Regional Workers' Compensation Claims Director

🕒 August 13

🇺🇸 United States – Remote

💵 $121.3k - $191.7k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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EMC Insurance Companies

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1911

🛡️ Insurance

Insurance

EMC Insurance Companies is a mutual insurance firm providing specialized business insurance solutions. They focus on commercial property insurance, liability insurance, workers' compensation, and business owners' policies. With a strong emphasis on personalized service, EMC collaborates closely with local agents to deliver comprehensive and tailored coverage. EMC is committed to understanding the unique challenges faced by its policyholders, offering risk management and loss control resources to help businesses safeguard their assets. Known for their dedicated partnerships and exceptional customer service, EMC ensures that businesses are prepared for the unexpected with their superior insurance solutions.

📋 Description

• Lead and develop a regional Workers’ Compensation claims team, ensuring timely, accurate, and customer-focused claim resolution • Provide guidance on coverage, compensability, reserving, loss exposure, and claim resolution strategies for complex and high-exposure claims • Monitor reserve adequacy and claim outcomes, ensuring compliance with reserving guidelines, best practices, subrogation, and recovery opportunities • Conduct claim file audits, approve claims within authority, and address customer or regulatory complaints • Oversee litigated claims, evaluating counsel performance, litigation strategy, settlement opportunities, and compliance with litigation guidelines • Manage relationships and performance of independent adjusters, legal counsel, and vendor partners • Recruit, coach, develop, and evaluate team members, including performance management and succession planning • Foster a collaborative, innovative, and inclusive culture across Claims and business partners • Partner with Underwriting, Risk Improvement, Risk Services, Marketing, agents, and insureds to communicate claim activity, trends, and significant developments • Manage departmental budgets and expenses, including ALAE, ULAE, staffing, and travel, while supporting profitability goals • Ensure compliance with state and federal regulations, licensing requirements, insurance department inquiries, and market conduct examinations • Prepare operational and claims performance reports, participate in strategic initiatives, and contribute to claims operations planning and industry trend analysis

🎯 Requirements

• Bachelor’s degree or equivalent relevant experience • Ten years of experience with workers’ compensation claims handling in progressively responsible roles • Prior management experience • Insurance designations such as AIC, CIC, AIM and CPCU preferred • Ability to obtain applicable state licenses • Superior knowledge of claim functions • Excellent analytical ability and knowledge of legal liability and coverage • Excellent leadership qualities with ability to motivate staff in the handling and disposition of claims • Excellent knowledge of insurance contracts and legal aspects of court procedures affecting legal liability for workers’ compensation insurance • Ability to adhere to high standards of professional conduct while providing superior claims service • Strong knowledge of computers and claims systems • Superior organizational and written and verbal communication skills • Superior investigative and problem-solving abilities • Occasional travel • A valid driver’s license with an acceptable motor vehicle report per company standards is required if driving

🏖️ Benefits

• Outstanding benefits with life, medical, dental, vision and prescription drug coverage • Competitive paid time off plan • Full day of volunteer time off annually • 401(k) plan match • Pension plan • OneEMC bonus plan • Recognition and anniversary awards • Professional development and growth opportunities • Tuition reimbursement • Wellness initiatives to improve team member well-being and reduce health insurance costs • Flexibility to dress for your day • Opportunities for alternative work arrangements