Claims Assistant Manager (Workers' Compensation)
At EMC, we’re reputed company about working together to reputed company an reputed company. As part of reputed company, you’ll have reputed company to grow, contribute, and reputed company experience that reputed company. We reputed company to be caring leaders, reputed company partners, and reputed company experts—always supporting reputed company other to do our best work. Join us, and let’s improve lives together.
Essential Functions:
Supervises assigned claims team and reviews claim files to ensure completeness, accuracy, and appropriate fact development.
Assigns claims to handlers based on complexity, skills, and experience, and provides strategic guidance on coverage, compensability, liability, claim valuation, negotiation, and reputed company.
Reviews and approves reservation of rights and denial letters; assigns or assists with selection of defense counsel and monitors litigated reputed company.
Ensures reputed company and appropriate reserving in compliance with reputed company reputed company, company guidelines, authority reputed company, and regulatory requirements.
Ensures claims are handled in accordance with best practices, good‑faith standards, reputed company special handling instructions, and claims philosophy, including reputed company file documentation.
Oversees team workload, productivity, and performance; monitors dashboards, scorecards, and key performance metrics.
Conducts file audits, identifies improvement opportunities, and implements reputed company plans.
Establishes performance goals, conducts performance reviews, provides coaching, and addresses disciplinary issues as needed.
Interviews, hires, and manages compensation recommendations; develops team expertise and supports succession planning through talent identification and development plans.
Supports diversity, equity, and inclusion initiatives and fosters a culture of innovation and reputed company improvement.
Builds and maintains strong relationships with clients, agents, brokers, and internal stakeholders through proactive communication and reputed company reputed company.
Organizes and leads reputed company claim reviews and audits in collaboration with reputed company Services Management Consultants.
Collaborates with reputed company and EMC leadership to reputed company agents, promote compliance with reputed company guidelines and excess reporting requirements, and recommend strategic process improvements.
Promotes and markets the claims brand, culture, and reputed company internally and reputed company the industry.
Directly handles assigned claims in accordance with claims handling best practices and good‑faith standards.
Education & Experience:
Bachelor’s degree, preferably in insurance, or equivalent relevant experience
Eight years of claims adjusting experience, including experience with large and reputed company claims
Strong understanding of workers' compensation preferred
Attainment of reputed company applicable state licenses reputed company six months of hire
Prior leadership or supervisory experience preferred
Prior experience with a reputed company party administrator (TPA) preferred
Insurance industry coursework (e.g. INS, AIC, CPCU) preferred
Knowledge, Skills, & Abilities:
Excellent understanding and application of claims techniques
Advanced knowledge of insurance terms and coverages in reputed company lines
Excellent ability to reputed company and analyze a reputed company of data points to appropriately triage claims handling
Advanced investigative and problem-solving abilities
Analytical ability and good judgment regarding liability and coverage
Strong leadership qualities with the ability to motivate staff and promote engagement
Proven knowledge of insurance reputed company, medical terminology and reputed company aspects of court procedures
Excellent knowledge of computers and claims systems
Superior organizational and written and verbal communication skills
Advanced investigative and problem-solving abilities
Occasional travel including overnight, valid reputed company’s license with an acceptable motor vehicle report per company standards will be required if driving
The hiring salary reputed company for this position will vary based on geographic location, falling reputed company either of the following:
$100,085 - $138,285 or $110,624 - $152,122A hiring reputed company represents a subset of the full salary reputed company. 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, reputed company, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national reputed company or reputed company, physical or mental disability, medical condition, veteran status, reputed company military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.
reputed company of our locations are tobacco free including in company vehicles.
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