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Claims Adjuster File Review Jobs (NOW HIRING)

Melton Truck Lines

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Claims Adjuster

Tulsa, OK · On-site

$60K - $75K/yr

They are responsible for the collection and management of all accident reports and accident files. Claims Adjusters initially manage investigation by deciding what outside resources are required in ...

Snap-on Inc

Claims Adjuster II

Kenosha, WI

Additionally, individual will review, respond, and negotiate third party settlements with claimants ... For all claims, effectively establish reserves and manage all files for prompt closure.

Jones Jones LLC

Claims Adjuster/Examiner

Manhattan, NY · On-site

$50K - $85K/yr

We are seeking an experienced Claims Adjuster/Examiner who is interested in growing and expanding ... Collaborate with the Compliance team on licensing forms and regulatory filings * Review TPA ...

Jones Jones LLC

Claims Adjuster/Examiner

Bohemia, NY · On-site

$50K - $85K/yr

We are seeking an experienced Claims Adjuster/Examiner who is interested in growing and expanding ... Collaborate with the Compliance team on licensing forms and regulatory filings * Review TPA ...

Jones Jones LLC

Claims Adjuster/Examiner

Manhattan, NY · On-site

$50K - $85K/yr

We are seeking an experienced Claims Adjuster/Examiner who is interested in growing and expanding ... Collaborate with the Compliance team on licensing forms and regulatory filings * Review TPA ...

Jones Jones LLC

Claims Adjuster/Examiner

Jersey City, NJ · On-site

$50K - $85K/yr

We are seeking an experienced Claims Adjuster/Examiner who is interested in growing and expanding ... Collaborate with the Compliance team on licensing forms and regulatory filings * Review TPA ...

Snap-on Inc

Claims Adjuster II

Kenosha, WI · On-site

Additionally, individual will review, respond, and negotiate third party settlements with claimants ... For all claims, effectively establish reserves and manage all files for prompt closure.

Snap-on Inc

Claims Adjuster II

Kenosha, WI

Additionally, individual will review, respond, and negotiate third party settlements with claimants ... For all claims, effectively establish reserves and manage all files for prompt closure.

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All JobsClaims Adjuster File Review Jobs

Claims Adjuster File Review information

See salary details

$30.5K

$64.6K

$90K

How much do claims adjuster file review jobs pay per year?

As of Jun 10, 2026, the average yearly pay for claims adjuster file review 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 faced by Claims Adjuster File Review professionals, and how can they be managed?

Claims Adjuster File Review professionals often encounter challenges such as managing high workloads, ensuring accuracy under tight deadlines, and navigating complex policy language. Staying organized, utilizing checklists, and leveraging claims management software can help streamline the review process. Regular communication with team members and ongoing training are also key to keeping up with regulatory changes and best practices. By proactively addressing these challenges, adjusters can maintain efficiency and uphold high standards of claim evaluation.

What are Claims Adjuster File Review jobs?

Claims Adjuster File Review jobs involve evaluating and reviewing insurance claim files to determine the validity of claims and ensure compliance with company policies and industry regulations. These professionals analyze documentation, assess damages, and verify information provided by claimants. Their work helps insurance companies make fair and timely decisions regarding claim payments or denials. They often collaborate with other adjusters, legal teams, and policyholders to resolve any discrepancies or issues that arise during the review process.

What is the difference between Claims Adjuster File Review vs Claims Adjuster?

AspectClaims Adjuster File ReviewClaims Adjuster
CredentialsLicenses, certifications (e.g., AIC, CPCU)Licenses, certifications (e.g., AIC, CPCU)
Work EnvironmentReviewing files, analyzing documents, remote or office-basedInvestigating claims, inspecting damages, field or office-based
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusters, claims departments
Search & Comparison IntentUnderstanding roles related to file reviewUnderstanding claims investigation and settlement processes

Claims Adjuster File Review focuses on analyzing and evaluating insurance claim files, often remotely, to determine coverage and liability. Claims Adjuster involves investigating claims, inspecting damages, and making settlement decisions. Both roles require similar credentials but differ mainly in daily tasks and work environment.

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

To thrive as a Claims Adjuster File Review, you need a strong understanding of insurance policies, attention to detail, and experience in claims processing, often supported by a degree in business or a related field. Familiarity with claims management systems, industry software like Xactimate, and relevant certifications such as AIC (Associate in Claims) are typically required. Excellent analytical thinking, organizational skills, and clear written communication set outstanding candidates apart. These abilities ensure accurate and efficient claims evaluations, reduce errors, and support fair outcomes for clients and companies.
Infographic showing various Claims Adjuster File Review job openings in the United States as of June 2026, with employment types broken down into 90% Full Time, 5% Temporary, and 5% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.

Sr. Work Comp Claims Adjuster (PA & NJ)

Elite

Philadelphia, PA • On-site, Remote

$66K - $86K/yr

Other

Posted 15 days ago

Job description

Job Title: Sr. Workers Compensation Claims Adjuster
POSITION SUMMARY:Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.
DUTIES AND RESPONSIBILITIES:
  • Adjuster can work from the Philadelphia, PA office or can work remotely from home if approved by hiring manager.
  • Effectively manages a caseload of 125 to 150workers' compensation files, including very complex claims.*
  • Jurisdiction is PA, NJ*
  • Initiates and conducts investigation in a timely manner.*
  • Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.*
  • Manages medical treatment and medical billing, authorizing as appropriate.*
  • Refers cases to outside defense counsel. Directs and manages as appropriate.*
  • Communicates with claimants, providers and vendors regarding claims issues.*
  • Computes and set reserves within Company guidelines. Limits are larger than those allowed for Claims AdjusterI and Claims Adjuster II.*
  • Settles and/or finalize all claims and obtains authority as designated.*
  • Maintains diary system for case review and documents file to reflect the status and work being performed on the file.*
  • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.*
  • Involves COMPANY loss control staff when appropriate.*
  • Adheres to all Company policies and procedures.*
  • Conducts file reviews independently.*
  • Other duties as assigned.
* Essential job function.
QUALIFICATIONS REQUIRED:
Education/Experience: Bachelor's degree in related field (preferred); three (3) or more years related experience; or equivalent combination of education and experience.
Knowledge, Skills and Abilities:
  • Technical knowledge of statutory regulations and medical terminology.
  • Analytical skills.
  • Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
  • Ability to interact with persons at all levels in the business environment.
  • Ability to independently and effectively manage very complex claims.
  • Proficient in Word and Excel (preferred).
Other Qualifications:
  • No licenses required for the state of PA or NJ

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