Complex Casualty Claims Manager

🕒 June 26

🇺🇸 United States – Remote

💵 $104k - $164.3k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 29%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 a complex casualty claims team overseeing high-severity commercial casualty claims • Review assigned claim files, identify gaps, and ensure complete fact gathering • Assign claims based on adjuster expertise and provide strategic handling direction • Advise on coverage, liability, compensability, valuation, and resolution strategy • Review and approve reservation of rights and denial letters • Select and manage defense counsel and monitor litigated matters • Ensure accurate, timely reserves and authorize payments within authority • Enforce claims best practices, philosophy, and file documentation standards • Identify files for claims committee, coverage counsel, or subrogation opportunities • Control loss costs and adjustment expenses and ensure strong file-review reporting • Monitor workload, productivity, and performance metrics • Coach team members, resolve complex issues, and ensure regulatory and authority compliance • Set performance goals, conduct reviews, and drive development and succession planning • Hire, discipline, and support talent growth while fostering DEI and innovation • Build agent and customer relationships and ensure service standards are met • Partner with underwriting and marketing to educate agents and enhance customer experience • Communicate proactively with agents and insureds and visit agencies to review accounts and losses • Share trends and insights with leadership and promote the claims brand internally and externally

🎯 Requirements

• Bachelor’s degree or equivalent relevant experience • Ten years of experience in casualty claims adjusting or related experience, including experience with large and complex claims • Attainment of all applicable state licenses as required • Prior leadership experience • Insurance designations, such as INS, AIC, and CPCU preferred • Excellent understanding of casualty claims techniques and current knowledge of various jurisdictions, good faith claims handling requirements, and legal environments • Advanced knowledge of insurance terms and coverages in commercial lines • Advanced knowledge of negotiation and alternative dispute resolution techniques • Strong leadership qualities with the ability to motivate staff • Excellent knowledge of computers and claims systems • Excellent organizational, written, and verbal communication skills • Ability to gather and analyze data points to appropriately triage claims handling • Advanced investigative and problem-solving abilities • Occasional nationwide travel • Valid driver’s license with an acceptable motor vehicle report per company standards if driving

🏖️ Benefits

• Comprehensive rewards package • Work from home • Tobacco-free workplaces and company vehicles