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Complex Claims Adjuster Jobs (NOW HIRING)

CARS Protection Plus, Inc.

Claims Adjuster Level II

$50K - $66K/yr

Claims Manager Summary As a Claims VSC Adjuster II, you will play a key role in our operations by adjudicating multicomponent, moderately complex claims. This position is ideal for someone with a ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly ...

HomeFirst Agency

Claims Adjuster

Maryville, TN · On-site

Claims Adjuster I JOB STATUS: Full-time/Hourly DEPARTMENT: Claims REPORTS TO: Claims Team Lead ... Escalates complex insurance claims to management and legal teams including those subject to ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly ...

Elite

Sr. Workers' Compensation Claims Adjuster

Long Beach, CA · On-site +1

$69K - $89K/yr

Must have a California SIP (Workers Compensation - Sr. Work Comp Claims Adjuster) Must be Bilingual ... Effectively manages a caseload of 130 to 140 workers' compensation files, including very complex ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly ...

Edge Claims

Claims Adjuster, Litigation

Roanoke, TX · On-site

The Litigation Adjuster is an advanced-level position responsible for managing and resolving ... Manage caseload of complex, high-exposure litigated claims across multiple jurisdictions.

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly ...

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Complex Claims Adjuster information

See salary details

$30.5K

$64.6K

$90K

How much do complex claims adjuster jobs pay per year?

As of Aug 7, 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?

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.

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.
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 August 2026, with employment types broken down into 1% As Needed, 89% Full Time, 7% Part Time, and 3% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.

Sr Claims Adjuster - Casualty

Brotherhood Mutual

Fort Wayne, IN • On-site

Full-time

Re-posted 25 days ago

Brotherhood Mutual rating

7.3

Company rating: 7.3 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

235th of 303 rated insurance

Job description

Job Title: Sr Claims Adjuster - Casualty
FLSA Status: Exempt
Job Family: Claims
Department: Casualty Claims
Location: Corporate Office (Fort Wayne, IN)
JOB SUMMARY
Responsible for effectively analyzing and resolving assigned serious/complex claims consistent with
claims department standards and company objectives.
POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions.
  • Resolve primarily serious/complex, (including but not limited to claims involving unusual damage
    or coverage issues or need to involve expert analysis or that require early recognition of
    policyholder concerns), claims within established settlement authority in a prompt, fair and
    equitable manner. Identify and investigate coverage, damage, and reserve adequacy on assigned
    claims.
  • Apply statutes, common law, and other applicable legal and regulatory concepts for the effective,
    efficient and equitable resolution of assigned claims.
  • Achieves established claim file audit objectives.
  • Communicate with policyholders, agents, claimants, attorneys, medical providers and other
    persons as needed and direct independent adjusters, appraisers and other support service
    providers to ensure effective, efficient, and equitable claims resolution.
  • Acquire, record and maintain all essential file documentation in accordance with established
    guidelines.
  • Provide timely status reports regarding assigned claims to department management and others.
  • Identify and pursue appropriate cost containment, loss mitigation and subrogation recovery
    opportunities.
  • Participate and provide input in departmental meetings or interdepartmental meetings, projects or
    processes that relate to the claims function.
  • Travel as needed to attend training programs, conferences, mediations/other legal proceedings,
    and to conduct investigation relating to claims resolution.
  • Further the attainment of overall department objectives by assisting other claims personnel as
    needed.
  • Participate as needed in the orientation or training of new department personnel.
  • Assist in the setting of initial reserves as needed.
  • Complete other projects as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES
The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform
each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
  • Must be able to effectively communicate with others (both oral and written). Must be able to
    communicate complex coverage and legal concepts in both an oral and written format.
  • Must be able to make independent decisions.
  • Must have strong organizational and interpersonal skills.
  • Must have the ability to handle confrontational situations in a productive manner. Must possess
    strong negotiation skills and utilize them in the resolution of serious/complex claims.
  • Must have a thorough understanding of all issues related to claims. Must have a thorough
    understanding of coverage.
  • Must be able to access, input and retrieve information from a computer. Must have a thorough
    understanding of all automated claims department processing systems and workflows.
  • Must be able to train others on claims department policies, procedures and systems.
  • Should be able to sit for prolonged periods of time. Should have the ability to inspect losses by
    walking, lifting, climbing or bending.
  • Effectively interface with external contacts, Brotherhood employees, managers, and department
    staff members.

EDUCATION AND/OR EXPERIENCE
List Degree Requirement, Years' Experience, and Certifications
  • Bachelor's degree required.
  • Must be able to take and pass mandatory adjuster licensing requirements.
  • Must have five or more years of claim technical experience.
  • CPCU designation strongly desired.
  • Seven years or more of Brotherhood Mutual claims technical experience is desired.

Terms and Conditions
This description is intended to describe the general content of and requirements for the performance of this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
Because the company's niche is the church and related ministries market, and because effective service requires a thorough understanding of this market, persons in this position must be familiar with church operations and must conduct themselves in a manner that will neither alienate nor offend persons within this target niche.
Brotherhood Mutual Insurance Company reserves the right to modify, interpret, or apply this position description in any way the company desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. This position description is not an employment contract, implied or otherwise. The
employment relationship remains "at-will".
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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