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Complex Claims Jobs (NOW HIRING)

Complex Claims Director, Severity

Chicago, IL ยท Hybrid

$112K - $140K/yr

Join us as a Complex Director in Excess Claims to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Make your mark in ...

New

Complex Claims Director, Severity

Boston, MA ยท Hybrid

$112K - $140K/yr

Join us as a Complex Director in Excess Claims to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Make your mark in ...

New

Complex Claims Director, Severity

Dallas, TX ยท Hybrid

$112K - $140K/yr

Join us as a Complex Director in Excess Claims to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Make your mark in ...

New

Join us as a Complex Claims Director - TPA Oversight to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Make your mark in ...

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Complex Claims information

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$34K

$72.1K

$118.5K

How much do complex claims jobs pay per year?

As of Jul 15, 2026, the average yearly pay for complex claims in the United States is $72,103.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $89,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Complex Claims Specialist, and why are they important?

To thrive as a Complex Claims Specialist, you need in-depth knowledge of insurance policies, strong analytical skills, and experience in claims investigation, typically supported by a bachelor's degree and relevant industry certifications. Familiarity with claims management systems, legal databases, and specialized software (such as Xactimate or Guidewire) is essential. Exceptional negotiation, critical thinking, and communication skills are crucial for managing sensitive cases and interacting with multiple stakeholders. These skills ensure accurate, fair, and timely resolution of complex claims, minimizing risk and maintaining client trust.

What is the difference between Complex Claims vs Claims Adjuster?

AspectComplex ClaimsClaims Adjuster
Required CredentialsInsurance licenses, certifications in claims handlingInsurance licenses, certifications in claims handling
Work EnvironmentHandling complex, high-value, or specialized claimsAssessing and settling a variety of insurance claims
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent agencies
Common Search & ComparisonComplex 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?

Professionals handling complex claims often encounter challenges such as interpreting intricate policy language, coordinating with multiple stakeholders, and managing large volumes of documentation. To manage these effectively, it's important to develop strong analytical and communication skills, stay organized, and leverage technology for efficient case management. Collaboration with legal teams, underwriters, and external experts is also key to resolving claims accurately and fairly, while ongoing professional development helps keep up with changing regulations and best practices.

What are complex claims?

Complex claims are insurance claims that involve complicated circumstances, multiple parties, or high-value losses, making them more challenging to resolve than standard claims. These claims often require in-depth investigation, specialized expertise, and extended negotiations due to issues like legal disputes, unclear liability, or extensive damages. Handling complex claims typically involves working closely with legal teams, experts, and various stakeholders to ensure a fair and accurate resolution. Insurance companies usually assign experienced adjusters or specialists to manage these types of claims.
More about Complex Claims jobs
What cities are hiring for Complex Claims jobs? Cities with the most Complex Claims 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 jobs? States with the most job openings for Complex Claims jobs include:
Infographic showing various Complex Claims job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $72,103 per year, or $34.7 per hour.

Head of Specialty Complex Claims

AXIS Capital

Alpharetta, GA โ€ข Hybrid

Full-time

Medical, Retirement, PTO

Posted 23 days ago


Job description

This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance.ย  We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture.ย  As a member of AXIS, you join a team that is among the best in the industry.

At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.

All qualified applicants will receive consideration for employment without regard to any protected characteristic, including age, color, disability, ethnicity, gender identity, marital status, national origin, pregnancy, race, religion, sex, sexual orientation, veteran status, or any basis prohibited by the laws that govern its operations.

AXIS Capital,
Head of Specialty Complex Claims

About AXIS

This is your opportunity to join AXIS Capital - a leading provider of specialty insurance and global reinsurance. We give people and organizations the confidence to take necessary risks in the pursuit of their goals and ambitions. Our strength is grounded in our people and culture, which encourages collaboration, diversity, and entrepreneurialism.

Life at AXIS

  • Hybrid work model: We value work-life balance and offer flexibility to our employees through a hybrid work model
  • Diverse and inclusive environment: We celebrate diversity and strive to create an inclusive environment for all employees
  • Career growth opportunities: We are committed to your professional development and offer various opportunities for growth advancement
  • Social impact initiatives: We believe in making a difference and support various social and environmental causes

Job Description

AXIS is seeking a Head of Specialty Complex Claims to join our North America Claims team. This role reports to the Head of North America Claims. As a direct report to the Head of North America Claims, the candidate should possess the ability to lead and develop a sophisticated team of claims professionals handling and managing a wide variety of claims with coverage issues as well as coverage litigation involving Casualty (Primary & Excess), Commercial Property, Financial & Professional Lines, Program Claims (all lines of business), Canada Claims (all lines of business), A&H Claims and serve as a resource for our international counterparts for claims involving domestic coverage issues and litigation.

This role will be responsible for leading and developing a team of claims professionals that will be responsible for:

< >Direct management of claims involving complex coverage issues as defined by the Head of North America Claims, including the investigation, analysis and evaluation of coverage liability and damages, within best practices

< >Direct management of coverage disputes, including litigation and arbitration matters initiated by Axis issuing companies and when Axis issuing companies are parties to such litigation

< >Formulating claims and litigation strategies, assigning, directing, and managing outside counsel in coverage litigation or arbitration

< >Managing discovery issues and responses, including opportunities to ensure consistency as well as identifying relevant and responsive information and ensuring proper and adequate preparation of company witnesses for deposition and trial testimony

< >Providing guidance to the North America Claims teams regarding coverage issues, coverage disputes and claim handling issues, including strategic direction as well as recommending and approving outside coverage counsel assignments

< >Managing coverage counsel and litigation costs as well as collaborating and working with the Litigation Management and Vendor Management teams ensuring cost management and the development and enhancement of the coverage counsel panel

< >Collaborating across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims handlingIn addition, the Head of Specialty Complex will:

< >Identify, liability and coverage trends and issues with both individual and portfolio impact and formulating the processes and strategies for handling such claims as well as the related coverage issues ensuring accurate and consistent claims management across impacted underwriting segments and lines of business.

< >Support underwriting inquiries and information requests regarding policy construction and drafting, reporting claim trends, data analysis, and risk assessments

< >Recruit, hire and retain top talent and develop appropriate succession plans

< >Build and maintain key relationships with internal stakeholders (e.g., peers, Underwriting, Actuarial, various executive management leaders) and external stakeholders (e.g., brokers, insureds, attorneys, auditors, reinsurers, and vendors)Communicate with senior executives, brokers, reinsurers, actuaries, insureds, and auditors (both external and internal)Demonstrate ownership, leadership, strategic thinking, with respect to aspects of the role, including analysis, reporting and communication about portfolio risk exposures and coordination with International Counterparts.

< >Actively coach and mentor direct reports, providing regular feedback, and developing employees for broader roles and responsibilities that support professional growth and development and working collaboratively with HR Business partner support and guidance.

< >Reflect Axis Culture and Values - everyday demonstrate the Axis behaviors that support and align with Axis values: People, Decisiveness, Excellence and Stronger Together

KEY SKILLS & ABILITIES:

7-10+ years of claims management experience handling a wide variety of coverage issues and coverage litigation involving the various claims disciplines summarized previously, as well as:

< >Demonstrated ability and experience handling coverage issues involving a wide variety of loss scenarios as well as reporting and presenting about same to senior management

< >In-depth knowledge of claims, litigation, arbitration, and trial processes as well as excellent analytical, investigative, and negotiating skills

< >Experience practicing law as well as claims management (both directly managed and TPA managed claims)

< >Ability to influence and collaborate at all organizational levels, both internally, externally, and within peer groups as well as the ability to identify and resolve complex, disputed claims

< >Analytical thinker that can drive results using all facets of the legal and claims processes Understanding of and ability to balance both the immediate claim issues as well as the broader portfolio impact and customer service impact of coverage disputes and issues

< >Excellent oral and written communication skills with the ability to deal effectively with people with conflicting expectations, differing opinions, and multiple viewpoints

< >Law Degree and admission in good standing to one of the fifty state bars Travel is associated with this role (e.g., team management, court proceedings, mediations, and settlement)

For this position, we currently expect to offer a base salary in the range of 250-270K . Your salary offer will be based on an assessment of a variety of factors including your specific experience and work location.

In addition, you will be offered competitive target incentive compensation, with awards based on overall corporate and individual performance. On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more.

Where this role is based in the United States of America, this role isExempt for FLSA purposes.

This posting is for an existing vacancy.