Complex Claim Director
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
About Triton Claim Management
Private claims administrator handling specialty property-and-casualty claims for carriers, managing general agents, brokers, and self-insureds.
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