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Complex Claims Jobs (NOW HIRING)

Lincoln, NE The Company is an equal employment opportunity employer. #LI-hybrid, #LI-LD1 As a Complex Claims Legal Consultant, you will serve as the organization's senior technical expert for high ...

Complex Claims Director, Excess

Scottsdale, AZ ยท On-site

$105K - $135K/yr

Join us as a Complex Claims Director 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 Excess Casualty ...

Complex Claims Director, Excess

Boston, MA ยท On-site

$105K - $135K/yr

Join us as a Complex Claims Director 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 Excess Casualty ...

Complex Claims Director, Excess

Chicago, IL ยท On-site

$105K - $135K/yr

Join us as a Complex Claims Director 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 Excess Casualty ...

$95K - $120K/yr

Our client currently seeks a Complex Claims Technical Specialist Claims professional to join their organization in one of the following locations: Scottsdale, Hartford, Chapel Hill The Complex Claims ...

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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 Jun 7, 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.

Is claim adjusting a dying field?

Claim adjusting remains a vital part of the insurance industry, with steady demand for professionals who can evaluate and settle claims accurately. While automation and technology are increasingly used, skilled adjusters are still needed to handle complex cases, provide customer service, and interpret policy details. Continuous learning and certification can enhance job prospects in this evolving field.

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 May 2026, with employment types broken down into 1% As Needed, 96% Full Time, 1% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $72,103 per year, or $34.7 per hour.
Complex Claims Legal Consultant

Complex Claims Legal Consultant

Berkley

Urbandale, IA โ€ข Hybrid

Full-time

Retirement, PTO

Posted 27 days ago


Job description

Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.

As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions.ย  W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poorโ€™s Financial Rating of A+ (Strong).ย ย 

This role is based in one of our locations listed below where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so.ย ย 

  • Urbandale, IA
  • Lincoln, NE


The Company is an equal employment opportunity employer.

#LI-hybrid, #LI-LD1


As a Complex Claims Legal Consultant, you will serve as the organizationโ€™s senior technical expert for high-severity and high-complexity casualty claims, providing advanced legal, coverage, and strategic guidance. You will function as a subject-matter authority on extra-contractual exposures, complex liability matters, emerging legal trends, coverage interpretation, and litigation management. The consultant partners closely with leadership, outside counsel, and front-line claim professionals to mitigate exposure, ensure legal and regulatory compliance, and drive best-in-class technical performance.

What you can expect:

  • Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
  • Internal mobility opportunities.ย 
  • Visibility to senior leaders and partnership with cross functional teams.
  • Opportunity to impact change.
  • Benefits โ€“ competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education. ย 

We'll count on you to:

  • Monitor and direct strategy for complex, high-exposure, and legally sensitive claim files, including matters involving significant bodily injury, wrongful death, multi-party litigation, complex coverage questions, contractual risk transfer, potential bad-faith allegations, toxic tort, public entity liability, and employer's practices liability.
  • Provide advanced legal and technical advice to claims staff, leaders, and cross-functional partners, including interpretation of policy language, coverage opinions, exposure analysis, and litigation strategy.
  • Conduct detailed case evaluations, participate in pre-trial/roundtable discussions, and guide reserve recommendations ensuring accuracy, consistency, and defensibility.
  • Lead oversight and management of extra-contractual and bad-faith exposure files, collaborating with panel counsel and internal stakeholders to mitigate risk.
  • Assist in claim file and law firm audits, ensuring adherence to legal, regulatory, and company compliance expectations.
  • Partner with leadership on emerging legal trends affecting casualty claims; develop recommendations for process, governance, and policy improvements.
  • Lead and deliver advanced technical training for casualty claims staff, including coverage analysis, jurisdictional updates, litigation strategy, and contractual risk transfer.
  • Participate in special projects requiring legal insight, including policy language review, litigation management initiatives, and cross-departmental risk mitigation efforts.

What you need to have:

  • Juris Doctor (JD) required.
  • 10+ years of experience with complex casualty claims, litigation, or insurance defense.
  • Ability to travel.
  • Ability to organize, prioritize, and manage multiple tasks in a fast-paced environment.
  • Possess strong customer orientation skills to respond quickly and professionally to customer inquiries.
  • Effective project management skills.
  • Ability to communicate with all levels of the organization.
  • Demonstrate problem-analysis and problem-resolution skills.
  • Excellent interpersonal and communication skills, including written, verbal and presentation skills.
  • Demonstrated expertise in complex liability evaluation, litigation management, and advanced coverage analysis.
  • Ability to interpret policy language and complex legal documents with a high degree of accuracy.
  • Proven ability to mentor and elevate technical skill of claims staff.
  • Strong critical thinking, negotiation, and strategic problem-solving skills.
  • Ability to handle multiple complex matters simultaneously in a fast-paced environment.

What makes you stand out:

  • Active law license preferred but not required.
  • Advanced industry designations (CPCU, SCLA, AIC) preferred.

We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Sponsorship not Offered for this Role