Remote Senior Workers' Comp Claims Adjuster

EMC Insurance Companies; Oregon; Hybrid; USD 79,000 - 120,000; Full time

Benefits offered by this job

Remote work option

Job summary

EMC Insurance Companies is seeking an experienced workers' compensation claims Adjuster to take ownership of moderately to highly complex claims while driving investigations, reserve setting, and settlement negotiations. This role supports clients and claimants, offering a remote work option across the United States.

You will analyze coverage, coordinate with clients and providers, and mentor team members while ensuring compliance with evolving regulations and maintaining licenses/CEUs.

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 in specified jurisdictions preferred.

Responsibilities

• Analyzes coverage to confirm losses are covered under client policies.
• Initiates contact within 24 hours with all relevant parties.
• Conducts thorough investigations, including fact-finding and recorded statements.
• Develops and executes action plans to resolve claims efficiently and set reserves.
• Negotiates settlements and manages payments within authority limits.

Skills

Five years experience

Analytical skills

Regulatory knowledge

Communication skills

Education

Bachelor's degree or equivalent

TPA coursework or designation preferred

Tools

Claims systems

Job description

EMC Insurance Companies is seeking an experienced workers' compensation claims Adjuster to take ownership of moderately to highly complex claims while driving investigations, reserve setting, and settlement negotiations. This role supports clients and claimants, offering a remote work option across the United States.

You will analyze coverage, coordinate with clients and providers, and mentor team members while ensuring compliance with evolving regulations and maintaining licenses/CEUs.