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Complex Claims Manager Jobs (NOW HIRING)

## Complex Claims Manager - Construction DefectApplylocations: Remote - Florida: Remote - Alabama: Remote - Utah: Remote - Ohio: Remote - Texastime type: Full timeposted on: Posted Yesterdayjob ...

NY · On-site

## Complex Claims Manager - Construction DefectApplylocations: Remote - Florida: Remote - Alabama: Remote - Utah: Remote - Ohio: Remote - Texastime type: Full timeposted on: Posted Yesterdayjob ...

COMPLEX CLAIMS MANAGER Our not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 9,000 of the ...

Are you ready to take on a pivotal leadership role within the Complex Claims Unit (CCU)? CCU is a highly specialized home office claim organization responsible for managing the Company's most complex ...

Director, Complex Claims We are seeking an experienced and strategic Director, Complex Claims to ... Manage expenses with discipline and accountability. * Promote compliance and execution excellence ...

Director Complex Claims

Hartford, CT · On-site

$130K - $185K/yr

Director, Complex Claims We are seeking an experienced and strategic Director, Complex Claims to ... Manage expenses with discipline and accountability. * Promote compliance and execution excellence ...

Director, Complex Claims We are seeking an experienced and strategic Director, Complex Claims to ... Manage expenses with discipline and accountability. * Promote compliance and execution excellence ...

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Complex Claims Manager information

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$35K

$87.9K

$139K

How much do complex claims manager jobs pay per year?

As of Sep 15, 2026, the average yearly pay for complex claims manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What is a complex claims manager?

Complex Claims Managers are specialized insurance professionals responsible for overseeing and resolving particularly challenging or high-value insurance claims. They handle cases that often involve multiple parties, significant financial exposure, or intricate legal and policy issues. Their role includes investigating claims, coordinating with legal teams and experts, negotiating settlements, and ensuring compliance with regulations. Complex Claims Managers play a vital role in protecting both the insurer and the policyholder's interests throughout the claims process.

What are the key skills and qualifications needed to thrive as a complex claims manager?

To thrive as a Complex Claims Manager, you need in-depth knowledge of insurance policies, claims procedures, and legal regulations, typically supported by a bachelor's degree and significant claims management experience. Familiarity with claims management systems such as Guidewire, data analysis tools, and relevant industry certifications (e.g., CPCU or AIC) is often required. Strong negotiation, analytical thinking, and communication skills help manage high-stakes claims and coordinate with multiple stakeholders. These capabilities are essential to efficiently resolve complex claims, minimize risk, and ensure regulatory compliance for the organization.

What are the typical challenges faced by a complex claims manager, and how can they be effectively managed?

Complex Claims Managers frequently encounter multifaceted cases involving significant financial exposure, multiple parties, and evolving legal or regulatory requirements. Managing these claims usually requires strong analytical skills, clear communication, and the ability to coordinate with legal, underwriting, and external experts. One effective strategy is to establish robust case management protocols and maintain open lines of communication with all stakeholders. Staying current on industry trends and regulatory changes also helps Complex Claims Managers anticipate and address potential issues proactively.

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

AspectComplex Claims ManagerClaims Adjuster
CredentialsCertifications like CPCU, ARM, or AIC often preferredAdjuster licenses vary by state; certifications like AIC or CPCU beneficial
Work EnvironmentTypically manages teams, handles high-value or complicated claims, often in an office settingInvestigates and evaluates individual claims, often in the field or office
Industry UsageCommon in insurance companies, especially in property and casualty sectorsUsed across insurance companies, adjusting claims for various policies

The Complex Claims Manager oversees complex and high-value claims, managing teams and strategic decisions, while Claims Adjusters focus on investigating and settling individual claims. Both roles require relevant certifications and are integral to insurance operations, but they differ in scope and responsibilities.

What cities are hiring for Complex Claims Manager jobs?

Cities with the most Complex Claims Manager 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 Manager jobs?

States with the most job openings for Complex Claims Manager jobs include:

What are popular job titles related to Complex Claims Manager jobs?

For Complex Claims Manager jobs, the most frequently searched job titles are:

Infographic showing various Complex Claims Manager job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 40% In-person, 20% Hybrid, and 40% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.

Complex Claims Manager - Construction Defect

On-site

CRC Group
11 - 50 employees

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 28 days ago


Key responsibilities

  • Investigate, assess, and resolve complex or high-exposure Construction Defect claims within authority limits.

  • Conduct comprehensive coverage analysis and determine liability exposure.

  • Negotiate settlements within authority limits and in alignment with organizational objectives.


Job description

## Complex Claims Manager - Construction DefectApplylocations: Remote - Florida: Remote - Alabama: Remote - Utah: Remote - Ohio: Remote - Texastime type: Full timeposted on: Posted Yesterdayjob requisition id: R0000003044**The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.****If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to** Accessibility **(accommodation requests only; other inquiries won't receive a response).****Regular or Temporary:**Regular**Language Fluency:** English (Required)**Work Shift:**1st Shift (United States of America)**Please review the following job description:**The Complex Claims Manager manages complex Construction Defect claims processes, including investigating, evaluating, and resolving high-severity claims in compliance with company standards and regulations.**KEY RESPONSIBILITIES:**Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.• Investigate, assess, and resolve complex or high-exposure **Construction Defect** claims within authority limits. • Conduct comprehensive coverage analysis and determine liability exposure. • Negotiate settlements within authority limits and in alignment with organizational objectives. • Provide guidance, mentoring, and technical expertise to less experienced claims staff. • Collaborate with legal counsel, brokers, and insured clients to ensure proper claim resolution. • Ensure adherence to organizational standards, regulatory requirements, and industry best practices. • Prepare and present reports on claim status, trends, and risk exposure to management.**EDUCATION AND EXPERIENCE**The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.• Bachelor’s degree in business, finance, insurance, or related field. • Minimum of 5+ years of experience in claims handling Complex Construction Defect claims. • Prior experience managing complex or high-severity claims preferred. • Experience with litigation management and settlement negotiation.**CERTIFICATIONS / LICENSES / REGISTRATIONS**• Adjuster license as required by jurisdiction. • Industry certifications such as CPCU or AIC preferred but not mandatory.**FUNCTIONAL SKILLS**• Advanced knowledge of insurance policies, coverages, and claims processes. • Proficiency in claims management systems and related technology tools. • Strong analytical and problem-solving skills for evaluating complex claim scenarios. • Effective negotiation skills with demonstrated ability to influence outcomes. • Excellent written and verbal communication skills for diverse stakeholder engagement. • Ability to manage multiple priorities and meet strict deadlines under pressure.**General Description of Available Benefits for Eligible Employees of CRC Group:** At CRC Group, we're committed to supporting every aspect of teammates' well-being – physical, emotional, financial, social, and professional. Our best-in-class benefits program is designed to care for the whole you, offering a wide range of coverage and support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group also offers generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more. Eligible positions may also qualify for restricted stock units and/or a deferred compensation plan.***CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace.*** #J-18808-Ljbffr