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Litigated Claims Jobs in Raleigh, NC (NOW HIRING)

DAN

Claims Director

Durham, NC · On-site

$130K/yr

Manage complex, high exposure, litigated, or escalated claims * Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop ...

DAN

Claims Director

Durham, NC · Hybrid

Manage complex, high exposure, litigated, or escalated claims * Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop ...

Divers Alert Network

Claims Director

Durham, NC · On-site

Manage complex, high exposure, litigated, or escalated claims * Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop ...

Iatinsurancegroup

Claims Major Case Director

Raleigh, NC · On-site +1

$92K - $130K/yr

This role is a true complex claims handling role that is tasked with managing those claims that are ... Experience handling litigated files and direction of defense counsel. * Excellent negotiation ...

All JobsLitigated Claims JobsLitigated Claims Jobs in Raleigh, NC

Litigated Claims information

See Raleigh, NC salary details

$39.9K

$73.9K

$96.2K

How much do litigated claims jobs pay per year?

As of Sep 6, 2026, the average yearly pay for litigated claims in Raleigh, NC is $73,916.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,200.00 and $83,100.00 per year, depending on experience, location, and employer.

What are litigated claims?

Litigated claims refer to insurance claims or legal disputes that have proceeded to formal litigation, meaning they are being resolved through the court system rather than through negotiation or settlement outside of court. This typically happens when parties cannot agree on liability or the amount of compensation. Litigated claims often involve attorneys, legal filings, and potentially a trial, making the process more complex and time-consuming compared to non-litigated claims. Handling litigated claims requires a thorough understanding of legal procedures and strong negotiation skills.

What are common challenges faced by professionals handling litigated claims, and how can they effectively manage them?

Professionals managing litigated claims often encounter challenges such as managing large volumes of complex documentation, meeting tight court deadlines, and coordinating with multiple stakeholders including attorneys, clients, and experts. Effective management relies on strong organizational skills, clear communication, and the ability to prioritize tasks under pressure. Utilizing case management software and developing efficient workflows can also help in tracking important dates and ensuring thorough preparation for hearings and depositions.

What are the key skills and qualifications needed to thrive as a litigated claims adjuster, and why are they important?

To thrive as a Litigated Claims Adjuster, you need a solid understanding of insurance policies, legal principles, and claims investigation, often supported by a bachelor's degree in a relevant field and experience in claims handling. Familiarity with claims management systems, legal research tools, and sometimes certifications like the Associate in Claims (AIC) are commonly required. Strong negotiation, analytical thinking, and effective communication skills help resolve disputes and collaborate with attorneys and stakeholders. These skills ensure accurate assessment, fair resolution, and effective management of complex litigated claims.

What is the difference between Litigated Claims vs Insurance Claims Adjuster?

AspectLitigated ClaimsInsurance Claims Adjuster
Required CredentialsLegal knowledge, sometimes law degree or paralegal certificationInsurance licensing, certifications like AIC or CPCU
Work EnvironmentLegal settings, courts, or law firmsInsurance companies, claims offices, field work
Employer & IndustryLaw firms, insurance companies, government agenciesInsurance companies, third-party administrators
Common Search & ComparisonLegal process, court cases, litigationClaims processing, settlement, investigation

Litigated Claims involve legal proceedings and court cases, requiring legal expertise and often working within law firms or legal departments. Insurance Claims Adjusters focus on evaluating and settling insurance claims, typically working within insurance companies. While both roles deal with claims, Litigated Claims are more legal-centric, whereas Adjusters handle the initial assessment and settlement process.

What are popular job titles related to Litigated Claims jobs in Raleigh, NC?

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

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

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

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

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

Litigated Claims jobs near you
Infographic showing various Litigated Claims job openings in Raleigh, NC as of July 2026, with employment types broken down into 85% Full Time, 12% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $73,916 per year, or $35.5 per hour.

Claims Director

DAN

Durham, NC • On-site

$130K/yr

Full-time

Re-posted 23 days ago

Key responsibilities

  • Oversee the intake, investigation, evaluation, reserving, and resolution of claims.

  • Manage complex, high exposure, litigated, or escalated claims and approve significant coverage determinations, settlement authority, and denial recommendations.

  • Develop and implement claims handling strategies, workflows, and best practices, and monitor claim reserves, loss trends, and financial exposure.

Job description

TITLE: Director, Claims
FLSA: Exempt, Full Time
DEPARTMENT: Claims
WORKSITE: 6 West Colony Place, Durham, NC
REPORTS TO: EVP, Insurance Operations
OCCUPATIONALSUMMARY:
Responsible for the strategic leadership, operational management, and oversight of the organization's claims department. This role ensures timely, accurate, and compliant claims handling while promoting exceptional customer service, effective risk management, and continuous operational improvement. The Director of Claims leads claims staff, develops departmental processes and performance standards, manages complex and escalated claims matters, and collaborates with internal and external stakeholders to support organizational objectives.
DUTIES/RESPONSIBILITIES:
  • Lead and inspire a service-focused team.
  • Oversee the intake, investigation, evaluation, reserving, and resolution of claims.
  • Ensure claims are handled in accordance with policy provisions, company guidelines, regulatory requirements, and industry standards.
  • Manage complex, high exposure, litigated, or escalated claims
  • Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable.
  • Develop and implement claims handling strategies, workflows, and best practices.
  • Establish department goals, KPIs, and performance standards.
  • Oversee quality assurance and audit processes for claims handling activities.
  • Identify operational, legal, and financial risks within the claims process and implement corrective actions.
  • Assist in the development and implementation of reservation of rights letters, coverage position letters, and claims procedures.
  • Monitor claim reserves, loss trends, and financial exposure.
  • Assist with budgeting and forecasting related to claims operations.
  • Ensure appropriate expense management and vendor performance standards.
  • Maintain positive relationships with insureds, brokers, members, partners, and external stakeholders.
  • Collaborate cross-functionally with underwriting, operations, finance, and customer service teams.
  • Provide claims reporting and operational updates to executive leadership.
  • Other duties as assigned.

EDUCATION
  • Bachelor's degree or equivalent experience required
  • 10+ years of relevant claims experience
  • 2+ years leadership within a claims management role
  • Valid adjusters license or ability to obtain such

REQUIRED KNOWLEDGE, SKILLS & ABILITIES
  • Knowledge of the scuba diving industry
  • Deep knowledge and experience with captive insurance companies, risk retention groups, accident and health and trip/travel programs
  • Knowledge of Trip/Travel Insurance
  • Excellent interpersonal communication, organization, and management skills
  • Superior project management skills with proven ability to plan, lead and track projects from concept through implementation
  • Ability to manage timelines and milestones to ensure timely reporting and closures
  • Self-motivated with strong attention to details and problem-solving skills
  • Proficient with Microsoft Office Suite and experienced or adaptable to claims management platforms

Hybrid work arrangement is available with this role, 2 days remote and 3 days in office, post the 90-day probationary period.

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