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Complex Claims Director Jobs in Florida (NOW HIRING)

EIM is seeking a Claims Director to lead the day-to-day operations of our Claims Department and oversee the management of primarily complex commercial property and casualty claims. EIM has a small ...

The Claims Director leads the Claims Department and oversees the investigation, evaluation ... Advanced experience handling complex, high-value, escalated, or sensitive cargo and property damage ...

The Claims Director leads the Claims Department and oversees the investigation, evaluation ... Advanced experience handling complex, high-value, escalated, or sensitive cargo and property damage ...

Direct handling of the most complex and highseverity claims, including mediations and trials Litigation, Risk & CrossFunctional Partnership * Establish negotiation strategies and identify claims ...

The Director of Claims reports directly to the Vice President of Claims and is responsible for ... Serve as a trusted SME on complex claims, emerging regulations, escalations, and department ...

Direct handling of the most complex and high-severity claims, including mediations and trials Litigation, Risk & Cross-Functional Partnership * Establish negotiation strategies and identify claims ...

The Director of Claims reports directly to the Vice President of Claims and is responsible for ... Serve as a trusted SME on complex claims, emerging regulations, escalations, and department ...

Claims Major Case Director

Sarasota, FL ยท On-site +1

$92K - $130K/yr

IAT Insurance Group has an immediate need for a Major Case Unit Director that can report to one of ... This role is a true complex claims handling role that is tasked with managing those claims that are ...

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Complex Claims Director information

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.

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 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.
What cities in Florida are hiring for Complex Claims Director jobs? Cities in Florida with the most Complex Claims Director job openings:
Infographic showing various Complex Claims Director job openings in Florida 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, 4% Hybrid, and 11% Remote job distribution.

Other

Retirement

Posted 7 days ago


Job description

Energy Insurance Mutual (EIM) is a member-owned mutual insurance company serving the utility and energy services industry. For four decades, EIM has provided specialized insurance solutions, financial strength, and responsive service to its Members through a relationship-driven, long-term approach to risk management.


EIM is seeking a Claims Director to lead the day-to-day operations of our Claims Department and oversee the management of primarily complex commercial property and casualty claims. EIM has a small portfolio of D&O, Fiduciary and Cyber claims. This is a highly visible leadership opportunity for an experienced claims manager who wants to move beyond a traditional claims environment and into a financially strong, member-owned mutual built on long-term relationships, technical excellence, and responsive service to utilities and the energy services industry.


Based in Tampa, Florida (relocation assistance provided), this role offers the opportunity to lead a talented Claims team, partner closely with executive leadership and cross-functional business partners, and work directly with Members, reinsurers, outside counsel, and other key stakeholders on complex claims matters.


Why this opportunity is different

  • Join a member-owned mutual where claims decisions are guided by long-term Member value, stability, and trusted relationships.
  • Step into a meaningful leadership role with influence over claims operations, team development, complex claim strategy, and continuous improvement.
  • Work with sophisticated Members in the utility and energy sector on complex commercial claims, litigation, coverage, reserve, and reinsurance matters.
  • Collaborate closely with executive leadership, Finance, Underwriting, Actuarial, Member Companies, reinsurers, outside counsel, and other business partners.
  • Enjoy the professional opportunity and lifestyle benefits of living and working in Tampa, Florida with a company that offers strong benefits, a beautiful office environment, and a great team of employees.


What you will do

  • Lead, coach, mentor, and develop Claims professionals and support staff while fostering a collaborative, high-performing team environment.
  • Manage departmental performance by monitoring key performance indicators, conducting file audits, and supporting adherence to EIMโ€™s claims handling best practices.
  • Provide technical guidance and oversight on complex claims, litigation strategy, coverage analysis, reserve adequacy, and claim resolution.
  • Review coverage correspondence, litigation strategy, reserve recommendations, and significant claim decisions prepared by Claims staff.
  • Partner with the Vice President & Chief Claims Officer to prepare reserve analyses, claims trend reporting, executive presentations, and Board and Claims Committee materials.
  • Collaborate with Underwriting, Actuarial, Finance, and executive leadership to improve claims outcomes, underwriting feedback, and enterprise risk management initiatives.
  • Oversee communications with reinsurers regarding claim developments, recoverables, audits, and reporting requirements.
  • Participate in annual panel counsel evaluations and support compliance with billing guidelines and outside counsel performance expectations.
  • Represent EIM during Member meetings, presentations, industry events, and other business activities.


What we are ideally looking for

  • Juris Doctor (J.D.) degree from an ABA-accredited law school.
  • 10+ years of claims handling experience, including complex commercial property and casualty claims.
  • 5+ years of leadership or claims management experience.
  • Active license to practice law and membership in good standing with a state bar preferred.
  • Expert knowledge of commercial property and casualty claims handling, litigation management, and insurance coverage analysis.
  • Strong leadership experience with the ability to coach, mentor, and develop high-performing teams.
  • Strong analytical, decision-making, negotiation, problem-solving, communication, and relationship management skills.
  • Ability to build and maintain collaborative relationships with Members, reinsurers, outside counsel, and internal stakeholders.
  • Commercial property and casualty insurance experience required; demonstrated technical expertise in claims handling and claims operations preferred.


Featured benefits

Strong compensation package plus comprehensive insurance benefits, relocation assistance (where applicable), STD, LTD, 401(k) with company match and contribution, hybrid work environment, cell phone stipend, fitness reimbursement, tuition reimbursement, professional development support, and more.


Work environment

This is a full-time, exempt role with a hybrid work environment with a three day (T, W, Th) in-office presence in Tampa, Florida. Travel is expected approximately 15โ€“20% of the time to support Member meetings, mediations, conferences, business meetings, and professional development.


Equal Employment Opportunity

Energy Insurance Mutual (EIM) is an Equal Opportunity Employer and does not discriminate in accordance with applicable federal, state, and local laws.