{bc}
adp

Complex Claim Director

Triton Claim Management
Remote, USA
Full-time
Senior · 10+ years experience
Remote
USD 175000-200000 yearly / year
Discovered 3 days ago

Full Job Posting

Complex Claims Management

Manage a portfolio of high-severity and complex casualty claims, including: Commercial Auto Liability Trucking & Transportation Cargo & Logistics General Liability Construction Defect Hospitality Habitational Property Damage Catastrophic Injury and Fatality Claims Excess and Umbrella Liability Claims

Commercial Auto Liability

Trucking & Transportation

Cargo & Logistics

General Liability

Construction Defect

Hospitality

Habitational

Property Damage

Catastrophic Injury and Fatality Claims

Excess and Umbrella Liability Claims

Oversee the entire claim lifecycle from first notice of loss through settlement, litigation, arbitration, trial, or closure.

Conduct detailed liability, damage, and exposure evaluations utilizing industry best practices.

Establish and maintain appropriate reserves based on claim exposure and evolving case facts.

Identify and implement proactive strategies that drive timely and equitable claim resolution.

Prepare comprehensive large-loss reports and claim analyses for internal leadership, clients, carriers, and excess partners.

Coverage Analysis & Technical Expertise

Analyze complex policy language and coverage provisions.

Draft and review reservation of rights, excess exposure, coverage position, and denial letters.

Interpret contractual indemnity obligations, hold harmless agreements, additional insured endorsements, and risk transfer provisions.

Evaluate and address coverage disputes, declaratory judgment actions, and extra-contractual exposure.

Provide technical expertise and guidance on complex casualty and transportation claims.

Litigation Management

Retain, direct, and manage defense counsel, coverage counsel, experts, and investigative vendors.

Develop litigation strategies designed to achieve favorable claim outcomes and minimize exposure.

Monitor legal budgets, litigation expenses, and vendor performance.

Attend mediations, settlement conferences, arbitrations, depositions, and trials as required.

Evaluate legal liability, damages, venue considerations, and potential verdict exposure.

Manage significant claims involving severe injury, wrongful death, catastrophic loss, and multi-party litigation.

Investigation & Resolution

Lead complex investigations to determine liability, damages, coverage applicability, and recovery opportunities.

Analyze accident reconstruction reports, police reports, expert findings, medical records, and financial damages.

Evaluate catastrophic transportation losses involving multiple vehicles, cargo, environmental impacts, and property damage.

Negotiate settlements directly with claimants, attorneys, insurers, brokers, and business partners.

Client & Stakeholder Management

Serve as a trusted advisor for customers, carriers, brokers, insureds, and internal leadership.

Communicate claim strategy, exposure analysis, and resolution recommendations to key stakeholders.

Partner closely with clients to develop effective claim management and litigation strategies.

Respond to escalated claim matters and provide technical consultation on complex files.

Operational Excellence & Continuous Improvement

Ensure compliance with company standards, regulatory requirements, and industry best practices.

Maintain timely and accurate documentation, diary management, and reporting standards.

Monitor claim trends, litigation developments, and emerging transportation exposures.

Assist in developing claims best practices, training materials, quality assurance initiatives, and operational improvements.

Contribute to organizational initiatives focused on claim quality, customer satisfaction, cost management, and process optimization.

Serve as a subject matter expert and mentor for less experienced claims professionals.

Required

Bachelor's Degree or equivalent experience.

10+ years of casualty claims experience with significant exposure to complex and litigated claims.

Extensive experience handling: Commercial Auto Liability Trucking and Transportation Claims Cargo Claims General Liability Construction Claims Hospitality Risks Habitational Risks Excess and Umbrella Liability Claims

Trucking and Transportation Claims

Cargo Claims

Construction Claims

Hospitality Risks

Habitational Risks

Demonstrated success handling large-loss and catastrophic claims involving severe bodily injury, wrongful death, and substantial property damage.

Strong experience managing coverage issues and litigation strategy.

Adjuster license(s) or ability to obtain required licenses.

Preferred

Juris Doctor (JD) designation.

CPCU, AIC, SCLA, ARM, or equivalent industry designation.

Experience managing excess, surplus lines, and specialty casualty claims.

Experience working within a TPA, insurance carrier, or large transportation risk environment.

Experience overseeing complex reserve portfolios and high-exposure litigation.

Technical Expertise

Coverage Analysis & Policy Interpretation

Transportation & Trucking Claims

Cargo & Logistics Claims

General Liability & Construction Claims

Catastrophic Loss Management

Litigation Management

Excess & Umbrella Claims

Risk Transfer Analysis

Reserve Adequacy & Exposure Assessment

Professional Skills

  • Advanced Analytical and Problem-Solving Skills
  • Strategic Decision-Making
  • Negotiation and Conflict Resolution
  • Influencing and Stakeholder Management
  • Effective Written and Verbal Communication
  • Organizational and Time Management Skills
  • Sound Judgment Under Pressure
  • Customer Service Excellence

Leadership Attributes

Subject Matter Expertise

Mentorship and Peer Development

Continuous Improvement Mindset

Accountability and Ownership

Collaboration and Teamwork

Results-Oriented Performance

Requirements

  • Advanced Analytical and Problem-Solving Skills
  • Strategic Decision-Making
  • Negotiation and Conflict Resolution
  • Influencing and Stakeholder Management
  • Effective Written and Verbal Communication
  • Organizational and Time Management Skills
  • Sound Judgment Under Pressure
  • Customer Service Excellence

Apply for this job in 1 click

Skip the repetitive application forms

Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.

Sarah M.James T.Maya R.

Trusted by over 500,000 job seekers on Base Career

Start Free Today

More from this employer

More jobs at Triton Claim Management