Regional Workers' Compensation Claims Director

Posted Yesterday
Be an Early Applicant
Hiring Remotely in IN, USA
Remote
121K-192K Annually
Expert/Leader
Fintech • Insurance
The Role
Lead a regional workers' compensation claims team to manage complex claims, reserving, litigation strategy, vendor and adjuster performance, regulatory compliance, budgeting, reporting, and cross-functional partnership. Recruit, coach, and develop staff while driving operational excellence, profitability, and superior customer service.
Summary Generated by Built In

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.

  

**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.

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.

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.

All of our locations are tobacco free including in company vehicles.

Skills Required

  • Bachelor's degree or equivalent relevant experience
  • Ten years of workers' compensation claims handling in progressively responsible roles
  • Prior management experience
  • Ability to obtain applicable state licenses
  • Superior knowledge of claim functions, legal liability, coverage, and court procedures affecting workers' compensation
  • Excellent analytical, investigative, problem-solving, organizational, written and verbal communication skills
  • Leadership ability to motivate staff, conduct performance management, and succession planning
  • Strong knowledge of computers and claims systems
  • Insurance designations such as AIC, CIC, AIM, CPCU
  • Valid driver's license and acceptable motor vehicle report if driving
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The Company
HQ: Des Moines, IA
1,794 Employees
Year Founded: 1911

What We Do

EMC Insurance Companies is among the top 60 insurance organizations in the country based on net written premium, and we have more than 2,500 employees. The company was organized in 1911 to write workers’ compensation protection in Iowa. Today, EMC provides property and casualty insurance products and services throughout the United States and writes reinsurance contracts worldwide. Operating under the trade name EMC Insurance Companies, Employers Mutual Casualty Company and one or more of its affiliated companies is licensed in all 50 states and the District of Columbia.

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