Workers' Compensation Claims Manager (Remote)

About the role

MEM Insurance is seeking a Claims Manager to lead a team of seasoned workers' compensation claims professionals handling higher-complexity claims. The ideal candidate will blend hands-on technical guidance with people leadership, coaching the team on complex coverage, litigation strategy, and high-exposure claims.

Responsibilities

• Lead, coach, and develop a high-performing team of experienced workers' compensation claims professionals managing higher complexity claims.
• Provide hands-on technical oversight for claims involving significant financial exposure, complex coverage issues, litigation, and extended life cycles.
• Conduct regular quality assurance and POA sessions on high-exposure and complex claims, delivering targeted feedback to strengthen technical accuracy, reserve adequacy, settlement strategies, and overall claim outcomes.
• Monitor workloads and staffing levels to ensure balanced caseloads, effective workflow management, and alignment with departmental objectives; recommend staffing or resource adjustments as needed.
• Review and approve reserves, settlements, and payments above adjuster authority, ensuring decisions comply with company standards, statutory regulations, and overall claims strategy.
• Enhance onboarding, training, and ongoing development programs to build and deepen advanced skills such as reserve analysis, litigation management, negotiation, and complex claims resolution.
• Drive continuous improvement and innovation by identifying opportunities to streamline workflows, leverage technology and automation tools, and remove barriers impacting productivity and service.
• Promote strong cross-functional collaboration with CompLegal, Risk Services, and other internal partners to ensure a unified, proactive approach to claims strategy and execution.
• Serve as a visible, trusted leader and liaison between senior leadership and the team, keeping employees informed of organizational goals, initiatives, and process updates while aligning team efforts with MEM's vision, mission, and values.

Qualifications

• Bachelor’s Degree preferred; relevant experience will be considered.
• 10-15 years of progressive workers' compensation claim experience, including handling higher-complexity claims.
• Minimum of 1 year of experience in a leadership role or heavily involved in planning, managing, and organizing resources.
• Professional designations such as SCLA, CPCU, and/or AIC are beneficial.
• Valid driver’s license required.
• Claim adjusting license beneficial, but not required.