Claims Director-EMC Claims Solutions

EMC Insurance Companies

7d • $121,263 - $191,687 • Remote

About The Position

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. Position is eligible to work from home anywhere in the US As the Claims Director, you will lead the strategic direction and day-to-day operations of EMC Claims Solutions’ Third-Party Administration (TPA) claims organization. In this role, you'll develop high-performing claims leaders and teams, oversee complex commercial claims, and ensure exceptional service for clients while driving operational excellence. You'll serve as a trusted advisor to clients, agents, and internal stakeholders, providing guidance on complex claim matters, litigation strategies, reserving practices, and loss trends. Your leadership will directly influence claim outcomes, client satisfaction, regulatory compliance, and business growth. Success in this role means balancing strong claims expertise with strategic leadership—developing talent, enhancing claims processes, leveraging data to drive decisions, and identifying innovative solutions that improve service, strengthen client relationships, and support the continued growth of EMC Claims Solutions.

Requirements

• Bachelor’s degree, preferably in a business or insurance related field, or equivalent relevant experience
• Ten years of claims handling experience in progressively responsible roles
• Prior management experience
• Prior experience handling commercial and workers’ compensation claims
• Superior knowledge of the theory and practice of the claim function coupled with analytical ability and demonstrated experience of good judgment with legal liability and coverage
• Excellent leadership qualities with ability to motivate staff in the handling and disposition of claims
• Excellent knowledge of insurance contracts, medical terminology and legal aspects of court procedures affecting legal liability
• Ability to make decisions under challenging circumstances
• Excellent ability to translate technical ideas into more general terms for business customers
• Excellent knowledge of computers and claims systems, including Microsoft Excel
• Superior organizational and written and verbal communication skills
• Superior investigative, relationship-building, and problem-solving abilities
• Occasional travel; a valid driver’s license with an acceptable motor vehicle report per company standards required if driving

Nice To Haves

• Insurance designations, such as CPCU, AIM, AIC, preferred

Responsibilities

• Lead, coach, and develop Claims Solutions supervisors and staff, including performance management, succession planning, hiring, and employee development.
• Establish team goals aligned with KPIs and business objectives while fostering a collaborative, inclusive, and innovative culture.
• Manage staffing, workload distribution, budgets, and resource planning to ensure operational efficiency and fiscal responsibility.
• Provide leadership and technical oversight across General Liability, Workers Compensation, Auto Liability, Auto PD, and Professional Liability claims programs.
• Serve as the subject matter expert for complex coverage, liability, reserving, and claim valuation issues.
• Review high-exposure, litigated, and escalated claims; provide settlement authority and resolution guidance.
• Audit claim files, monitor reserve adequacy, and ensure adherence to claims best practices, client handling instructions, and regulatory requirements.
• Build and maintain relationships with clients, agents, vendors, and internal stakeholders while delivering exceptional service.
• Communicate significant claim developments, reserve changes, coverage matters, and account activity to key stakeholders.
• Analyze loss trends, claim performance, and operational data to develop strategic recommendations and customized client reporting.
• Partner with clients to understand business needs and enhance claims processes, reporting capabilities, and service delivery.
• Develop and implement claims strategies, operational goals, policies, and staffing recommendations to support business growth.
• Oversee compliance, licensing requirements, litigation management, defense counsel performance, and multi-state regulatory matters.
• Support business development efforts through client presentations, new account opportunities, vendor evaluations, and innovative service solutions.
• Participate in depositions, hearings, settlement conferences, audits, and Department of Insurance matters as needed.

Benefits

• life, medical, dental, vision and prescription drug coverage
• Competitive paid time off plan
• a 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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager