Claims Assistant Manager – Workers' Compensation
Posted 2026-05-05
Remote, USA
Full-time
Immediate Start
- Job Description:
- 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 resolution.
- Reviews and approves reservation of rights and denial letters; assigns or assists with selection of defense counsel and monitors litigated matters.
- Ensures timely and appropriate reserving in compliance with client contracts, company guidelines, authority levels, and regulatory requirements.
- Ensures claims are handled in accordance with best practices, good‑faith standards, client special handling instructions, and claims philosophy, including proper file documentation.
- Oversees team workload, productivity, and performance; monitors dashboards, scorecards, and key performance metrics.
- Conducts file audits, identifies improvement opportunities, and implements action 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.
- Builds and maintains strong relationships with clients, agents, brokers, and internal stakeholders through proactive communication and client visits.
- Requirements:
- Bachelor’s degree, preferably in insurance, or equivalent relevant experience
- Eight years of claims adjusting experience, including experience with large and complex claims
- Strong understanding of workers' compensation preferred
- Attainment of all applicable state licenses within six months of hire
- Prior leadership or supervisory experience preferred
- Prior experience with a third party administrator (TPA) preferred
- Insurance industry coursework (e.g. INS, AIC, CPCU) preferred
- Benefits:
- Outstanding benefits with life, medical, dental, vision and prescription drug coverage
- Competitive paid time off plan and a full day of volunteer time off annually
- Financial incentives, including a 401(k) plan match, pension plan, OneEMC bonus plan and recognition and anniversary awards
- Professional development and growth opportunities, including tuition reimbursement
- Wellness initiatives to improve team member well-being and reduce health insurance costs
- Flexibility to dress for your day and opportunities for alternative work arrangements