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Complex Claims Director Jobs in Minnesota (NOW HIRING)

Allied Universal

SIU Investigator

Minneapolis, MN · On-site

$27 - $32/hr

... as directed * Produce professional and expert reports, memos, and letters that are clear, concise ... complex insurance claims * Proficient understanding and application of anti-fraud laws, insurance ...

Sisk

Project Director

Finland, MN · On-site

$82 - $128.85/hr

... major/complex contracts of values typically in excess of £60m. Generally involved from tender ... Lead or support contract negotiations, claims management and commercial reviews in collaboration ...

Deloitte

Epic Denials Manager

Minneapolis, MN · Remote

Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Serves as line of escalation for high priority, complex accounts to be worked, including ...

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

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

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

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

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

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

Complex Claims Director jobs near you

SIU Investigator

Allied Universal

Minneapolis, MN • On-site

$27 - $32/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Allied Universal rating

5.5

Company rating: 5.5 out of 10

Based on 2,604 frontline employees who took The Breakroom Quiz

77th of 118 rated security

Job description

Overview

Company Overview:

Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.

Job Description

Allied Universal is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.

  • Job flexibility offering field work! 
  • Must possess a valid driver's license with at least one year of driving experience 
  • Pay Rate: $27 - $32 / hr 

RESPONSIBILITIES:

  • Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability
  • Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
  • Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
  • Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
  • Run appropriate database indices if necessary and verify the accuracy of results found
  • Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor

QUALIFICATIONS (MUST HAVE):

  • Must possess one or more of the following:
    • Bachelor's degree in Criminal Justice
    • High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
  • Ability to be properly licensed as a Private Investigator as required by the state where work Is completed
  • Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
  • Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims
  • Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.
  • Proficient in utilizing laptop computers and cell phones.
  • Special Investigative Unit (SIU) Compliance knowledge
  • Ability to type 40+ words per minute with minimum error
  • Flexibility to work varied and irregular hours and days including weekends and holidays

PREFERRED QUALIFICATIONS (NICE TO HAVE):

  • Military experience
  • Law enforcement
  • Insurance administration experience
  • Familiarity with California SIU regulations
  • One or more of the following professional industry certifications:
    • Certified Fraud Investigator (CFE)
    • Certified Insurance Fraud Investigator (CIFI)
    • Fraud Claim Law Associate (FCLA)
    • Fraud Claim Law Specialist (FCLS)
    • Certified Protection Professional (CPP)
    • Associate in Claims (AIC)
    • Chartered Property Casualty Underwriter (CPCU)

BENEFITS:

  • Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
  • Seven paid holidays annually, sick days available where required by law
  • Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law
Closing

Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com

If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.

Requisition ID2026-1662224Employment Type: FULL_TIME

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About Allied Universal

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Allied Universal® is a leading security and facility services company. We provide proactive security services and cutting-edge smart technology to deliver evolving, tailored solutions that allow our clients to focus on their core business. Our excellence starts with our local leadership and local presence. Operating in more than 90 countries, our global workforce of approximately 800,000 people. Employees help to deliver our promise globally and locally: keeping people safe so our customers and communities can thrive. As we build the world's best services company, we continue to expand our footprint and infrastructure on a global and local level. In North America, we operate our business under the existing Allied Universal brand, and our international business operates under the G4S brand.

Industry

Investigation and physical security services, chemical manufacturing and real estate

Company size

10,000+ Employees

Headquarters location

Santa Ana, CA, US

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