The Jonus Group · 3 days ago
Senior Complex Claims Specialist, Major Case Unit (OPEN TO REMOTE)
United States
Full-time
Remote
Senior Level, Lead/Staff
$145K/yr - $165K/yr
10+ years expThe Jonus Group is seeking an experienced Senior Complex Claims Specialist to oversee large exposure and complex general liability, auto liability, and trucking claims. This role focuses on managing claims handled by third-party administrators while supporting internal stakeholders and ensuring effective resolution strategies.
EmploymentInsuranceRecruiting
Responsibilities
Provide technical oversight on high-exposure and complex claims, ensuring timely resolution and superior outcomes
Collaborate with TPA staff, Claim Account Managers, underwriters, legal teams, and internal stakeholders to execute claim strategies
Communicate effectively with insureds and brokers, delivering exceptional customer service
Conduct coverage analysis, investigations, liability and damage evaluations, and reserve setting within granted authority
Manage litigation, vendors, settlement negotiations (including structured settlements), and overall claim resolution
Maintain accurate claim file documentation, coding, and diary management
Partner with defense and coverage counsel to develop litigation strategies, manage budgets, and review legal invoices
Prepare timely claim reporting and updates for management and business stakeholders
Participate in mediations, trials, and related proceedings
Ensure compliance with state adjuster licensing requirements
Support TPA oversight, including staff training, best practice sharing, claim audits, file reviews, and regular meetings
Qualification
Required
Juris Doctorate degree required
Minimum of 10 years of commercial general/auto liability claims experience, including complex and large-exposure files, or equivalent law firm insurance defense/coverage experience
Strong negotiation, analytical, and problem-solving skills
Excellent written and verbal communication, collaboration, and interpersonal abilities
Proven ability to manage complex information, distill key issues, and present concise recommendations
Skilled in leading strategic discussions and making cost-effective decisions
Highly adaptable, independent, and team-oriented
Proficiency with Microsoft Excel, PowerPoint, and Word
Willingness & ability to travel up to 10% of the time
Preferred
Experience with trucking, construction, or emergency services/medical professional liability claims preferred
Prior TPA management or oversight experience preferred
Benefits
Competitive benefits package
Paid time off
Professional development opportunities
Company
The Jonus Group
The Jonus Group is an insurance company specializes in full service recruiting firm that offers both direct hire and contract hire services.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Ryan Morse
Chief Operating Officer
Seth Brady
Chief Sales Officer (CSO)
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