Complex Casualty Claims Manager

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Claims ManagerHealthcare Non-Clinical

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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,

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Claims ManagerHealthcare Non-Clinical

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.

Lead a team managing complex commercial casualty claims while driving strong outcomes on high-exposure cases. In this role, you’ll provide strategic guidance on coverage, liability, valuation, and resolution, ensure accurate reserving, and partner with counsel and internal stakeholders to control costs and maintain compliance. You’ll also coach and develop a high-performing team, fostering accountability, growth, and collaboration. Beyond claims handling, you’ll strengthen relationships with agents and insureds, enhance the customer experience, and partner across the business to position the organization as a trusted carrier. Your impact will be seen in improved claim outcomes, a strong and engaged team, and elevated client relationships.

Leads a complex casualty claims team, overseeing high-severity commercial casualty claims
Reviews all assigned claim files, identifies gaps, and ensures complete fact gathering
Assigns claims based on adjuster expertise and provides strategic direction on handling
Advises team on coverage, liability, compensability, valuation, and resolution strategy
Reviews and approves reservation of rights and denial letters
Selects and manages defense counsel; monitors litigated matters
Ensures accurate, timely reserves aligned with company guidelines; authorizes payments within authority
Enforces best practices, claims philosophy, and proper file documentation
Identifies files for claims committee, coverage counsel, or subrogation opportunities
Controls loss costs and adjustment expenses; ensures strong file review reporting
Monitors team workload, productivity, and performance metrics
Coaches team members, resolves complex issues, and ensures regulatory and authority compliance
Sets performance goals, conducts reviews, and drives development and succession planning
Hires, disciplines, and supports talent growth while fostering DEI and innovation
Builds strong agent and customer relationships; ensures service standards are met
Partners with underwriting and marketing to educate agents and enhance customer experience
Proactively communicates with agents/insureds and visits agencies to review accounts and losses
Shares trends and insights with leadership; promotes the claims brand internally and externally

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 a current knowledge of 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
Excellent ability to gather and analyze a variety of data points to appropriately triage claims handling
Advanced investigative and problem-solving abilities
Occasional travel nationwide, valid driver’s license with an acceptable motor vehicle report per company standards will be required if driving

$103,954 - $149,372 or $114,895 - $164,309

For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit www.emcins.com/careers.

Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.

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