Job Details

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 can be performed remotely for candidates who reside in Iowa; candidates residing outside of Iowa will not be considered at this time**Essential FunctionsAnalyzes coverage to ensure loss is covered by client policyInitiates contact within 24-hours for employees, clients and medical providers for worker's compensation claimsTakes statements over the phone from insureds, claimants, and/or witnesses and resolves questions on liability and the value of claimsSets timely, adequate reserves to cover probable company and client exposureSecures authorization to obtain medical bills and reports, as well as requests records from medical providersReviews bills, invoices and receipts for accuracyDrafts information for state filings for workers' compensation claims, if requestedPrepares excess carrier notifications as neededInvestigates subrogation and recovery potential on every claim which includes review of police and fire department reports and pursues accordinglyNotifies people leader of complex claims that require escalation for additional expertise in handlingAnticipate customer needs, communicates decisions, defines expectations and fulfills commitments to involved partiesMaintains active diaries and plans of actionPromptly responds to all inquiriesRefers requests for account inquiries to Claims ManagementPrepares claims summary reports for clients and participates in file reviews per client handling instructionsResponds to questions from clients, agents, claimants, lawyers or coworkersReviews questions of coverage, liability and the value of claims and losses, with supervisory approvalDrafts and sends denial letters upon people leader approvalNegotiates settlement amounts for damages claimed within assigned authority limits.Makes recommendations to management for settlement amounts outside of authority limits, and follows case to conclusion for training purposes as appropriateIssues payments within check authority limitRemains current on jurisdictional and industry related developments within the respective line of business through internal and external training opportunitiesEducation & ExperienceAssociate degree or equivalent relevant experienceOne year of claims handling or insurance experience or related experienceWorkers' compensation claims handling experience strongly preferredBachelor's degree may be considered in lieu of the claim handling or insurance experience requirementAIC, INS or other insurance related certifications preferredKnowledge, Skills & AbilitiesBasic knowledge of the claims adjusting processBasic knowledge of insurance contracts, medical terminology and legal aspects of court procedures affecting legal liability for all lines of insuranceGood knowledge of computers, including claims systemsStrong organizational and written and verbal communication skills, including documentationGood investigative and problem-solving abilitiesThe hiring salary range for this position will vary based on geographic location, falling within either of the following: $46,990 - $64,911 or $51,927 - $71,385A 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.All of our locations are tobacco free including in company vehicles.#J-18808-Ljbffr