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Complex Claims Director Jobs in Florida (NOW HIRING)

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 ...

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 ...

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 ...

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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 job categories do people searching Complex Claims Director jobs in Florida look for?

The top searched job categories for Complex Claims Director jobs in Florida are:

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, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 83% Physical, 4% Hybrid, and 13% Remote job distribution.

$125K - $150K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago


Job description

Department: Claims
Reports To: Chief Legal Officer

Position Summary:
The Claims Director leads the Claims Department and oversees the investigation, evaluation, negotiation, and resolution of cargo, property damage, and related claims. This role provides strategic leadership for claims operations, team performance, process improvement, and complex claim resolution while partnering withĀ  internalĀ  andĀ  externalĀ  stakeholdersĀ  toĀ  minimizeĀ  risk,Ā  maximizeĀ  recoveryĀ  opportunities,Ā  andĀ  ensure exceptional customer service.

Key Responsibilities:
The following duties represent the essential functions of this role. They are intended to describe the general nature of the position and may change based on business needs. Employees may be required to perform additional duties as assigned.

  • Lead and oversee the Claims Department, including Claims Managers, Specialists, Analysts, and other assigned personnel
  • Manage the investigation, evaluation, negotiation, and resolution of cargo, property damage, and related claims, serving as the primary escalation point for complex, high-value, or sensitive matters
  • Ā ReviewĀ  andĀ  analyzeĀ  contracts,Ā  billsĀ  ofĀ  lading,Ā  invoices,Ā  insuranceĀ  policies,Ā  carrierĀ  agreements, claimĀ  documentation,Ā  andĀ  supportingĀ  recordsĀ  toĀ  evaluateĀ  liability,Ā  contractualĀ  obligations, coverage, recovery opportunities, settlement strategies, and business risk
  • Approve claimĀ  settlementsĀ  andĀ  denialsĀ  withinĀ  authorityĀ  limitsĀ  andĀ  coordinateĀ  escalationsĀ  as necessary
  • Negotiate with carriers, customers, brokers, insurers, inspectors, and vendors to achieve timely, cost-effective claim resolutions
  • Ensure accurateĀ  claimĀ  documentation,Ā  reporting,Ā  fileĀ  maintenance,Ā  statusĀ  tracking,Ā  and
    recordkeeping while monitoring claim aging, workload distribution, exposures, recoveries, trends, and departmental performance metrics
  • Develop and maintain claims reporting, dashboards, analytics, KPIs, and operational insights for leadership while identifying trends related to cargo loss, shortages, damages, carrier performance, customer disputes, documentation gaps, and claim outcomes
  • Implement process improvements to reduce claim exposure, strengthen documentation, improve recoveries, and increase operational efficiency
  • Develop and maintain claims policies, procedures, training materials, best practices, and standardoperating procedures
  • Partner with Sales, Operations, Legal, Finance, and leadership to resolve claims issues, improve business processes, and support cargo protection, claims prevention, and risk mitigation initiatives
  • Hire,Ā  train,Ā  coach,Ā  mentor,Ā  andĀ  developĀ  ClaimsĀ  DepartmentĀ  employeesĀ  whileĀ  managing performance, workload allocation, accountability, and succession planning
  • Maintain a professional, customer-focused, and business-minded approach while protecting and promoting the company's reputation
  • Perform other duties as assigned

Education & Experience:

  • High school diploma or GED required
  • Bachelor'sĀ  degreeĀ  inĀ  Business,Ā  RiskĀ  Management,Ā  Insurance,Ā  Logistics,Ā  SupplyĀ  Chain,Ā  Legal Studies, or a related field preferred
  • Ten (10) or more years of cargo claims, transportation claims, logistics, freight brokerage, motor carrier, insurance, or related claims experience required
  • Advanced experienceĀ  handlingĀ  complex,Ā  high-value,Ā  escalated,Ā  orĀ  sensitiveĀ  cargoĀ  andĀ  property damage claims required
  • Three (3) or more years of leadership experience managing claims professionals required; five (5) or more years preferred
  • Experience developingĀ  claimsĀ  reporting,Ā  analytics,Ā  dashboards,Ā  KPIs,Ā  andĀ  operational recommendations required
  • Experience using claims management systems, transportation management systems, ERP systems, or related business software required
  • Experience workingĀ  cross-functionallyĀ  withĀ  Legal,Ā  Sales,Ā  Operations,Ā  Finance,Ā  insurance representatives, carriers, and customers preferred

Core Competencies:

  • Claims leadership and team development
  • Claims investigation, resolution, and risk assessment
  • Strategic decision-making and negotiation
  • Reporting, analytics, and process improvement
  • Customer relationship Management
  • Communication, collaboration, and organizational leadership

Mega Awesome Perks:

  • Medical, dental, vision, and life and disability insurance
  • 401(K) matching
  • Birthday celebrations
  • Health and wellness initiative including gym membership
  • Annual parties
  • PTO and Flex holidays
  • Company sponsored outings

Compensation Range: $125,000 - $150,000

Physical & Cognitive Requirements:
The following requirements are representative of those needed to perform essential job functions. Reasonable accommodations may be made.

Physical Requirements:

  • Ability to see, hear, and communicate clearly
  • Ability to use hands and fingers for computer, phone, and clerical tasksĀ 
  • Ability to work at a computer workstation for extended periods
  • Ā Ability to travel occasionally as business needs require

Cognitive Requirements:

  • Reading comprehension of complex contracts, claims files, and legal documents
  • Strong analytical thinking and problem-solving abilities
  • Judgment and decision-making skills
  • Ā Written and verbal communication skills
  • Ability to manage multiple priorities and deadlines
  • Attention to detail and accuracy
  • Ability to interpret financial information, contractual obligations, and operational data

Work Environment:

  • Office-based position
  • Works independently and collaboratively with others
  • FrequentĀ  communicationĀ  withĀ  employees,Ā  customers,Ā  carriers,Ā  insuranceĀ  representatives,Ā  legal counsel, and executive leadership
  • Use ofĀ  claimsĀ  managementĀ  systems,Ā  transportationĀ  managementĀ  systems,Ā  reporting tools,Ā  and standard office equipment
  • Fast-paced environment requiring effective prioritization and decision-making.

Confidentiality:
EmployeesĀ  mayĀ  accessĀ  confidentialĀ  informationĀ  (e.g.,Ā  customerĀ  data,Ā  pricing,Ā  operations,Ā  financials, systems) and must not use or share it outside their job duties without authorization. Violations may result in disciplinary action, up to termination.

The duties and responsibilities listed in this job description are intended to describe the general nature and level of work performed by employees assigned to this position. This description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the role. Employees may be required to perform additional duties or responsibilities as assigned by management in order to meet business needs.

MegaCorp is an equal opportunity employer and considers all applicants for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status under applicable federal, state, or local law.