Complex Casualty Claims Consultant

Location: Northern

## Complex Casualty Claims Consultant Apply remote type:
Remote locations:
Remote in UStime type:
Full time posted on:
Posted 2 Days Agojob requisition :
R6475
** 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 is eligible to work from home anywhere in the United States  
** Collaborates with casualty claims team members with the review of claims and on resolution strategies for complex casualty claims.  Serves as a subject matter expert on casualty claims policies and insurance programs.  Collaborates with casualty claims leadership on claim file strategy including reserving, expense and litigation management.  Serves as the point person to monitor progress on casualty claims wide audit action plan items implemented by the Casualty Claims leadership.  

Monitors and evaluates reserve development for assigned teams.  Serves as a technical resource for all levels of Claim department for casualty claims.
*
* Essential Functions:

** Technical Resource for assigned complex casualty claims operations:
* Collaborates with complex casualty claims team members with the review of claims and on resolution strategies
* Serves as a subject matter expert on complex casualty claims policies and insurance programs
* Represents the Complex Casualty Claims department when addressing escalated complex casualty claims concerns or issues.  Works closely with other appropriate teams, including Claims Legal, Coverage Counsel, Underwriting, and external vendors, to resolve casualty claims handling, coverage and/or contractual issues
* Works collaboratively with complex casualty claims team members and other departments to identify and resolve issues and gain alignment on claim strategies
* Collaborates with complex casualty claims leadership on claim file strategy including reserving, expense and litigation management
* Provides technical expertise and input on reserve recommendations to the Complex Casualty Claims Director
* Prepares for and routinely participates in round tables. Prepares conference reports on individual claims for discussion and provides proper notice of cases discussed and ensures action is taken by file handler
* Maintains a caseload of major files to consult on and monitor progress
* Provides reserve and settlement authority for cases within their authority
* Provides ongoing support for claims, including the oversight and implementation of best practices for Claims Directors, Claims Supervisors, and adjusters
* Actively participates in claim committee and takes on a coaching role for other presenters

Claims business partner for the Casualty Claims Department:
* Collaborates with the Claims Compliance and Quality Assurance team and Complex Casualty Claims Director to provide ongoing support for casualty claim handling, including oversight and implementation of best practices for the casualty team members
* Serves as the point person to monitor progress on complex casualty claims audit action plan items implemented by the Complex Casualty Claims leadership and works closely with these parties to report to the Complex Casualty Claims Director
* Leverages Voice of the Customer insights on all aspects of customer interactions to identify customer pain points, challenges, and hurdles.  Advises and collaborates with Complex Casualty Claims leadership on approaches to positively enhance customer interactions and reduce undesirable experiences
* Serves as the subject matter expert from the complex casualty claims department on the business continuity committee to ensure the complex casualty claims department is able to adapt and operate efficiently during a disaster or claims system interruption
* Monitors and evaluates reserve development for assigned teams
* Serves as a technical resource for all levels of Claim department for complex casualty claims
* Evaluates department staffing needs to effectively provide superior customer service
*…