Complex claims adjuster jobs | InsurancePond.com

06/05/2026

Complex Claims Adjuster, Workers Compensation

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Complex Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims experience, by providing hands-on adjudication of catastrophic and large loss claims. This will be completed by adhering to Pie’s Claims Best Practices, complying with regulatory and statutory requirements, and applying advanced knowledge and experience with complex negotiation strategies, structured settlements, Medicare Set-Aside requirements, and overall risk evaluation and mitigation. This role will work with internal and...

Pie Insurance United States

12/29/2025

Complex Claims Adjuster - Commercial Liability

Overview Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett’s Berkshire Hathaway group – one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company’s success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!...

Berkshire Hathaway GUARD Philadelphia, PA Full Time

07/14/2026

Senior Complex Commercial Property Claims Adjuster

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more...

ICW Group United States Full Time

06/16/2026

Mass Tort and Complex Casualty - Claims Adjuster

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Mass Tort and Complex Casualty Claims Adjuster to play your part in that transformation. You’ll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment. Grow your career at the forefront of Casualty insurance. In Mass Tort and Complex Casualty Claims, we strive to live AIG’s corporate values: Take Ownership, Set the Standard, Win Together, Be an Ally, Do What’s Right. At AIG, we are committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs...

AIG Jersey City, NJ Full Time

05/19/2026

Claims Adjuster, Warranty

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Adjuster-Warranty to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Get to know the business: Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. AIG Warranty delivers a full range of service solutions including warranty management administration, extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With over 20+ years of experience, we are one of the...

AIG Jeffersonville, IN Full Time

06/29/2026

Senior Claims Counsel Featured

$120,000 - $150,000 yearly

TransEleven Claims Managers (www.trans11claims.com) is looking for an experienced attorney to join our team in the role of Senior Claims Counsel, handling a high volume of claim files in multiple PL/GL practice areas. This position is 100% remote after initial training at our corporate offices in Allen, TX (DFW Metro Area). We desire attorneys that have worked for another third-party claims administrator, insurance group, captive firm or law firm (preferably insurance defense, litigation) handling professional and general liability matters. Position Description: As a Senior Claims Counsel, you will oversee claims administration and litigation management for a portfolio of claim files, from initial coverage and claims analysis through resolution, including retaining and management of outside counsel, negotiations, mediations, settlement conferences, invoice and expense management and complex reporting to all parties. The right candidate must be able to engage...

TransEleven Claims Managers Remote

07/14/2026

Surety Claims Trainee

The Surety Claims Trainee is an entry-level professional development role designed to prepare individuals for a career in surety claims handling. Under the guidance of experienced claims professionals, the trainee will learn the investigation, evaluation, and resolution of performance bond, payment bond, commercial bond, and related surety claims. The trainee will assist with claim intake, document review, claim file management, communication with claimants and other stakeholders, and the preparation of claim summaries and reports. Through structured training and mentorship, the trainee will develop the technical, analytical, and communication skills necessary to progress into a Surety Claims Adjuster role. Essential Duties and Responsibilities Assist in reviewing claim notices and supporting documentation. Learn to identify key claim facts, issues, deadlines, and bond obligations. Review contracts, bond forms, indemnity agreements, invoices, correspondence, and...

Skyward Specialty Insurance Remote, OR Full Time

07/14/2026

Director, Managed Care Services and Vendor Management

The Director, Managed Care Services & Vendor Management is responsible for the strategic oversight, operational performance, and continuous improvement of all medical management programs within MEMIC. This role leads internal clinical teams and manages external medical management vendors to ensure high-quality, cost-effective care for injured workers while supporting optimal claim outcomes. This position plays a critical role in driving medical cost containment, improving return-to-work outcomes, and ensuring compliance with jurisdictional workers’ compensation regulations. Principal Duties and Responsibilities: 1. Design and execute medical management strategies that support early intervention and injury triage, ensure appropriate utilization of medical services, and promote timely return-to-work outcomes. 2. Establish clear productivity, quality, and outcome-based performance expectations tied to claim outcomes, and ensure consistent...

MEMIC Remote

07/14/2026

Complex Liability Adjuster (New York)

Overview Good Things Start Here. Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers. Good Things You Can Count On. Hybrid schedule: 2 days remote / 3 in‑office Predictable hours (no nights, weekends, or holidays) Competitive pay + generous PTO Medical, dental & vision starting day one 401(k), tuition reimbursement & longevity bonuses Responsibilities Berkshire Hathaway GUARD Insurance Companies is seeking a Complex Liability Adjuster to handle Commercial General Liability (CGL) and Business Owners Policy (BOP) claims in New York, including litigated files. Key Responsibilities Investigate New York liability claims and...

Berkshire Hathaway GUARD New York, NY Full Time

07/14/2026

Senior Casualty Claims Resolution Specialist - Complex - Southwest Region

Description Lead With Expertise. Deliver Impact That Matters. Grow With a Company That Invests in You. At Liberty Mutual , we show up for people in their toughest moments, and we show up for our employees with the same commitment. Our Complex Casualty Claims Team is expanding, and we’re seeking a Senior Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a passion for doing what’s right. We are currently hiring for the Central and Southwest Regions due to this growth. If you’re energized by the challenge of managing high‑exposure, complex, and catastrophic injury claims, and you want to work in an environment where professionalism, integrity, and empathy guide everything we do, this is the role for you. 🌟 What Makes This Role Special You Own the Complex Work You’ll be the point person on severe and catastrophic auto and homeowner’s casualty claims, navigating litigation, partnering with...

Liberty Mutual United States Full Time

07/14/2026

Sr. Injury Adjuster-UM

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 Sr. Injury Adjuster- UM , you will be responsible to adjust attorney-involved, moderately complex UM/UIM claims or moderately complex to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible...

USAA San Antonio, TX Full Time

07/14/2026

Sr. Auto Adjuster

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 Senior Auto Adjuster your work will focus on adjusting non-injury auto claims. You will investigate and determine coverage and liability, evaluate, negotiate, and settle highly complex auto claims such as comprehensive (i.e., theft and fire), collision (i.e., minimal policy limits, coverage determinations/issues,...

USAA Tampa, FL Full Time

07/14/2026

Bodily Injury Claims Adjuster (Attorney Represented)

Are You Driven?® We Are. We are a company of driven, enthusiastic, and determined people. We celebrate achievement and success. We foster innovation, determination, and recognition. Because of that, our employees feel recognized and rewarded for the contributions they make daily. At GAINSCO, it is our people that set us apart. If you are looking for a place where you can make a difference, perceive how your work impacts the company, and be recognized for your efforts and passion, then GAINSCO is the company for you. Why Join GAINSCO? GAINSCO’s work environment rewards engaged individuals who have a desire to contribute and succeed. That’s because our culture encourages individuals to grow their skills as they build their careers. Come join us and become a Champion with GAINSCO. We are seeking a skilled and experienced Bodily Injury Claims Adjuster to join our team, focusing on attorney-represented claims. This role involves investigating, evaluating, and settling...

GAINSCO Richardson, TX Full Time

07/14/2026

Auto Damage Adjuster

Why Join GEICO? At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide. Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States. When you join our company, we want you to feel valued, supported, and proud to work here. That's why we offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers. Please note: This is not a remote role; you will be required to work in the territory listed on the job posting. Your Impact at GEICO   As an Auto Damage Adjuster ,   you’ll guide customers through...

GEICO United States Full Time

07/14/2026

Senior Claims Specialist

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote position but does require travel. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim...

CorVel Syracuse, NY Full Time

07/14/2026

Claims Supervisor

The Workers’ Compensation Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The WC Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises WC claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) Provides technical and jurisdictional...

CorVel Charlotte, NC Full Time

07/14/2026

Claims Technical Consultant

Company Details Berkley North Pacific Berkley North Pacific is rooted in the Pacific Northwest, offering personalized commercial insurance solutions through collaborative efforts for an optimal customer experience. The organization empowers its people and is 100 percent customer obsessed. Customers are supported by the financial strength of W. R. Berkley Corporation, a Fortune 500 company. For more information, visit https://www.berkleynpac.com/ . The Company is an equal employment opportunity employer. Responsibilities The Claims Technical Consultant is responsible for resolving highly complex commercial casualty claims at the highest authority levels, delivering effective and efficient claims resolutions, and providing technical leadership within the claims organization.   Examine and analyze policies, contracts, and claim forms to determine commercial auto,...

Berkley Meridian, ID

07/14/2026

Claims Examiner, Casualty

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty. In this role, the responsibilities include actively managing commercial general liability claims for medium severity, and general liability, as well as the associated excess and umbrella policies, in jurisdictions throughout the United States. Responsibilities Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis Develop and implement strategy relative to coverage issues which correlate...

Arch Jersey City, NJ Full Time

07/14/2026

Senior Claims Examiner, Healthcare

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Job Summary The Claims Division is seeking a highly experienced professional to join the Healthcare Claims Team as a Senior Claims Examiner. In this role, the examiner will be responsible for actively managing and effectively overseeing an assigned caseload of complex healthcare-related claims for hospitals, miscellaneous healthcare facilities and other healthcare providers. Responsibilities Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis Develop and implement strategy relative to coverage issues which correlate with the overall strategy of...

Arch New York, NY Full Time

07/14/2026

National General Adjuster

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance National General Adjuster PRIMARY PURPOSE : To handle losses or claims nationally regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Examines insurance policies, claims, and other records to determine insurance coverage. Administers and reconciles complex catastrophic claims for property. Interviews, telephones, or...

Sedgwick Cincinnati, OH

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