Complex Claim Specialist

Key Responsibilities

• Manage a portfolio of complex transportation claims (auto liability, trucking, cargo, bodily injury, property damage, and related exposures), including primary, excess, and umbrella layers.
• Oversee the full lifecycle of claims—from first notice of loss through final resolution, including litigation.
• Conduct coverage analysis, draft reservation of rights and denial letters, and interpret complex policy language.
• Establish and maintain appropriate case reserves and evaluate exposure throughout the life of the claim.
• Develop and execute proactive claim resolution strategies, including early settlement opportunities.
• Retain, direct, and manage defense and coverage counsel in line with company guidelines.
• Oversee litigation strategy, budgets, and performance of outside counsel.
• Attend and participate in mediations, settlement conferences, depositions, and trials.
• Handle extra-contractual exposure, declaratory judgment actions, and complex coverage disputes.
• Lead detailed investigations to determine liability, damages, and coverage applicability.
• Analyze contracts, indemnity provisions, and risk transfer mechanisms (e.g., additional insured, contractual indemnity).
• Evaluate claims involving catastrophic injuries, multi-party accidents, and large-scale transportation losses.
• Work closely with insureds, brokers, underwriting, and internal leadership.
• Provide coverage guidance and trend analysis to underwriting and senior management.
• Manage claim and litigation budgets and expenses, ensuring cost-effective outcomes.
• Maintain accurate and timely claim file documentation, reporting, and diary management.
• Prepare and present claim summaries and large loss reports to senior leadership.
• Identify emerging trends in transportation claims and provide actionable insights.
• Support development of best practices, training, and process improvements.
• Serve as a subject matter expert for transportation claims within the organization.

Qualifications

• Juris Doctor (JD) strongly preferred
• 5+ years of relevant experience in insurance claims, litigation, or coverage, in all lines of Casualty with a strong focus on: Commercial Auto
• Demonstrated experience handling large exposure and litigated claims.
• Strong background in: Coverage analysis and policy interpretation Litigation and counsel management Settlement negotiation and mediation
• Ability to manage high-volume, complex caseloads independently.
• Advanced analytical and problem-solving skills
• Strong negotiation and litigation strategy capabilities
• Excellent written and verbal communication skills
• Proven ability to collaborate cross-functionally and influence stakeholders
• High level of attention to detail and organizational discipline
• Commitment to exceptional client service and claims outcomes

Additional Requirements

• Ability to travel as needed (mediations, trials, client meetings)
• Proficiency in claims systems and Microsoft Office Suite
• Adjuster licensing (or ability to obtain where required)