Regional Workers' Compensation Claims Director

EMC Insurance Companies

22h•$121,263 - $191,687•Remote

About The Position

This position is eligible to work from home anywhere in the US. 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.

Requirements

Bachelor’s degree or equivalent relevant experience
Ten years of experience with workers’ compensation claims handling in progressively responsible roles
Prior management experience
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

Nice To Haves

Insurance designations such as AIC, CIC, AIM and CPCU preferred

Responsibilities

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.