As the Regional Workers' Compensation Claims Manager, you'll lead a team responsible for delivering fair, timely, and customer-focused claim outcomes. You'll oversee complex claims, drive reserving and operational excellence, develop talent, and partner with key stakeholders to support profitability, compliance, and exceptional service. This role offers the opportunity to influence business results while making a meaningful impact on customers, agents, and employees.
Essential Functions:- 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.
Education & Experience:- 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
Knowledge, Skills & Abilities:- Ability to obtain applicable state licenses
- Superior knowledge of the 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 line of insurance
- Ability to adhere to high standards of professional conduct while providing the delivery of 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
The hiring salary range for this position will vary based on geographic location, falling within either of the following:$121,263 - $174,253 or $134,038 - $191,687
A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs.For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit www.emcins.com/careers
