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Complex Claims Director Jobs in Raleigh, NC (NOW HIRING)

Senture

Medical Director

Raleigh, NC · On-site

... and claims-related matters. This position will support as a consulting Medical Director role ... Ability to interpret complex clinical information and regulatory requirements. * Excellent written ...

Senture

Medical Director

Raleigh, NC · Remote

... and claims-related matters. This position will support as a consulting Medical Director role ... Ability to interpret complex clinical information and regulatory requirements. * Excellent written ...

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All JobsComplex Claims JobsComplex Claims Director JobsComplex Claims Director Jobs in Raleigh, NC

Complex Claims Director information

See Raleigh, NC salary details

$81.2K

$123.3K

$173K

How much do complex claims director jobs pay per year?

As of Aug 21, 2026, the average yearly pay for complex claims director in Raleigh, NC is $123,337.00, according to ZipRecruiter salary data. Most workers in this role earn between $102,600.00 and $137,100.00 per year, depending on experience, location, and employer.

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 Raleigh, NC?

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

What job categories do people searching Complex Claims Director jobs in Raleigh, NC look for?

The top searched job categories for Complex Claims Director jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Complex Claims Director jobs?

Cities near Raleigh, NC with the most Complex Claims Director job openings:

Complex Claims Director jobs near you
Infographic showing various Complex Claims Director job openings in Raleigh, NC 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, with an average salary of $123,337 per year, or $59.3 per hour.

Field Claims Representative

Auto-Owners Insurance

Raleigh, NC • On-site

Other

Retirement, PTO

Posted 18 days ago

Auto-Owners Insurance rating

9.2

Company rating: 9.2 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

22nd of 311 rated insurance

Job description

Job Title

A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.

Job Description

Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims-handling skills and requires the person to:

  1. Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability
  2. Handle multi-line property and casualty claims in an assigned territory with an emphasis on property claims
  3. Become familiar with insurance coverage by studying insurance policies, endorsements and forms
  4. Work toward the resolution of claims, and attend arbitrations, mediations, depositions, or trials as necessary
  5. Ensure that claims payments are issued in a timely and accurate manner
  6. Handle investigations by phone, mail and on-site investigations
Desired Skills & Experience
  • Bachelor's degree or direct equivalent experience handling property and casualty claims
  • A minimum of 3 years handling multi-line property and casualty claims with an emphasis on property claims
  • Field claims handling experience is preferred but not required
  • Knowledge of Xactimate software is preferred but not required
  • Above average communication skills (written and verbal)
  • Ability to resolve complex issues
  • Organize and interpret data
  • Ability to handle multiple assignments
  • Ability to effectively deal with a diverse group individuals
  • Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents)
  • Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage
Benefits

Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!

Equal Employment Opportunity

Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.

*Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.

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