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Claim Adjuster Jobs (NOW HIRING)

Medical Claim Adjuster

Miami, FL · On-site

$63K - $81K/yr

Medical Claim Adjuster DEPARTMENT: Patient Accounts SUPERVISOR: Business Office Director Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with ...

Workers' Compensation Claim Adjuster Location: Maitland, FL (hybrid preferred, remote considered) Schedule: 8:00 am- 5:00 pm ET Salary Range: $70,000-$85,000 Build Your Career With Purpose at CCMSI ...

Workers' Compensation Claim Adjuster Location: Maitland, FL (hybrid preferred, remote considered) Schedule: 8:00 am- 5:00 pm ET Salary Range: $70,000-$85,000 Build Your Career With Purpose at CCMSI ...

A professional environment that values data quality, operational discipline, and continuous improvement Key Responsibilities As a Claim Adjuster , you will play a critical role in managing claims ...

Multi-Line Claim Adjuster

Chicago, IL · On-site

$60K - $70K/yr

Multi Line Claim Adjuster (IL focus) Location: Chicago, IL ( in-office Monday-Friday) Schedule: 8:30 am - 5:00 pm CT Salary Range: $60,000-$70,000 Build Your Career With Purpose at CCMSI At CCMSI, we ...

Multi Line Claim Adjuster (IL focus) Location: Chicago, IL ( in-office Monday-Friday) Schedule: 8:30 am - 5:00 pm CT Salary Range: $60,000-$70,000 Build Your Career With Purpose at CCMSI At CCMSI, we ...

Multi-Line Claim Adjuster

Chicago, IL · On-site

$60K - $70K/yr

Multi Line Claim Adjuster (IL focus) Location: Chicago, IL ( in-office Monday-Friday) Schedule: 8:30 am - 5:00 pm CT Salary Range: $60,000-$70,000 Build Your Career With Purpose at CCMSI At CCMSI, we ...

Workers' Compensation Claim Adjuster

Maitland, FL · Hybrid

$61K - $79K/yr

Workers' Compensation Claim Adjuster Location: Maitland, FL (hybrid preferred, remote considered) Schedule: 8:00 am- 5:00 pm ET Salary Range: $70,000-$85,000 Build Your Career With Purpose at CCMSI ...

E&S Claim Adjuster

Glen Allen, VA · On-site +1

$91K - $140K/yr

We are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and Surplus Lines claims that require expertise in areas such as coverage, analysis, jurisdictional and ...

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Claim Adjuster information

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$30.5K

$64.6K

$90K

How much do claim adjuster jobs pay per year?

As of Jun 8, 2026, the average yearly pay for claim adjuster in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

What are some common challenges Claim Adjusters face when handling multiple claims at once?

Claim Adjusters often manage several cases simultaneously, which requires strong organizational skills and the ability to prioritize tasks effectively. Balancing tight deadlines, communicating with claimants, and coordinating with other professionals such as appraisers or legal teams can be demanding. Adjusters also need to stay current with policy changes and regulatory requirements while maintaining accuracy in their assessments. Developing efficient workflows and clear communication strategies can help manage these challenges successfully.

What are the key skills and qualifications needed to thrive as a Claim Adjuster, and why are they important?

To thrive as a Claim Adjuster, you need a solid grasp of insurance policies, investigative techniques, and analytical skills, often backed by a bachelor's degree or relevant experience. Familiarity with claims management software, industry regulations, and sometimes an adjuster’s license is typically required. Outstanding negotiation, communication, and customer service skills help set top performers apart in this role. These skills and qualifications are crucial for accurately assessing claims, mitigating risk, and ensuring fair and efficient resolution for all parties involved.

Is it hard to become a claims adjuster?

Becoming a claims adjuster typically requires completing a training program or obtaining a license, which involves passing an exam and sometimes background checks. The job demands strong communication skills, attention to detail, and knowledge of insurance policies, but the difficulty varies based on individual background and the specific licensing requirements in the region.

What are Claim Adjusters?

Claim Adjusters are professionals who investigate insurance claims to determine the extent of the insuring company's liability. They review policy details, interview claimants and witnesses, inspect property damage, and gather evidence to assess the validity and value of a claim. Based on their findings, they negotiate settlements with claimants or recommend claim denial if necessary. Their work helps ensure that claims are handled fairly and in accordance with policy terms.
What cities are hiring for Claim Adjuster jobs? Cities with the most Claim Adjuster job openings:
What are the most commonly searched types of Claim Adjuster jobs? The most popular types of Claim Adjuster jobs are:
What states have the most Claim Adjuster jobs? States with the most job openings for Claim Adjuster jobs include:
Infographic showing various Claim Adjuster job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 69% Physical, 13% Hybrid, and 18% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.
Medical Claim Adjuster

Medical Claim Adjuster

Larkin Community Hospital

Miami, FL • On-site

$63K - $81K/yr

Full-time

Posted 16 days ago


Job description

JOB TITLE: Medical Claim Adjuster

DEPARTMENT: Patient Accounts

SUPERVISOR: Business Office Director

Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with locations in South Miami, Hialeah and Hollywood, Florida. Our network of acute care hospitals provide a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County. We are heavily invested in training the next generation of health professionals, which is the core of our mission: to provide access to compassionate care of the highest quality in an educational environment.

GENERAL JOB DESCRIPTION

Under the direction of the Business Office Director, the Medical Claim Adjuster is responsible for reviewing and adjusting accounts in accordance with claims processing guidelines.

DUTIES AND RESPONSIBILITIES

  • Perform adjustments using technical and claims processing expertise.
  • Identify discrepancies in payments, adjust accounts based on expected amount.
  • Review and interpret contract language using provider contracts to confirm whether a claim is overpaid or underpaid.
  • Review denials and ensures posting reflects the appropriate denial reason code.
  • Review and handle relevant correspondences assigned to the team that may result in adjustments to accounts.
  • Preforms related duties as required.

QUALIFICATIONS FOR THE JOB

Education:

High School diploma of equivalent (additional certifications or education in medical billing/coding preferred)

Experience:

  • 1-2+ year’s claims processing experience.

Other:

  • Strong understanding of medical terminology, CPT codes, ICD-10 codes, and insurance billing guidelines.
  • Excellent numerical and analytical skills, with a keen eye to detail.
  • Ability to interpret insurance EOBs and payment information accurately.
  • Strong problem-solving skills, with the ability to reconcile discrepancies and resolve payment-related issues effectively.

Larkin Community Hospital logo

About Larkin Community Hospital

Sourced by ZipRecruiter

At Larkin, we have been serving the health care needs of South Miami, Hialeah, and the surrounding communities for more than 40 years. We take pride in the continuing tradition of caring. We remain dedicated to providing excellent medical care with the personal touch and convenience that only a community hospital offers.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

South Miami, FL, US

Year founded

1969

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