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Complex Claims Adjuster Jobs (NOW HIRING)

Elite

Sr. Work Comp Claims Adjuster (PA & NJ)

Philadelphia, PA · On-site +1

$66K - $86K/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 ...

Gallagher

Senior Claims Adjuster

Phoenix, AZ · Remote

$62K - $80K/yr

You'll mentor and guide other adjusters, helping them grow their skills and confidence. You'll also ... Investigate and resolve complex claims with care and precision. * Provide mentorship and guidance ...

Network Adjusters, Inc.

Claims Adjuster

Farmingdale, NY · On-site

$70K/yr

Claims may include complex commercial auto and general liability exposures with higher severity and ... Adjusters routinely take statements, review medical records and police reports, collaborate with ...

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Complex Claims Adjuster information

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$30.5K

$64.6K

$90K

How much do complex claims adjuster jobs pay per year?

As of Jun 27, 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 is a complex claims adjuster?

A complex claims adjuster is a professional who investigates and evaluates insurance claims that involve complicated or high-value cases, such as large property damages or liability issues. They require strong analytical skills, knowledge of insurance policies, and often use specialized tools or software to determine coverage and settlement amounts.

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 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.

How much does a complex adjuster make?

A complex claims adjuster typically earns between $60,000 and $90,000 annually, depending on experience, location, and the complexity of claims handled. Senior or specialized adjusters with certifications can earn higher salaries, and the role often involves working with claims management software and detailed documentation.

What type of claim adjuster makes the most money?

In the field of claims adjusting, specialized roles such as catastrophe or large-loss claim adjusters tend to earn the highest salaries due to the complexity and scale of claims they handle. These adjusters often require advanced certifications, such as the Chartered Property Casualty Underwriter (CPCU), and work in high-pressure environments, which contribute to higher compensation compared to general claims adjusters.

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.

Is a claims adjuster a high stress job?

A complex claims adjuster often works in a high-pressure environment, managing difficult claims and tight deadlines. The job can be stressful due to the need for attention to detail, decision-making under pressure, and handling emotionally charged situations, but stress levels vary based on workload and experience. Strong organizational skills and certification can help manage job stress effectively.
More about Complex Claims Adjuster jobs
What cities are hiring for Complex Claims Adjuster jobs? Cities with the most Complex Claims Adjuster job openings:
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
Infographic showing various Complex Claims Adjuster job openings in the United States as of June 2026, with employment types broken down into 14% As Needed, 14% Full Time, 65% Contract, and 7% Nights. Highlights an 70% Physical, 10% Hybrid, and 20% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.
Sr. Workers' Compensation Claims Adjuster - Complex/Litigation (NJ)

Sr. Workers' Compensation Claims Adjuster - Complex/Litigation (NJ)

Berkshire Hathaway GUARD Insurance Companies

Scottsdale, AZ • On-site, Remote

$50K - $100K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

Overview

Good Things Start Here.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies-an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, longterm careers.

Good Things You Can Count On.

  • Hybrid schedule: 2 days remote / 3 inoffice
  • Predictable hours (no nights, weekends, or holidays)
  • Competitive pay + generous PTO
  • Medical, dental & vision starting day one
  • 401(k), tuition reimbursement & longevity bonuses
Responsibilities

Berkshire Hathaway GUARD Insurance Companies is hiring a Workers' Compensation Claims Adjuster in our Complex Unit. The Complex Claims Adjuster handles New Jersey loss time workers' compensation claims, including litigated files, across multiple jurisdictions.

  • Determine compensability and coverage for workers' compensation claims
  • Negotiate and complete settlements within established authority levels
  • Gather and review medical and factual evidence
  • Coordinate outside investigations
  • Manage defense counsel and litigation activity
  • Communicate with claimants, attorneys, investigators, rehabilitation providers, insureds, medical providers, and agents
  • Maintain claim handling and documentation in accordance with company and regulatory requirements
Qualifications
  • 3+ years of experience handling New Jersey loss time workers' compensation claims, including litigated claims
  • Experience working for an insurance carrier
  • Ability to handle claims across multiple jurisdictions
  • Organizational and prioritization skills
  • Ability to evaluate claims, negotiate settlements, and manage multiple open files
  • Strong written and verbal communication skills
  • Bachelor's degree or equivalent experience preferred

  • Licensing Requirement: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses. The company will support the licensing process, including training and compliance with ongoing continuing education requirements.

Salary $50,000 - $100,000

In accordance with applicable pay transparency laws, this range represents a goodfaith estimate. Final compensation will be determined based on factors such as experience, credentials, geographic location, and other considerations permitted by law.

This role may be based out of any of our office locations, including:

New York, NY; Parsippany, NJ; Conshohocken, PA; WilkesBarre, PA; Alpharetta, GA; Rosemont, IL; Plano, TX; Scottsdale, AZ; and Rancho Cordova, CA.

Employment Type: FULL_TIME

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