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Complex Claims Adjuster Jobs (NOW HIRING)

Edge Claims

Claims Adjuster - Bodily Injury

Roanoke, TX · On-site

... complex claims under the direction of their supervisor/manager. * Achieves a prompt, fair and ... Texas Adjuster license required. * Strong technical and administrative background in auto claims ...

Melton Truck Lines, Inc.

Claims Adjuster

Tulsa, OK

The Property and Cargo Claim Adjuster is responsible for managing claims involving cargo loss ... manage complex claims. - Excellent negotiation and interpersonal skills, with the ability to ...

Elite

Sr. Work Comp Claims Adjuster (PA & NJ)

Philadelphia, PA · On-site

$66.60K - $86.30K/yr

Job Title: Sr. Workers Compensation Claims Adjuster POSITION SUMMARY: Under minimal supervision ... Effectively manages a caseload of 125 to 150 workers' compensation files, including very complex ...

Melton Truck Lines

Claims Adjuster

Tulsa, OK

The Property and Cargo Claim Adjuster is responsible for managing claims involving cargo loss ... manage complex claims. - Excellent negotiation and interpersonal skills, with the ability to ...

AIG

Claims Adjuster, Warranty

Jeffersonville, IN

Join us as a Complex Claims Adjuster-Warranty to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Get to know the business:

AIG

Claims Adjuster, Warranty

Atlanta, GA

Join us as a Complex Claims Adjuster-Warranty to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Get to know the business:

Elite

Sr. Work Comp Claims Adjuster (PA & NJ)

Philadelphia, PA · On-site +1

$66.60K - $86.30K/yr

Job Title: Sr. Workers Compensation Claims Adjuster POSITION SUMMARY: Under minimal supervision ... Effectively manages a caseload of 125 to 150workers' compensation files, including very complex ...

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How much do complex claims adjuster jobs pay per year?

As of Jun 1, 2026, the average yearly pay for complex claims adjuster in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

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

To thrive as a Complex Claims Adjuster, you need in-depth knowledge of insurance policies, claims investigation procedures, and strong analytical skills, often backed by a bachelor's degree and relevant industry experience. Familiarity with claims management software, legal research tools, and sometimes certifications like AIC (Associate in Claims) are typically required. Exceptional negotiation, communication, and critical thinking skills help you manage high-stakes claims and effectively collaborate with clients and legal professionals. These skills are crucial for resolving complex cases efficiently while minimizing risk and maintaining customer trust.

What are some common challenges faced by Complex Claims Adjusters, and how can they be addressed?

Complex Claims Adjusters often handle intricate cases involving multiple parties, large losses, or disputed liability, which can make investigations and negotiations challenging. Time management and attention to detail are crucial, as these cases frequently require coordinating with legal teams, experts, and policyholders while navigating tight deadlines. Building strong communication skills and staying organized can help manage workloads and ensure thorough, fair outcomes. Ongoing training and mentorship within the claims department are also valuable for developing expertise and confidence in handling complex scenarios.

What does a Complex Claims Adjuster do?

A Complex Claims Adjuster investigates, evaluates, and resolves insurance claims that are complicated due to their size, severity, or unique circumstances. These professionals handle cases involving significant damages, multiple parties, or legal complexities, such as large property losses, liability disputes, or catastrophic events. They work closely with policyholders, legal teams, and other experts to determine coverage, assess damages, and negotiate settlements. Their goal is to ensure fair and timely resolution of claims while adhering to company policies and regulatory guidelines.

What is the difference between Complex Claims Adjuster vs Property Claims Adjuster?

AspectComplex Claims AdjusterProperty Claims Adjuster
CredentialsAdjuster license, industry certificationsAdjuster license, industry certifications
Work EnvironmentHandling complex, high-value claims, often in specialized sectorsManaging standard property damage claims, residential or commercial
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusters
Search & Comparison IntentUnderstanding roles involving complex claimsComparing to standard property claims roles

The Complex Claims Adjuster specializes in handling high-value, intricate claims that require advanced knowledge and detailed investigation. In contrast, the Property Claims Adjuster manages more straightforward property damage claims. Both roles require similar credentials but differ mainly in claim complexity and scope.

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What states have the most Complex Claims Adjuster jobs? States with the most job openings for Complex Claims Adjuster jobs include:
What job categories do people searching Complex Claims Adjuster jobs look for? The top searched job categories for Complex Claims Adjuster jobs are:
Complex Claims Adjuster jobs near you

Claims Adjuster - Bodily Injury

Edge Claims

Roanoke, TX • On-site

Full-time

Posted 11 days ago

Job description

Description:

The Bodily Injury Claims Adjuster primary focus will be to provide service to our customers through initiative communication, verification of coverage, establishing liability through investigation, evaluation of all damages and payment of only what is owed to protect the interests of the customer as provided within their assigned auto policy.


The Bodily Injury Claims Adjuster must also comply with the Texas Department of Insurance Guidelines and remain in compliance, providing documentation through each step of the claims process.


Position Responsibilities:

  • Upon receipt, reviews each claim file to identify and establish a prompt investigation of coverage, liability, and damages.
  • Oversee assigned claims in accordance with the policy contract, best internal practices, industry standard, Fair Claim Practices, regulatory guidelines, applicable case law, and jurisdictional requirements.
  • Properly documents and manages all aspects of the file during the life of a claim (investigation, correspondence, negotiation, and settlement).
  • Effectively negotiates the settlement of claims of varying complexity with little direction and more complex claims under the direction of their supervisor/manager.
  • Achieves a prompt, fair and equitable settlement of a claim, where there is policy liability.
  • Communicate timely and professionally with insureds, claimants, witnesses, attorneys, and other carriers via telephone and written correspondence to set expectations, explain rationale behind decisions made, and negotiate settlements as appropriate through resolution.
  • Works within settlement authority; submits requests to management for authority to negotiate, settle, accept, or deny claims when appropriate.
  • Investigates questions on coverage under a reservation of rights and advises the Underwriting Department of adverse findings.
  • Ensures that claims payments are issued in a timely and accurate manner.
Requirements:

Education

  • High School Diploma or equivalent required. Bachelor’s degree referred.

Experience

  • Minimum of 2 to 5 years of auto bodily injury claim handling experience
  • Texas Adjuster license required.
  • Strong technical and administrative background in auto claims handling.
  • Ability to work independently on technical and administrative matters in accordance with company policy and procedures.

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