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Complex Claims Director Jobs in Colorado (NOW HIRING)

... claims, workers' compensation, Veterans Affairs, and out of state Medicaid, we take on the work ... direct role in solving complex challenges that matter. Joining Aspirion means more than taking a ...

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The Director of Risk Management provides strategic leadership and operational oversight for risk ... complex or litigated claims effectively. * Analyze claims data toidentifytrends, root causes, and ...

Director, Risk Management

Denver, CO ยท On-site

$169.48 - $203.38/hr

The Director of Risk Management provides strategic leadership and operational oversight for risk ... complex or litigated claims effectively.Analyze claims data to identify trends, root causes, and ...

Showing results 41-60

Complex Claims Director information

What is a complex claims director?

Complex Claims Directors are senior insurance professionals responsible for overseeing the management and resolution of intricate insurance claims, often involving large financial exposures, multiple parties, or complex legal issues. They lead a team of claims specialists, coordinate with legal counsel, and ensure that claims are handled efficiently and in compliance with company policies and regulations. Their expertise helps organizations mitigate risk and ensure fair outcomes for all parties involved.

How does a complex claims director typically collaborate with legal teams and other departments during high-stakes claims investigations?

As a Complex Claims Director, collaboration with legal teams and other departments such as underwriting, risk management, and compliance is a central part of the role. Directors often lead cross-functional meetings to share critical case updates, discuss strategies for claim resolution, and ensure all regulatory and contractual requirements are met. Effective communication and coordination are essential, as these cases may involve litigation, negotiations, and extensive documentation. Building strong relationships across departments helps streamline the process and achieve the best possible outcomes for both the client and the organization.

What are the key skills and qualifications needed to thrive as a complex claims director, and why are they important?

To thrive as a Complex Claims Director, you need deep expertise in insurance claims management, strong analytical abilities, and a relevant bachelor's degree or higher, often with industry certifications such as CPCU or AIC. Familiarity with claims management systems, regulatory compliance tools, and advanced reporting software is typically required. Exceptional leadership, negotiation, and decision-making skills help you manage teams and resolve high-stakes claims efficiently. These competencies are crucial for ensuring accurate claim resolution, minimizing risk, and maintaining client trust in complex insurance environments.

What is the difference between Complex Claims Director vs Claims Manager?

AspectComplex Claims DirectorClaims Manager
CredentialsTypically requires a professional insurance certification (e.g., CPCU, ARM) and extensive industry experienceOften requires relevant insurance licenses and several years of claims handling experience
Work EnvironmentStrategic leadership in large insurance companies or third-party administrators, overseeing complex claimsDay-to-day claims processing and team supervision within insurance companies or agencies
Employer & Industry UsageCommonly found in large insurers, TPA firms, and corporate risk managementWidely used across insurance carriers, agencies, and claims departments

The Complex Claims Director focuses on managing and overseeing complex, high-value claims and strategic claims operations, often at a senior level. In contrast, Claims Managers handle daily claims processing, team supervision, and operational tasks. Both roles require industry-specific credentials, but the Director position emphasizes strategic oversight of complex cases.

What are popular job titles related to Complex Claims Director jobs in Colorado?

For Complex Claims Director jobs in Colorado, the most frequently searched job titles are:

What cities in Colorado are hiring for Complex Claims Director jobs?

Cities in Colorado with the most Complex Claims Director job openings:

Infographic showing various Complex Claims Director job openings in Colorado as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 8% Part Time, and 3% Contract. Highlights an 85% Physical, 3% Hybrid, and 12% Remote job distribution.

Sr. Client Executive, Employee Benefits

FNIC

Loveland, CO โ€ข On-site, Remote

$115K - $175K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago


Job description

Description

Are you looking for?

  • Flexibility that fits your life, including work-from-home options
  • Paid time off driven by results and well-being, not a fixed number of days
  • A fun, collaborative environmentย 
  • Support for continued learning and career growth
  • A culture based on trust, accountability, and bringing your whole self to work

Are you someone who thrives on bringing strategy to life, keeping complex work moving, and creating a seamless experience for clients? As a Sr. Client Executive, Employee Benefits, you'll partner closely with Sales Executives who manage large, complex books of business, helping turn their client and account strategies into action. You'll coordinate annual service plans and renewals, bring together the right internal, carrier, and vendor resources, and use financial, claims, funding, compliance, and market insights to help clients make informed decisions. While the Sales Executive owns the overall relationship, growth strategy, and new business goals, you'll be the key execution partner ensuring plans stay organized, commitments move forward, and clients receive a consistent, high-quality experience.


What's the work like?

You will...

Bring Client Strategy to Life

  • Partner closely with Sales Executives to turn client and account strategy into clear annual service plans, meeting cadences, renewal timelines, and deliverables.
  • Serve as a central point of coordination across clients, Sales Executives, Account Managers, carriers, vendors, analysts, and internal specialists to keep complex accounts moving forward.
  • Help lead stewardship, strategy, renewal, open enrollment, and other key client meetings, bringing together meaningful insights and recommendations.
  • Understand each client's business priorities, workforce needs, cost pressures, and emerging risks and help translate them into practical solutions.
  • Keep commitments, decisions, and next steps organized between major client meetings, anticipating roadblocks and driving follow-through.

Lead Renewal and Financial Strategy Execution

  • Own the coordination and execution of the renewal process, from pre-renewal discovery and market submissions through analysis, client decisions, and implementation.
  • Analyze claims experience, plan performance, renewal terms, funding alternatives, stop-loss results, vendor proposals, and cost-containment opportunities to identify meaningful trends, risks, and opportunities.
  • Develop and review client-ready financial comparisons, recommendations, renewal presentations, and other strategic deliverables.
  • Coordinate with carriers, underwriters, TPAs, stop-loss partners, captive managers, and other vendors to gather information, respond to questions, and keep work progressing.
  • Participate in carrier and vendor pricing and terms discussions while supporting the Sales Executive's overall negotiation and relationship strategy.
  • Identify opportunities to strengthen and expand existing client relationships and partner with the Sales Executive on appropriate next steps.

Support New Business and Client Transitions

  • Bring your expertise to qualified new business opportunities by supporting discovery, solution design, RFPs, proposals, finalist preparation, and presentations.
  • Review prospect data and benefit programs to identify key considerations, information gaps, and potential market or funding solutions.
  • Help ensure proposals and recommendations are accurate, thoughtful, and supported by strong analysis.
  • Lead the coordination of new client onboarding by translating commitments made during the sales process into an organized implementation and service plan.

Keep Clients Informed and Plans Performing

  • Monitor claims, utilization, financial, service, and vendor performance throughout the year and turn the data into meaningful insights and recommended actions.
  • Coordinate the resolution of complex claims, billing, eligibility, contract, implementation, and vendor issues requiring cross-functional support.
  • Advocate for clients with carriers and vendors and ensure decisions, commitments, and follow-up are clearly documented.
  • Lead open enrollment planning and execution, including timelines, communications, materials, vendor coordination, and client presentations.

Coordinate Teams and Deliver Quality

  • Provide direction and coordination across the account team by establishing priorities, responsibilities, deadlines, and escalation points-even when you don't have direct supervisory authority.
  • Partner with Account Managers and internal specialists, delegating day-to-day service activities while keeping strategic and complex work moving forward.
  • Keep the Sales Executive informed of significant client concerns, renewal risks, relationship issues, and opportunities requiring their involvement.
  • Review key client deliverables for accuracy, completeness, and alignment with the account strategy.
  • Apply your working knowledge of employee benefits regulations, including ACA, ERISA, HIPAA, and COBRA, while partnering with compliance or legal resources when specialized guidance is needed.
  • Share your expertise through process improvement, technical knowledge sharing, carrier and vendor relationship development, and mentoring less-experienced team members.

Okay, so what's in it for me?

While we expect a lot from our employees at FNIC, we also provide a lot in return.

  • Competitive Pay: We offer market-competitive compensation packages that reflect your experience, expertise, and the value you bring to our clients and teams.
  • Benefits You Can Rely On: Health, dental, and vision insurance, HSA with employer contributions, 401(k) match, employer-paid disability coverage, and life insurance.
  • Freestyle PTO & Work-Life Balance: Our trust-based and freestyle time-off approach removes PTO banks and offers flexible telecommuting options.
  • Dress for Your Day: Whether you're client-facing or behind the scenes, we encourage you to dress in a way that helps you feel comfortable and confident.
  • Invested in Your Development: We support continuous learning through tuition reimbursement, training opportunities, and career growth paths across FNIC.
  • A Workplace That Cares: Access mental health support through our EAP, virtual fitness classes, in-office gym access (Omaha), and a culture that prioritizes connection, fun, and collaboration.

Requirements

What do I need to know?

You have to have...

  • Active resident Life and Health insurance license, or ability to obtain within the timeframe established by the company.ย 
  • Seven or more years of progressively responsible Employee Benefits, group insurance, brokerage, consulting, account management, Human Resources, or related client-facing experience; experience coordinating complex or mid-market accounts strongly preferred.ย 
  • Demonstrated knowledge of fully insured, level-funded, self-funded, stop-loss, and captive funding arrangements, including the ability to explain financial and operational implications to clients.ย 
  • Working knowledge of group benefit products, underwriting concepts, claims analysis, plan administration, and applicable benefit compliance requirements.ย 
  • Demonstrated ability to coordinate complex client accounts, lead renewal execution, facilitate client meetings, manage carrier/vendor activity, analyze financial information, and resolve escalated issues with limited day-to-day direction.ย 
  • Strong business writing, presentation, negotiation, organization, and relationship-management skills.ย 
  • Ability to manage multiple client workstreams and deadlines while maintaining strong documentation, quality, and follow-through.ย 
  • Proficiency with Microsoft Excel, PowerPoint, Word, and Outlook, plus agency management, CRM, benefits administration, analytics, or related platforms.ย 
  • Valid driver's license and ability to travel to client, carrier, or company meetings as business needs require.ย 
  • Bachelor's degree or equivalent combination of education and relevant experience.ย 


We would like it if you had...

  • CEBS, GBA, REBC, RHU, CLU, or comparable professional designation.ย 
  • Experience with self-funded plan implementation, stop-loss analysis, captive arrangements, and complex vendor implementations.ย 
  • Experience mentoring team members or leading cross-functional client teams without direct authority.ย