Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. * Partners with ...
Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. * Partners with ...
Manages an inventory of the most complex commercial claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of ...
Manages an inventory of the most complex commercial claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of ...
Manages an inventory of the most complex commercial claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of ...
Manages an inventory of the most complex commercial claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of ...
Manages an inventory of the most complex commercial claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of ...
Manages an inventory of the most complex commercial claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of ...
To be successful in your role, you will strategically manage complex healthcare claims and litigation, ensuring thorough investigation, objective analysis, and effective resolution. You will ...
To be successful in your role, you will strategically manage complex healthcare claims and litigation, ensuring thorough investigation, objective analysis, and effective resolution. You will ...
System Manager Claims
Rancho Cordova, CA · Remote
$45.26 - $74.67/hr
To be successful in your role, you will strategically manage complex healthcare claims and litigation, ensuring thorough investigation, objective analysis, and effective resolution. You will ...
System Manager Claims
Rancho Cordova, CA · Remote
$45.26 - $74.67/hr
To be successful in your role, you will strategically manage complex healthcare claims and litigation, ensuring thorough investigation, objective analysis, and effective resolution. You will ...
Manages an inventory of the most complex commercial claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of ...
Manages an inventory of the most complex commercial claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of ...
Manages an inventory of the most complex commercial claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of ...
Manages an inventory of the most complex commercial claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of ...
Responsibilities include investigating and resolving claims according to company protocols, quality ... Ability to exercise independent judgement, solve moderately complex problems and make sound ...
Responsibilities include investigating and resolving claims according to company protocols, quality ... Ability to exercise independent judgement, solve moderately complex problems and make sound ...
System Manager Claims
Rancho Cordova, CA · Remote
$45.26 - $74.67/hr
To be successful in your role, you will strategically manage complex healthcare claims and litigation, ensuring thorough investigation, objective analysis, and effective resolution. You will ...
System Manager Claims
Rancho Cordova, CA · Remote
$45.26 - $74.67/hr
To be successful in your role, you will strategically manage complex healthcare claims and litigation, ensuring thorough investigation, objective analysis, and effective resolution. You will ...
Responsibilities include investigating and resolving claims according to company protocols, quality ... Ability to exercise independent judgement, solve moderately complex problems and make sound ...
Responsibilities include investigating and resolving claims according to company protocols, quality ... Ability to exercise independent judgement, solve moderately complex problems and make sound ...
Manages an inventory of highly complex healthcare claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify ...
New
Manages an inventory of highly complex healthcare claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify ...
New
Sr. Workers' Compensation Claims Adjuster
Long Beach, CA · On-site +1
$69K - $89K/yr
Effectively manages a caseload of 130 to 140 workers' compensation files, including very complex claims. * Initiates and conducts investigation in a timely manner. * Determines compensability of ...
Sr. Workers' Compensation Claims Adjuster
Long Beach, CA · On-site +1
$69K - $89K/yr
Effectively manages a caseload of 130 to 140 workers' compensation files, including very complex claims. * Initiates and conducts investigation in a timely manner. * Determines compensability of ...
Manages an inventory of highly complex healthcare claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify ...
New
Manages an inventory of highly complex healthcare claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify ...
New
Claims Examiner
Los Angeles, CA · On-site
Venbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation ...
Claims Examiner
Los Angeles, CA · On-site
Venbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation ...
Claims Specialist
$50K - $70K/yr
Collaborate with other adjusters, supervisors, and support staff to resolve complex claims and ensure efficient claims handling Requirements: * 1+ years of experience as an auto claims adjuster or in ...
Quick apply
Claims Specialist
$50K - $70K/yr
Collaborate with other adjusters, supervisors, and support staff to resolve complex claims and ensure efficient claims handling Requirements: * 1+ years of experience as an auto claims adjuster or in ...
Claims Examiner
Los Angeles, CA · On-site
Venbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation ...
Claims Examiner
Los Angeles, CA · On-site
Venbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation ...
Sr. Work Comp Claims Adjuster (Rancho Cordova, CA)
Rancho Cordova, CA · On-site
$85K - $95K/yr
Effectively manages a caseload of 130 to 150 workers' compensation files, including very complex claims. * Initiates and conducts investigation in a timely manner. * Determines compensability of ...
Sr. Work Comp Claims Adjuster (Rancho Cordova, CA)
Rancho Cordova, CA · On-site
$85K - $95K/yr
Effectively manages a caseload of 130 to 150 workers' compensation files, including very complex claims. * Initiates and conducts investigation in a timely manner. * Determines compensability of ...
Senior Claims Examiner
Anaheim, CA · On-site
$69K - $89K/yr
Venbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation ...
Senior Claims Examiner
Anaheim, CA · On-site
$69K - $89K/yr
Venbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation ...
Sr. Work Comp Claims Adjuster (SIP Cert required - Concord, CA)
Concord, CA · On-site
$85K - $95K/yr
Effectively manages a caseload of 130 to 150 workers' compensation files, including very complex claims. * Initiates and conducts investigation in a timely manner. * Determines compensability of ...
Sr. Work Comp Claims Adjuster (SIP Cert required - Concord, CA)
Concord, CA · On-site
$85K - $95K/yr
Effectively manages a caseload of 130 to 150 workers' compensation files, including very complex claims. * Initiates and conducts investigation in a timely manner. * Determines compensability of ...
Complex Claims information
See California salary details
$33.6K - $41.1K
18% of jobs
$41.1K - $48.7K
4% of jobs
$50.3K is the 25th percentile. Wages below this are outliers.
$48.7K - $56.3K
13% of jobs
$56.3K - $63.9K
9% of jobs
The median wage is $67.4K / yr.
$63.9K - $71.5K
14% of jobs
$71.5K - $79K
15% of jobs
$81.4K is the 75th percentile. Wages above this are outliers.
$79K - $86.6K
9% of jobs
$86.6K - $94.2K
3% of jobs
$94.2K - $101.8K
7% of jobs
$101.8K - $109.4K
3% of jobs
$109.4K - $116.9K
5% of jobs
$33.6K
$71.2K
$116.9K
How much do complex claims jobs pay per year?
What are the key skills and qualifications needed to thrive as a complex claims specialist, and why are they important?
What is the difference between Complex Claims vs Claims Adjuster?
| Aspect | Complex Claims | Claims Adjuster |
|---|---|---|
| Required Credentials | Insurance licenses, certifications in claims handling | Insurance licenses, certifications in claims handling |
| Work Environment | Handling complex, high-value, or specialized claims | Assessing and settling a variety of insurance claims |
| Employer & Industry Usage | Insurance companies, third-party administrators | Insurance companies, independent agencies |
| Common Search & Comparison | Complex Claims vs Claims Adjuster |
Complex Claims and Claims Adjusters both require insurance licenses and work within the insurance industry. However, Complex Claims specialists handle high-value, intricate, or specialized claims that demand advanced knowledge and problem-solving skills. Claims Adjusters generally manage a broader range of claims, including straightforward cases. The key difference lies in the complexity and scope of claims managed, with Complex Claims roles focusing on more challenging and detailed cases.
What are the most common challenges faced by professionals handling complex claims, and how can they be managed effectively?
What are complex claims?
What is considered a complex claim?

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 8 days ago
USAA rating
8.2
Based on 262 frontline employees who took The Breakroom Quiz
51st of 170 rated banks
Job description
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.
We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.
The Opportunity
As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members' life events, as appropriate.
Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime available.
This is a local field-based role in San Diego, CA. Candidates currently living in this location or willing to self-relocate are encouraged to apply.
What you'll do:
Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability.
Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources.
May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.
Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies.
Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.
Maintains accurate, thorough, and current claim file documentation throughout the claims process.
Advance knowledge of estimating technology platforms and virtual inspection tools.
Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.
Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
May be assigned CAT deployment travel with minimal notice during designated CATs.
Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience.
Adjusts complex claims with attorney involvement.
Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.
May require travel to resolve claims, attend training, and conduct in-person inspections.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
High School Diploma or General Equivalency Diploma.
2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Advanced knowledge of estimating losses using Xactimate or similar tools and platforms.
Proficient knowledge of residential construction.
Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations.
Proficient negotiation, investigation, communication, and conflict resolution skills.
Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.
Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
Successful completion of a job-related assessment may be required.
2+ years of field experience handling higher severity/complex losses (i.e. vandalism, malicious mischief, foreclosures, earth movement, collapse, liability, etc.)
Carrier experience with strong contract knowledge and ability to write large estimates
Experience adjusting property claims using virtual technologies
Property field adjuster experience handling DWG, APS and ALE adjustments
Industry designations such as AINS, CPCU, AIC, SCLA (or actively pursuing)
Xactimate Level 1 and/or Level 2 certification
Prior deployments in support of catastrophes
Currently hold an active Adjuster License
Currently reside in the Northern San Diego, CA area
US military experience through military service or a military spouse/domestic partner
May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces.
May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver's license.
May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.
May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.
Compensation range: The salary range for this position is: $80,720 - $145,300.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
About USAA
Sourced by ZipRecruiter
Industry
Finance and insurance
Company size
10,000+ Employees
Headquarters location
San Antonio, TX, US
Year founded
1922