Senior Complex Coverage Claims Director jobs in United States
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The Jonus Group ยท 4 days ago

Senior Complex Coverage Claims Director

The Jonus Group is representing a highly respected insurance carrier seeking a Senior Complex Claims Adjuster to manage a portfolio of highly complex, litigated claims. This role requires deep technical expertise in policy interpretation and coverage analysis, as well as the management of coverage litigation.

EmploymentInsuranceRecruiting

Responsibilities

Independently handle complex and high-exposure claims involving disputed or intricate coverage issues
Perform detailed coverage analysis, including interpretation of policy language, endorsements, exclusions, and conditions
Draft and issue coverage position letters, reservation of rights letters, and denial letters
Manage coverage litigation, including declaratory judgment actions, in coordination with internal leadership and outside coverage counsel
Direct and oversee defense and coverage counsel, including litigation strategy, budgeting, and case evaluation
Evaluate exposure, establish appropriate reserves, and present high-level authority requests
Analyze and address multi-policy, multi-insured, and multi-jurisdictional issues
Attend mediations, settlement conferences, and trials as required
Provide technical guidance and mentorship to claims staff on complex coverage matters
Partner with underwriting, legal, and risk management teams to ensure consistent interpretation of coverage positions
Ensure compliance with all regulatory requirements, internal policies, and best practices

Qualification

Complex claims experienceCoverage analysisCoverage litigationJuris Doctorate (JD)Declaratory judgment actionsInsurance policy formsAnalytical skillsIndependent managementAdjuster licenseWritten communicationVerbal communication

Required

7+ years of complex claims experience with an insurance carrier; Attorney's are encouraged to apply
Demonstrated expertise in coverage analysis and coverage litigation
Proven experience handling declaratory judgment actions and disputed coverage matters
Strong understanding of insurance policy forms and coverage lines (e.g., GL, Auto, Excess/Umbrella, Professional Liability, or Specialty lines)
Exceptional analytical, written, and verbal communication skills
Ability to manage highly complex matters independently with limited oversight
Active adjuster license(s) or ability to obtain required licenses

Preferred

Juris Doctorate (JD) a plus!

Benefits

Annual bonus potential
Comprehensive benefits package (health, dental, vision, 401k, etc.)
Opportunities for professional development and advancement

Company

The Jonus Group

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The Jonus Group is an insurance company specializes in full service recruiting firm that offers both direct hire and contract hire services.

Funding

Current Stage
Growth Stage

Leadership Team

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Ryan Morse
Chief Operating Officer
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Seth Brady
Chief Sales Officer (CSO)
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Company data provided by crunchbase