Complex Claims & Coverage Director

We welcome senior carrier claims professionals, complex-claims leaders, coverage specialists, and technical claim directors. This is an insurance-practitioner role and does not require a law degree or license to practice law.

What You'll Do

• Design realistic scenarios involving disputed coverage, reservations of rights, excess exposure, multiple insureds, multiple carriers, allocation, litigation, mediation, bad-faith risk, and high-severity settlement strategy

• Create work products such as complex claim strategies, coverage-position analyses, authority requests, litigation-management plans, reserve rationales, and escalation recommendations

• Write "golden" reference responses at senior technical claims quality

• Grade AI-generated responses against structured rubrics for policy analysis, strategic judgment, factual support, stakeholder awareness, and escalation discipline

• Identify claim-handling positions that are internally inconsistent, unsupported by the record, operationally unrealistic, or outside the authority of a non-lawyer claims professional

• Provide written feedback the research team uses to improve model behavior

• Participate in onboarding office hours and calibration sessions

You're a Good Fit If You

• Have 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims

• Have evaluated coverage issues and developed claim strategies involving multiple parties, layers, policies, or jurisdictions

• Understand insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to internal or external counsel

• Can distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required

• Demonstrate exceptional written reasoning, defensible judgment, and high attention to detail

• Are comfortable reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps

Bonus Qualifications

• CPCU, AIC, SCLA, ARM, or comparable insurance designation

• Experience with excess casualty, professional liability, directors and officers, cyber, environmental, construction-defect, or other complex lines

• Experience managing mediations, trials, coverage disputes, or extra-contractual exposure

• Home-office technical claims or claim-governance experience

• Experience overseeing TPAs, independent adjusters, experts, or panel counsel

Role Highlights

• Minimum 20 hours per week (ideally 40+)

• Role starts immediately, applications reviewed on a rolling basis