serious and complex liability claims
Advanced knowledge of insurance contracts, medical terminology, and substantive and procedural laws
Excellent 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
Exceptional organizational and empathetic interpersonal skills
Thorough written and verbal communication skills
Advanced customer service skills
Ability to maintain confidentiality
Thorough investigative and problem-solving abilities
Occasional travel required
Valid driver’s license with an acceptable motor vehicle report per company standards required if driving

Benefits

Comp & perks

Comprehensive rewards package; benefits details provided at www.emcins.com/careers
Work from home anywhere in the US
Tobacco-free workplaces and company vehicles