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Health Insurance Adjuster Jobs (NOW HIRING)

UNIVISTA HOLDINGS LLC

BI Claims Adjuster

Miami, FL

$47K - $61K/yr

Loyalty MGA is looking for experienced Bilingual Auto Insurance Adjusters to join our team onsite ... Insurance -- Comprehensive health coverage for you • Dental & Vision -- Full dental and vision ...

Reserv, Inc.

APD Claims Adjuster, Courier Delivery

... adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an ... Generous health-insurance package with nationwide coverage, vision, & dental * 401(k) retirement ...

LOYALTY MGA LLC

BI Claims Adjuster

Miami, FL · On-site

$47K - $61K/yr

Loyalty MGA is looking for experienced Bilingual Auto Insurance Adjusters to join our team onsite ... Insurance -- Comprehensive health coverage for you • Dental & Vision -- Full dental and vision ...

LOYALTY MGA LLC

Metal Adjuster - Orlando, FL

Casselberry, FL · On-site +1

$41K - $54K/yr

Loyalty MGA is seeking experienced Bilingual Auto Insurance Adjusters to join our team! This ... Insurance -- Comprehensive health coverage for you • Dental & Vision -- Full dental and vision ...

UNIVISTA HOLDINGS LLC

Claims Adjuster- Miami, FL

Miami, FL

$47K - $61K/yr

Loyalty MGA is looking for experienced Bilingual Auto Insurance Adjusters to join our team onsite ... Insurance -- Comprehensive health coverage for you • Dental & Vision -- Full dental and vision ...

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$19.5K

$74.7K

$110.5K

How much do health insurance adjuster jobs pay per year?

As of Jun 7, 2026, the average yearly pay for health insurance adjuster in the United States is $74,680.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,000.00 and $100,000.00 per year, depending on experience, location, and employer.

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.

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.
More about Health Insurance Adjuster jobs
What cities are hiring for Health Insurance Adjuster jobs? Cities with the most Health Insurance Adjuster job openings:
What states have the most Health Insurance Adjuster jobs? States with the most job openings for Health Insurance Adjuster jobs include:
What job categories do people searching Health Insurance Adjuster jobs look for? The top searched job categories for Health Insurance Adjuster jobs are:
Health Insurance Adjuster jobs near you
Infographic showing various Health Insurance Adjuster job openings in the United States as of May 2026, with employment types broken down into 2% As Needed, 75% Full Time, and 23% Part Time. Highlights an 69% Physical, 13% Hybrid, and 18% Remote job distribution, with an average salary of $74,680 per year, or $35.9 per hour.
Claims Adjuster - Commercial Auto Excess Casualty

Claims Adjuster - Commercial Auto Excess Casualty

Reserv, Inc.

Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Job description

About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
About the role
The Commercial Auto Excess Casualty Claim Specialist plays a critical role in managing high-severity commercial auto liability claims that may exceed primary policy limits. At Reserv, this specialist leverages cutting-edge automation, structured data, and modern claims systems to drive optimal outcomes while focusing on the most complex, high-impact aspects of claim handling. The role requires deep technical expertise, strong analytical skills, and the ability to collaborate within a fast-moving, technology-driven environment.
KEY RESPONSIBILITIES
  • Investigate, evaluate, and resolve complex commercial auto liability claims involving excess layers of coverage, catastrophic injuries, multi-vehicle accidents, and high-exposure scenarios.
  • Conduct advanced coverage analysis, including policy interpretation, endorsements, exclusions, and multi-jurisdictional considerations.
  • Issue coverage position letters, including reservations of rights and denials, in alignment with regulatory and internal standards.
  • Oversee litigation, partnering with defense counsel to evaluate strategy, monitor case progression, and ensure cost-effective, data-driven decision-making.
  • Leverage Reserv's AI-powered tools to review claim summaries, severity predictions, and structured data insights to enhance accuracy and efficiency.
  • Evaluate primary carrier handling and determine when excess involvement is triggered, ensuring timely and appropriate intervention.
  • Collaborate with MGAs, carriers, brokers, and internal teams, providing clear communication and maintaining Reserv's high-touch, white-glove service standards.
  • Document all claim activity within Reserv's modern claims platform, ensuring data accuracy and compliance with internal and external requirements.
  • Participate in audits, trend analysis, and feedback loops to support continuous improvement and inform underwriting insights.

REQUIRED QUALIFICATIONS
  • Bachelor's degree or equivalent experience.
  • 10+ years of commercial auto liability or casualty claims experience, preferably with excess or high-severity files.
  • Strong knowledge of coverage analysis, litigation management, and complex liability evaluation.
  • Excellent communication skills, with the ability to translate complex issues into clear, actionable insights.
  • Comfort working in a technology-driven environment with modern systems and data-rich workflows.
  • Active insurance adjuster's license by way of a designated home state; home state license required if home state license is available
  • Willing to obtain all licenses within 60 days, including completing state required testing

PREFERRED SKILLS & CERTIFICATIONS
  • AIC, CPCU, SCLA, or similar designations. JD is also a huge plus.
  • Experience with MGAs, TPAs, or non-admitted/excess & surplus lines.
  • Familiarity with AI-enhanced claims tools or modern claims platforms (a strong plus at Reserv).

Benefits
  • Generous health-insurance package with nationwide coverage, vision, & dental
  • 401(k) retirement plan with employer matching
  • Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy after 8 months of continuous work
  • Work from anywhere to facilitate your work life balance
  • Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!

Additionally, we will
  • Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
  • Work toward reducing and eliminating all the administrative work from an adjuster role
  • Foster a culture of empathy, transparency, and empowerment in a remote-first environment

At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!

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