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Complex Claims Jobs (NOW HIRING)

Hiscox Ltd

Complex Claims Specialist

Chicago, IL · On-site

Complex Claims Specialist: General Liability Reporting to: AV P - Team Manager Location: Atlan ta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

Hiscox

Complex Claims Specialist

Scottsdale, AZ · Hybrid

Complex Claims Specialist: General Liability Reporting to: AV P - Team Manager Location: Atlan ta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

Hiscox

Complex Claims Specialist

Scottsdale, AZ · Hybrid

Complex Claims Specialist: General Liability Reporting to: AVP - Team Manager Location: Atlanta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

Hiscox

Complex Claims Specialist

New York, NY · Hybrid

Complex Claims Specialist: General Liability Reporting to: AVP - Team Manager Location: Atlanta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

Hiscox

Complex Claims Specialist

Boston, MA · Hybrid

Complex Claims Specialist: General Liability Reporting to: AVP - Team Manager Location: Atlanta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

Hiscox

Complex Claims Specialist

Chicago, IL · Hybrid

Complex Claims Specialist: General Liability Reporting to: AV P - Team Manager Location: Atlan ta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

Hiscox

Complex Claims Specialist

Boston, MA · Hybrid

Complex Claims Specialist: General Liability Reporting to: AV P - Team Manager Location: Atlan ta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

Hiscox

Complex Claims Specialist

Atlanta, GA · Hybrid

Complex Claims Specialist: General Liability Reporting to: AVP - Team Manager Location: Atlanta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

CoAction

AVP, Complex Claims

Morristown, NJ · Hybrid

The AVP, Complex Claims will be managing a team of Claims Professionals handling complex cases including NYLL, Construction Defect, claims involving complex coverage issues and high-exposure ...

Hiscox Ltd

Complex Claims Specialist

Chicago, IL · On-site

Complex Claims Specialist: General Liability Reporting to: AVP - Team Manager Location: Atlanta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

Hiscox

Complex Claims Specialist

Atlanta, GA · Hybrid

Complex Claims Specialist: General Liability Reporting to: AV P - Team Manager Location: Atlan ta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

Hiscox

Complex Claims Specialist

New York, NY · Hybrid

Complex Claims Specialist: General Liability Reporting to: AV P - Team Manager Location: Atlan ta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

Hiscox

Complex Claims Specialist

Chicago, IL · Hybrid

Complex Claims Specialist: General Liability Reporting to: AVP - Team Manager Location: Atlanta, Boston, Chicago, Hartford, NYC or Scottsdale About the Hiscox Claims team: The US Claims team at ...

CoAction

AVP, Complex Claims

Morristown, NJ · On-site

The AVP, Complex Claims will be managing a team of Claims Professionals handling complex cases including NYLL, Construction Defect, claims involving complex coverage issues and high-exposure ...

Berkley

Complex Claims Specialist

Jacksonville, FL

The primary role of a Complex Claims Bodily Injury Specialist is to promptly and professionally ensure high quality claim handling by analyzing BI / liability of claim submissions while making ...

Primma, LLC

Complex Claims Specialist

Rochester, NY · On-site

$127K - $148K/yr

General Summary: A Complex Claims Specialist will possess experience in handling complex medical liability claims, while demonstrating a strong client service focus. Essential Duties ...

Berkley

Complex Claims Specialist

Jacksonville, FL

Responsibilities The primary role of a Complex Claims Bodily Injury Specialist is to promptly and professionally ensure high quality claim handling by analyzing BI / liability of claim submissions ...

TransRe

Complex Claims Examiner

New York, NY · Hybrid

$140K - $180K/yr

As a member of FAIRCO, the Complex Claims Examiner will be responsible for adjusting Professional & Management Liability claims, with opportunities for experiences with other FAIRCO programs.

Primma, LLC

Complex Claims Specialist

Roslyn, NY · On-site

$127K - $148K/yr

General Summary: A Complex Claims Specialist will possess experience in handling complex medical liability claims, while demonstrating a strong client service focus. Essential Duties ...

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$72.1K

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How much do complex claims jobs pay per year?

As of Jun 7, 2026, the average yearly pay for complex claims in the United States is $72,103.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $89,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Complex Claims Specialist, and why are they important?

To thrive as a Complex Claims Specialist, you need in-depth knowledge of insurance policies, strong analytical skills, and experience in claims investigation, typically supported by a bachelor's degree and relevant industry certifications. Familiarity with claims management systems, legal databases, and specialized software (such as Xactimate or Guidewire) is essential. Exceptional negotiation, critical thinking, and communication skills are crucial for managing sensitive cases and interacting with multiple stakeholders. These skills ensure accurate, fair, and timely resolution of complex claims, minimizing risk and maintaining client trust.

What is the difference between Complex Claims vs Claims Adjuster?

AspectComplex ClaimsClaims Adjuster
Required CredentialsInsurance licenses, certifications in claims handlingInsurance licenses, certifications in claims handling
Work EnvironmentHandling complex, high-value, or specialized claimsAssessing and settling a variety of insurance claims
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent agencies
Common Search & ComparisonComplex Claims vs Claims Adjuster

Complex Claims and Claims Adjusters both require insurance licenses and work within the insurance industry. However, Complex Claims specialists handle high-value, intricate, or specialized claims that demand advanced knowledge and problem-solving skills. Claims Adjusters generally manage a broader range of claims, including straightforward cases. The key difference lies in the complexity and scope of claims managed, with Complex Claims roles focusing on more challenging and detailed cases.

Is claim adjusting a dying field?

Claim adjusting remains a vital part of the insurance industry, with steady demand for professionals who can evaluate and settle claims accurately. While automation and technology are increasingly used, skilled adjusters are still needed to handle complex cases, provide customer service, and interpret policy details. Continuous learning and certification can enhance job prospects in this evolving field.

What are the most common challenges faced by professionals handling complex claims, and how can they be managed effectively?

Professionals handling complex claims often encounter challenges such as interpreting intricate policy language, coordinating with multiple stakeholders, and managing large volumes of documentation. To manage these effectively, it's important to develop strong analytical and communication skills, stay organized, and leverage technology for efficient case management. Collaboration with legal teams, underwriters, and external experts is also key to resolving claims accurately and fairly, while ongoing professional development helps keep up with changing regulations and best practices.

What are complex claims?

Complex claims are insurance claims that involve complicated circumstances, multiple parties, or high-value losses, making them more challenging to resolve than standard claims. These claims often require in-depth investigation, specialized expertise, and extended negotiations due to issues like legal disputes, unclear liability, or extensive damages. Handling complex claims typically involves working closely with legal teams, experts, and various stakeholders to ensure a fair and accurate resolution. Insurance companies usually assign experienced adjusters or specialists to manage these types of claims.
More about Complex Claims jobs
What cities are hiring for Complex Claims jobs? Cities with the most Complex Claims job openings:
What are the most commonly searched types of Complex Claims jobs? The most popular types of Complex Claims jobs are:
What states have the most Complex Claims jobs? States with the most job openings for Complex Claims jobs include:
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Complex Claims jobs near you
Infographic showing various Complex Claims job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 96% Full Time, 1% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $72,103 per year, or $34.7 per hour.

Complex Claims Specialist

Hiscox Ltd

Chicago, IL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Job description

Job Type:
Permanent
Build a brilliant future with Hiscox
Put your claims skills to the test and join one of the top General Liability Insurers in the Industry as a Complex Claims Specialist!
Position:Complex Claims Specialist: General Liability
Reporting to: AVP - Team Manager
Location: Atlanta, Boston, Chicago, Hartford, NYC or Scottsdale
About the Hiscox Claims team:
The US Claims team at Hiscox is a growing group of professionals with experience across private practice and in-house roles, working together to provide the ultimate product we offer to the market. Complex Claims Specialists are empowered to manage their claims with high levels of authority to provide fair and fast resolution of claims for our insured and broker partners.
The Role:
The primary role of Complex Claims Specialist is to independently analyze liability claim submissions for potential coverage, set adequate case reserves, promptly and professionally respond to inquiries from our clients and their brokers, and to proactively drive early resolution of claims arising from our General Liability products.
The Complex Claims Specialist will manage a full pending of General Liability Claims, as well as provide thought leadership in multiple forums within and outside of the company. The Complex Claims Specialist actively engages in business development, product innovation, and market/customer insight and develop strong working relationships with underwriting leadership.
This is a fantastic opportunity to join Hiscox USA, a growing business where you will be able to make a real impact. Together, we aim to be the best people producing the best insurance solutions and delivering the best service possible.
Key Responsibilities:
  • Strategize and maximize early settlement opportunities for General Liability Claims (BI & PD)
  • Draft and Review coverage analyses
  • Monitoring litigation/suits and managing local defense counsel & relationship
  • Continually assessing exposures and adequacy of claim reserves
  • Drive employee engagement by exhibiting passion about the company, values, business and our customers
  • Take lead in managing high exposure claims on team
  • Monitor litigation and manage local defense counsel
  • Attend mediations and/or settlement conferences where appropriate
  • Assists in preparing & presenting quarterly reserving packs
  • Actively participate in the Claims/UW/Actuarial feedback loop
  • Keep senior claims management adequately and appropriately informed of key issues
  • Liaising directly on daily basis with insureds and brokers
  • Maintaining timely and accurate file documentation/information in our claims management system

Personal Specification:
  • JD from an ABA-accredited law school
  • Bar admission in good standing
  • Minimum of 8 years of professional experience in General Liability with an insurance carrier or litigation experience in General Liability
  • Litigation and mediation experience
  • Ability to analyze liability and potential damages exposure
  • Experience monitoring outside counsel
  • Experience negotiating allocation issues
  • Experience drafting or reviewing litigation budgets
  • Experience recommending or setting reserves
  • Experience handling large volume of claims or litigation matters
  • Ability to manage case load independently and meet timelines
  • Excellent verbal and written communication skills
  • Strong ability to establish rapport and build relationships with clients
  • Team-oriented, with ability to excel in a collegial environment
  • Leadership and people management skills
  • <10% Travel Required

Hiscox Values:
At Hiscox our spirit is in Challenging Convention and everything we do is guided by our Values.
  • Courage: Dare to take a risk
  • Ownership: Passionate, commercial and accountable
  • Integrity: Do the right thing, however hard
  • Connected: Together, build something better
  • Human: Clear, fair and inclusive

What Hiscox USA Offers:
  • Competitive salary and bonus (based on personal & company performance)
  • 401(k) with competitive company matching
  • Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
  • Company paid group term life, short- term disability and long-term disability coverage
  • 24 Paid time off days, 2 Hiscox Days, 10 paid holidays, and ability to purchase 5 PTO days
  • Paid parental leave
  • 4 week paid sabbatical after every 5 years of service
  • Financial Adoption Assistance and Medical Travel Reimbursement Programs
  • Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
  • Company paid subscription to Headspace to support employees' mental health and wellbeing
  • Recipient of 2024 Cigna's Well-Being Award for having a best-in-class health and wellness program
  • Dynamic, creative and values-driven culture
  • Modern and open office spaces, complimentary drinks

**Please note that this position is hybrid and requires two (2) days in our office weekly**
Salary range: $115-$130k
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
About Hiscox:
As an international specialist insurer, we are far removed from the world of mass market insurance products. Instead, we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things.
We insure the unique and the interesting. And we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions.
Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places.
Some people might say insurance is dull, but life at Hiscox is anything but. If that sounds good to you, get in touch.
About Hiscox USA:
Hiscox USA was established in 2006 to focus on the needs underserved and specialty commercial clients via both the regional broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.
Today, Hiscox USA has a talent force of about 400 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.
You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)
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