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Complex Claims Director Jobs in Georgia (NOW HIRING)

Sr. Complex Claims Specialist

Alpharetta, GA ยท Hybrid

$145K - $175K/yr

Please note this role does require managing any direct reports but is responsible for managing the ... for complex and large exposure claims, or insurance defense/coverage practicing attorney with ...

Trucking Director

Atlanta, GA ยท On-site

$130 - $190/hr

About the role As a Director of Commercial Transportation Claims at Reserv, you will be responsible ... complex claims portfolios. Who you are * Highly motivated and growth-oriented * Subject matter ...

Claims Major Case Director

Alpharetta, GA 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 ...

Director, Ocean Marine Claims

Alpharetta, GA ยท On-site

$131K - $177K/yr

... with the Claims Division on the Marine team as a Director, Ocean Marine Claims. The ... Do you like solving complex business problems, working with talented colleagues and have an ...

Director, Ocean Marine Claims

Alpharetta, GA ยท On-site

$131K - $177K/yr

... with the Claims Division on the Marine team as a Director, Ocean Marine Claims. The ... Do you like solving complex business problems, working with talented colleagues and have an ...

Working independently and exercising a high degree of judgment, the Complex Claims Director partners closely with insureds, brokers, underwriters, defense counsel, and senior business leaders to ...

Showing results 21-40

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 cities in Georgia are hiring for Complex Claims Director jobs?

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

Infographic showing various Complex Claims Director job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 90% Full Time, 7% Part Time, and 2% Contract. Highlights an 83% Physical, 4% Hybrid, and 13% Remote job distribution.

Sr. Complex Claims Specialist

Archgroup

Alpharetta, GA โ€ข Hybrid

$145K - $175K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago


Job description

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility.

Position Summary

Responsibilities include, actively managing and effectively overseeing large exposure and complex general/auto liability and trucking claims (primary, umbrella and excess) direct handled by Third-party Administrators ("TPA's") and supporting Arch business stakeholders. Please note this role does require managing any direct reports but is responsible for managing the claims & TPA process.

Responsibilities

  • Deliver industry leading technical claim handling/oversight, claim outcomes, business support and customer service. Make claim services an Arch competitive advantage
  • Collaborate with TPA team members, Arch Claim Account Managers ("CAM's") and other claim professionals to proactively develop and effectively execute on appropriate claim resolution strategies
  • Work closely with underwriters, Legal, Operations, claim professionals, and other Arch functions, to ensure timely and effective communication consistent with Arch Claims' Procedures, striving to achieve optimum claim outcomes
  • Effective and timely communication with insureds and brokers; making exceptional customer service a top priority
  • Coverage analysis, investigation, liability and damage evaluation, timely and accurate indemnity and expense reserving (within specific granted authority), litigation management, vendor management, settlement negotiations, including use of structure settlements where appropriate, and claim resolution
  • Effective claim file documentation, claim coding and diary management
  • Retain and work closely with defense and coverage counsel to create and execute on litigation/coverage strategies and budgets. Analyze and pay legal bills, consistent with claims specific strategy/budget and Arch Claims Litigation Management Guidelines
  • Effective and timely claim reporting (verbal and written) to other claim professionals/management and business stakeholders, per Arch Claims Procedures
  • Attend mediations, trials, other proceedings and meetings
  • Maintains all required state adjustor licenses
  • Assist CAM's and others with TPA management and oversight to include:
  • o TPA claim staff training relating to Arch processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service and other topics that may arise
  • o Sharing of claim handling/customer service best practices
  • o Assistance with claim file reviews and claim audits
  • o Regular meetings with TPA claims staff

Experience & Required Skills

  • Trucking,construction, emergency service/medical professional liability claim handling experience is a plus
  • TPA management/oversight experience is a plus
  • Excellent customer service skills and service minded
  • Strong analytical and problem-solving skills
  • Strong negotiation skills
  • Exceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills to effectively develop productive working relationships both within and outside Arch
  • Able to process large amounts of complex information, distill it down to key issues and decision points and concisely communicate the information verbally and in writing
  • Able to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations
  • Able to work well independently and in a highly collaborative team environment
  • Adaptable and able to succeed in a rapidly changing workplace
  • Strong Microsoft Excel, PowerPoint and Word skills
  • Willing and able to travel approximately up to 10% of time

Education

  • Juris Doctorate preferred.
  • Minimum of 10 yearscommercial general/auto liability claim handling experience, including responsibility for complex and large exposure claims, or insurance defense/coverage practicing attorney with similar law firm experience

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For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

$145,000 - $175,000/year

  • Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

  • Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you.If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.

14400 Arch Insurance Group Inc.