Complex Casualty Claims Manager

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**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.Essential Functions:Leads a complex casualty claims team, overseeing high-severity commercial casualty claimsReviews all assigned claim files, identifies gaps, and ensures complete fact gatheringAssigns claims based on adjuster expertise and provides strategic direction on handlingAdvises team on coverage, liability, compensability, valuation, and resolution strategyReviews and approves reservation of rights and denial lettersSelects and manages defense counsel; monitors litigated mattersEnsures accurate, timely reserves aligned with company guidelines; authorizes payments within authorityEnforces best practices, claims philosophy, and proper file documentationIdentifies files for claims committee, coverage counsel, or subrogation opportunitiesControls loss costs and adjustment expenses; ensures strong file review reportingMonitors team workload, productivity, and performance metricsCoaches team members, resolves complex issues, and ensures regulatory and authority complianceSets performance goals, conducts reviews, and drives development and succession planningHires, disciplines, and supports talent growth while fostering DEI and innovationBuilds strong agent and customer relationships; ensures service standards are metPartners with underwriting and marketing to educate agents and enhance customer experienceProactively communicates with agents/insureds and visits agencies to review accounts and lossesShares trends and insights with leadership; promotes the claims brand internally and externallyEducation & Experience:Bachelor’s degree or equivalent relevant experienceTen years of experience in casualty claims adjusting or related experience, including experience with large and complex claimsAttainment of all applicable state licenses as requiredPrior leadership experienceInsurance designations, such as INS, AIC, and CPCU preferredKnowledge, Skills & Abilities:Excellent understanding of casualty claims techniques and a current knowledge of knowledge of various jurisdictions, good faith claims handling requirements and legal environmentsAdvanced knowledge of insurance terms and coverages in commercial linesAdvanced knowledge of negotiation and alternative dispute resolution techniquesStrong leadership qualities with the ability to motivate staffExcellent knowledge of computers and claims systemsExcellent organizational, written and verbal communication skillsExcellent ability to gather and analyze a variety of data points to appropriately triage claims handlingAdvanced investigative and problem-solving abilitiesOccasional travel nationwide, valid driver’s license with an acceptable motor vehicle report per company standards will be required if driving The hiring salary range for this position will vary based on geographic location, falling within either of the following:$103,954 - $149,372 or $114,895 - $164,309A 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.Originally posted on Himalayas