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Complex Claims Adjuster Jobs (NOW HIRING)

Senior Claims Adjuster

Phoenix, AZ ยท Remote

$62.50K - $80.90K/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 ...

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Workers Compensation Claims Adjuster Direct Hire - Remote Salary: Up to $88,000 per year About Our ... The Houston branch is a cornerstone of their workers' compensation operations -- serving complex ...

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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 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.

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:
Complex Claims Adjuster - Commercial Liability

Complex Claims Adjuster - Commercial Liability

Berkshire Hathaway GUARD Insurance Companies

Wilkes Barre, PA โ€ข Hybrid

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 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 seeking a Commercial Liability Adjuster to handle Commercial General Liability (CGL) claims, including litigated files.

What You'll Do

  • Investigate claims and determine coverage and liability
  • Review reports, medical records, and other documentation to evaluate damages and set reserves
  • Process indemnity and expense payments
  • Interview insureds, claimants, and witnesses
  • Work with defense attorneys to manage litigated claims
  • Maintain claim documentation and support claim resolution
Qualifications
  • Experience handling Commercial General Liability (CGL) claims
  • JD preferred, or bachelor's degree with experience adjusting liability claims and litigation
  • Strong written and verbal communication skills
  • Organizational skills and ability to manage multiple claims
  • Experience using claims systems and standard business tools
  • 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.

Employment Type: FULL_TIME