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Health Insurance Claims Adjuster Jobs (NOW HIRING)

Network Adjusters, Inc.

Claims Adjuster

Denver, CO · On-site

$85K/yr

Network Adjusters is seeking skilled insurance claims adjusters with experience in General ... Comprehensive health plans including dental and vision coverage * Flex spending account * Company ...

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Health Insurance Claims Adjuster information

See salary details

$34K

$72.1K

$118.5K

How much do health insurance claims adjuster jobs pay per year?

As of Sep 9, 2026, the average yearly pay for health insurance claims adjuster in the United States is $72,103.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $89,000.00 per year, depending on experience, location, and employer.

What is the difference between Health Insurance Claims Adjuster vs Insurance Claims Examiner?

AspectHealth Insurance Claims AdjusterInsurance Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles require licensing or certificationsHigh school diploma; often requires licensing or certifications
Work EnvironmentInsurance companies, healthcare providers, remote or office-basedInsurance companies, government agencies, office settings
Industry UsagePrimarily in health insurance sectorIn health, auto, and property insurance sectors
Comparison Search IntentYesYes

Both roles involve reviewing insurance claims, but Health Insurance Claims Adjusters focus specifically on health insurance claims, assessing coverage and medical bills. Insurance Claims Examiners may handle a broader range of insurance types, including auto and property. While their work environments and credentials overlap, their industry focus distinguishes them.

How to become a health insurance claims adjuster?

To become a health insurance claims adjuster, you typically need a high school diploma or equivalent, and some states require a license which involves completing pre-licensing education and passing an exam. Gaining knowledge of insurance policies, claims processing, and relevant software is important, and some employers prefer candidates with a background in healthcare or insurance. Continuing education and licensing renewal are often required to maintain the credential.

Is it worth becoming a health insurance claims adjuster?

A health insurance claims adjuster evaluates insurance claims to determine coverage and settlement amounts. The role offers steady employment, typically requires attention to detail and knowledge of insurance policies, and may involve certifications such as the AIC or CPCU. It can be a stable career with opportunities for advancement in the insurance industry.

What cities are hiring for Health Insurance Claims Adjuster jobs?

Cities with the most Health Insurance Claims Adjuster job openings:

What states have the most Health Insurance Claims Adjuster jobs?

States with the most job openings for Health Insurance Claims Adjuster jobs include:

What are popular job titles related to Health Insurance Claims Adjuster jobs?

For Health Insurance Claims Adjuster jobs, the most frequently searched job titles are:

Infographic showing various Health Insurance Claims Adjuster job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $72,103 per year, or $34.7 per hour.

Health Insurance Claims Adjuster

Clearwater, FL • On-site

Integrity Marketing Group
See more jobs at Integrity Marketing Groupexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Integrity Marketing Group rating

7.7

Company rating: 7.7 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

18th of 53 rated marketing agency

Job description

Health Insurance Claims Adjuster
Insurance Administrative Solutions
Clearwater, FL
About Insurance Administrative Solutions
Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers. Formed in 2002, IAS administers policies for insureds residing all across the United States.
Job Summary: Analyze medical claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines.
Primary Responsibilities other duties may be assigned as necessary:
  • Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries.
  • Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions.
  • Interpret contract benefits in accordance with specific claim processing guidelines.
  • Coordinate daily workflow to coincide with check cycle days to meet all service guarantees.
  • Based on established guidelines and/or historical knowledge an adjuster will need to recognize red flags for potential fraud or waste and escalate accordingly.
  • Adjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner.
  • Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing.
  • Maintain external contact with providers/agents/policyholders.

Primary Skills & Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
  • A high school diploma or GED equivalent
  • Minimum of 1 year proven health insurance claims adjudication experience.
  • Insurance background preferred; previous Medical/prescription claims preferred.
  • Experience with UB/institutional (CMS-1450) and HCFA/professional (CMS-1500) claims required.
  • Familiarity with medical terminology, procedures and diagnosis codes preferred.
  • Ability to read and interpret EOB's claim history, and excellent research skills.
  • Familiarity with Microsoft Office products; familiarity with Qiclink software a plus.
  • Ability to calculate deductible and co-insurance amounts.
  • Ability to adapt and respond to different types of people and tasks.
  • Excellent communication and documentation skills.
  • Ability to multi-task, prioritize, and manage time effectively and efficiently.
  • Reliable transportation and the ability to be punctual and dependable.

Benefits Available
  • We value flexibility and recognize the importance of work-life balance. This role will begin as fully onsite to support learning and team integration. As proficiency is demonstrated, hybrid work opportunities may be introduced, dependent on business needs and department practices.
  • Medical/Dental/Vision Insurance
  • 401(k) Retirement Plan
  • Paid Holidays
  • PTO
  • Community Service PTO
  • FSA/HSA
  • Life Insurance
  • Short-Term and Long-Term Disability

About Integrity
Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead.
Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind.
Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com.
Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

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