Remote Senior Workers' Comp Claims Adjuster

EMC Insurance Companies; Columbia (SC); Remote; USD 79,000 - 120,000; Full time

Job summary

EMC Insurance Companies is seeking an experienced Workers’ Compensation Claims Adjuster in the Columbia, SC area to own moderately to highly complex claims and directly impact client outcomes. You will lead investigations, evaluate coverage and liability, and shape strategies from start to resolution.

You will set reserves, negotiate settlements, and identify risk and recovery opportunities while mentoring teammates and staying compliant with evolving regulations.

Qualifications

• Bachelor’s degree or equivalent relevant experience.
• Five years of claims adjusting experience or related experience.
• Prior experience with a third party administrator (TPA) preferred.
• INS, AIC, SCLA, WCLA and CPCU coursework or designation preferred.
• Workers’ compensation claims adjusting experience within FL, GA, NC, SC preferred.

Responsibilities

• Analyzes coverage to confirm losses are covered under client policies.
• Initiates contact within 24 hours with all relevant parties (clients, claimants, employees, medical providers).
• Conducts thorough investigations, including fact-finding and recorded statements.
• Develops and executes action plans to resolve claims efficiently.
• Performs reserve analysis and sets/maintains appropriate reserves per client guidelines.

Skills

Analytical abilities

Investigative skills

Communication skills

Insurance knowledge

Education

Bachelor’s degree or equivalent

Five years of claims adjusting experience

TPA experience preferred

CPCU coursework or designation preferred

Job description

EMC Insurance Companies is seeking an experienced Workers’ Compensation Claims Adjuster in the Columbia, SC area to own moderately to highly complex claims and directly impact client outcomes. You will lead investigations, evaluate coverage and liability, and shape strategies from start to resolution.

You will set reserves, negotiate settlements, and identify risk and recovery opportunities while mentoring teammates and staying compliant with evolving regulations.