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Complex Casualty Claims Manager

Complex Casualty Claims Manager

EMC Insurance CompaniesLos Angeles, CA, US
16 hours ago
Job type
  • Full-time
Job description

Empowering Impact At EMC

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 expertsalways supporting each other to do our best work. Join us, and let's improve lives together.

This role can be performed remotely anywhere in the US.

Essential Functions :

  • Oversees assigned complex casualty claims team.
  • Reviews all complex claim files assigned to team and analyzes files for necessary facts.
  • Assigns claims to the appropriate handler.
  • Provides direction and recommendations for handling.
  • Guides team through complex questions of coverage, compensability, liability, claim value and strategy for resolution.
  • Handles complex commercial casualty claims.
  • Reviews reservation of rights and denial letters and approves for sending to insureds.
  • Assigns or assists in the selection of counsel and monitors litigated matters.
  • Ensures that timely, adequate reserves have been established on claim files.
  • Ensures adjuster is handling claims in accordance with company's best practices.
  • Properly identifies files appropriate for claims committee, coverage counsel or subrogation.
  • Ensures proper reserves and authorizes claim payments within authority.
  • Controls claim and loss costs and adjustment expenses.
  • Advances file review reports ensuring sufficient information is provided.
  • Oversees and monitors the workload and performance of the team.
  • Guides team through complex work issues and answers questions.
  • Routinely meets with team members to monitor business decisions.
  • Ensures files are properly documented and monitors claims system productivity metrics.
  • Collaborates with team members to establish performance goals.
  • Conducts performance reviews and provides coaching.
  • Interviews, hires, and recommends salary adjustments for team members.
  • Resolves disciplinary issues, reviews results, actions plans, and progress.
  • Develops team expertise and assists with succession planning.
  • Supports diversity, equity, and inclusion initiatives.
  • Fosters an innovative culture.
  • Develops and fosters excellent customer relations.
  • Monitors the customer service metrics.
  • Collaborates with Underwriting, Marketing, and Claims Liaison to educate agents.
  • Communicates with agents proactively and anticipates needs.
  • Visits agencies to discuss accounts and losses.
  • Collaborates and communicates with management on trends, opportunities and results.
  • Develops and markets the claim brand and culture.

Education & Experience :

  • Bachelor's degree or equivalent relevant experience.
  • Ten years of experience in casualty claims adjusting or related experience.
  • Attainment of all applicable state licenses as required.
  • Prior leadership experience.
  • Insurance designations, such as INS, AIC, and CPCU preferred.
  • Knowledge, Skills & Abilities :

  • Excellent understanding of casualty claims techniques.
  • 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.
  • 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.
  • The hiring salary range for this position will vary based on geographic location, falling within either of the following : $101,677 - $145,733 or $112,094 - $160,670. 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.

    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.

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