Claims Director, Casualty Claims

• Review claims and related systems and processes
• Understand and analyze policy language and contracts
• Provide coverage, liability, and damages analysis for claims and ensure timely reserving and appropriate legal and indemnity payments
• Draft DISCLAIMERS and reservation of rights letters
• Negotiate settlements, mitigate losses, and control expenses
• Adhere to Claims Best Practices, Key Controls, and file handling requirements
• Maintain a high level of communication with leadership and underwriting partners
• Ensure appropriate reports are timely prepared and disseminated
• Ensure successful implementation of key organization-wide initiatives and improvement strategies for claims and our business units
• Present to management, mentor new staff and identify procedural improvements
• Support other functional groups within the organization
• Ensure compliance with internal corporate guidelines, processes and procedures
• Other duties as required by management
• Some travel, as required for trials & mediations, etc

Requirements

• 7+ years of experience in casualty and/or specialty claims handling or related litigation with a career history of increasing responsibility
• Experience handling claims in the Excess and Surplus market preferred
• Experience working with complex coverage issues required
• Multi-jurisdictional claims and litigation experience required
• Adjuster license and or certifications desired but not required
• Bachelor’s degree or equivalent experience, JD desirable
• Highly advanced knowledge of claim processes, policies, procedures, claim systems, regulation, coverage, liability, damage evaluation, and/or settlement with exposures in excess of $1M
• Strong negotiating, analytical, written, and organizational skills
• Mediation and arbitration experience preferred
• Strong computer skills (Microsoft Office Suite, SharePoint, and in-house claims systems)
• Ability to prioritize and manage deadlines
• Ability to work both independently and collaboratively as part of a team
• Excellent at establishing close working relationships with other departments, including underwriting, operations, finance, IT, actuarial and legal

Core Competencies

Demonstrates extensive expertise in claims handling, including complex coverage issues and multi-jurisdictional litigation, while ensuring compliance with corporate guidelines and best practices. Strong negotiation and analytical skills are essential for effective settlement and loss mitigation.

Highest-signal resume keywords

• Claims Handling Experience
• Complex Coverage Analysis
• Negotiation Skills
• Multi-Jurisdictional Litigation
• Claims Best Practices

ATS Optimization Keywords

Hard Skills

• Claims Processes
• Policy Language Analysis
• Liability Evaluation
• Damage Evaluation
• Settlement Negotiation
• Mediation Experience
• Arbitration Experience
• Claims Systems Knowledge
• Regulatory Compliance
• File Handling Requirements

Soft Skills

• Analytical Skills
• Organizational Skills
• Communication Skills
• Team Collaboration
• Mentoring Skills

Certifications & Qualifications

• Adjuster License
• JD (Desirable)

Industry Keywords

• Excess and Surplus Market
• Casualty Claims
• Specialty Claims
• Claims Best Practices
• Key Controls

Tools & Technologies

• Microsoft Office Suite
• SharePoint
• In-House Claims Systems