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Health Insurance Adjuster information

See Arizona salary details

$18.2K

$69.6K

$103K

How much do health insurance adjuster jobs pay per year?

As of Aug 26, 2026, the average yearly pay for health insurance adjuster in Arizona is $69,593.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,700.00 and $93,200.00 per year, depending on experience, location, and employer.

What does a health insurance adjuster do?

A Health Insurance Adjuster is responsible for evaluating health insurance claims to determine the extent of the insurance company's liability. They review medical records, verify policy coverage, and communicate with healthcare providers, policyholders, and sometimes legal professionals. Their goal is to ensure claims are processed accurately and fairly, approving legitimate claims and identifying potential fraud or errors. Adjusters play a crucial role in helping policyholders receive the benefits they are entitled to while protecting the financial interests of the insurance company.

What are some typical challenges a health insurance adjuster faces when investigating claims?

Health Insurance Adjusters often encounter challenges such as interpreting complex policy language, verifying the legitimacy of medical claims, and balancing the needs of the claimant with company policies. They must evaluate detailed medical records, communicate with healthcare providers, and ensure compliance with ever-changing regulations. Navigating these complexities requires strong analytical skills, attention to detail, and effective communication to resolve claims fairly and efficiently.

What are the key skills and qualifications needed to thrive as a health insurance adjuster, and why are they important?

To thrive as a Health Insurance Adjuster, you need a strong understanding of insurance policies, claims processing, and relevant legal regulations, often supported by a bachelor's degree or industry-specific certifications. Familiarity with claims management software, medical billing systems, and regulatory databases is typically required. Attention to detail, negotiation skills, and effective communication are essential soft skills for evaluating claims and interacting with policyholders. These skills ensure accurate claims assessment, compliance with industry standards, and positive client relations, all of which are crucial for success in this role.

Is it hard to become a health insurance adjuster?

Becoming a health insurance adjuster typically requires completing state-specific licensing exams and training, which can vary in difficulty depending on the individual's background and familiarity with insurance concepts. Strong analytical skills, attention to detail, and knowledge of insurance policies are important, and some states may require prior experience or coursework before licensing.
Infographic showing various Health Insurance Adjuster job openings in Arizona as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 14% Part Time, 2% Temporary, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $69,593 per year, or $33.5 per hour.

Insurance Claims Adjuster

American Express

Phoenix, AZ • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 19 days ago


American Express rating

8.6

Company rating: 8.6 out of 10

Based on 37 frontline employees who took The Breakroom Quiz

25th of 151 rated financial services


Job description

At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. From delivering differentiated products to providing world-class customer service, we operate with a strong risk mindset, ensuring we continue to uphold our brand promise of trust, security, and service.

As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career. Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express.

At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. From delivering differentiated products to providing world-class customer service, we operate with a strong risk mindset, ensuring we continue to uphold our brand promise of trust, security, and service.

As part of Team Amex, you'll experience our powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career. Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express.

We back you with benefits that support your holistic well-being so you can be and deliver your best. This means caring for you and your loved ones' physical, financial, and mental health, as well as providing the flexibility you need to thrive personally and professionally:

  • Competitive base salaries
  • Bonus incentives
  • 6% Company Match on retirement savings plan
  • Free financial coaching and financial well-being support
  • Comprehensive medical, dental, vision, life insurance, and disability benefits
  • Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need
  • 20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy
  • Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)
  • Free and confidential counseling support through our Healthy Minds program
  • Career development and training opportunities

For a full list of Team Amex benefits, visit our Colleague Benefits Site.

American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law. American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions.

We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually.

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The below represents the expected salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, experience, and other job-related factors.

Minimum Qualifications

  • 2 years of Customer Service experience.
  • Customer First Principles proven through excellent verbal, written and interpersonal communication skills.
  • Passion for outstanding service.
  • Strong phone skills.
  • Ability to adapt to multiple demands, shifting priorities and rapid changes in workflow.
  • Ability to demonstrate initiative with minimal supervision to get results.
  • Strong problem-solving skills, time management and organizational skills.
  • Superior level of accuracy and attention to detail.
  • Strong proficiency in PC skills, including MS Word and Excel.
     

Preferred Qualifications

  • Travel and Medical Claims experience.
  • Insurance, Medical or Travel Industry experience.
  • A current Claims Adjuster License.
  • If a license is not currently held, the applicant must be able to obtain the necessary license during the time frame allowed prior to training. Upon hiring, candidate will have 3 attempts to pass the Arizona Licensing exam.  If the exam, to obtain your license, cannot be passed within 3 attempts, employment will be terminated.

Employment eligibility to work with American Express in the U.S. is required as the company will not pursue visa sponsorship for these positions.

  • Investigation/research by using tools available, receiving inbound calls and making outbound calls to settle claims. 
  • Communication via written and/or direct phone interaction with the customer, to ensure timely decisions.
  • Decision making of claims for products and embedded benefits associated with AMEX ASSURANCE COMPANY. 
  • Maintaining state compliance.
  • This position is based in Phoenix, AZ or Sunrise, FL and the ideal candidate will work a minimum of 3 days onsite / 2 days remotely. The ideal candidate will work a flexible schedule between the hours of operation: Monday - Friday - 6:00am - 5:00pm MST and may be asked to work rotational weekends.


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