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Long Term Claims Adjuster Jobs (NOW HIRING)

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... for long-term growth. What You'll Do Processing (Training Ramp-Up) * Process medical claims and ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... for long-term growth. What You'll Do Processing (Training Ramp-Up) * Process medical claims and ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... for long-term growth. What You'll Do Processing (Training Ramp-Up) * Process medical claims and ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... for long-term growth. What You'll Do Processing (Training Ramp-Up) * Process medical claims and ...

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Long Term Claims Adjuster information

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$30.5K

$64.6K

$90K

How much do long term claims adjuster jobs pay per year?

As of Aug 20, 2026, the average yearly pay for long term claims 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 is a long term claims adjuster?

A Long Term Claims Adjuster evaluates and processes insurance claims that involve extended or ongoing benefits, such as disability, workers' compensation, or long-term care. They review medical records, policy details, and financial factors to determine claim validity and appropriate payouts. This role requires strong analytical skills, attention to detail, and communication with claimants, medical professionals, and legal teams. Their goal is to ensure fair and accurate claim resolutions while preventing fraud and managing costs for the insurer.

What are the key skills and qualifications needed to thrive as a long term claims adjuster?

To thrive as a Long Term Claims Adjuster, you need a strong understanding of insurance policies, claims processes, and relevant legal/regulatory knowledge, typically backed by experience in insurance or related certifications. Familiarity with claims management software, medical records systems, and industry guidelines such as ICD-10 codes or state-specific statutes is often required. Excellent communication, negotiation, and analytical skills help adjusters review complex cases and interact effectively with claimants and other parties. These competencies are crucial for ensuring accurate claim resolutions, compliance with regulations, and maintaining customer trust.

What are some common challenges faced by long term claims adjusters?

Long Term Claims Adjusters often handle complex and sensitive cases that require thorough investigation, detailed documentation, and regular communication with claimants, healthcare providers, and legal professionals. Managing high caseloads with varying degrees of complexity, while staying updated on changing regulations and maintaining accuracy, can be challenging. Adjusters must also navigate emotionally charged situations where empathy and professionalism are essential. Successfully overcoming these challenges helps ensure fair outcomes for claimants and minimizes risk for the insurer, providing valuable experience for career advancement within the industry.

What type of long term claims adjuster makes the most money?

Senior or specialized long term claims adjusters, such as those handling complex or high-value claims in industries like commercial or high-net-worth insurance, tend to earn the highest salaries. Advanced certifications, extensive experience, and expertise in specific claim types can also lead to higher compensation in this role.
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Long Term Claims Adjuster jobs near you
Infographic showing various Long Term Claims Adjuster job openings in the United States as of August 2026, with employment types broken down into 60% Full Time, 20% Part Time, and 20% Contract. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.

Experienced Claims Adjuster

Berkshire Hathaway Homestate Companies

San Diego, CA • Hybrid

$70K - $90K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 27 days ago

Job description

WHAT WE'RE LOOKING FOR
Berkshire Hathaway Homestate Companies has an immediate opportunity for an experienced workers compensation adjuster. We're looking for self-starters who can work under minimum direction, can achieve defined results, and are willing to accept ownership for their work product.
 
This Claims Professional is responsible for the management of a caseload of workers compensation indemnity claims from inception to resolution, performing initial investigation and compensability determination, reserve analysis and strategic planning, timely benefit administration to injured workers, and coordination of medical care and legal process, while maintaining the highest level of service to our insureds.
ESSENTIAL RESPONSIBILITIES
  • Conducts the investigation of reported claims via three-point contact calls to determine coverage, compensability and severity, and to gather all other relevant information, documenting all relevant information thoroughly and escalating the investigation for further investigation when appropriate.
  • Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines.
  • Calculates and administers benefits in accordance with statutory requirements, including timely issuance of appropriate notices and filings.
  • Develops and updates a Plan of Action for the successful resolution of each claim; timely updates Plan as new information is obtained.
  • Makes prompt, sound decisions on issues that arise in claims based on the best information available, ensuring that work is performed in accordance with Company standards, training, supervisory direction, and applicable laws.  Timely escalates issues/red flags to Supervisor and/or appropriate internal team.
  • Ensures that the actions of all other professionals involved in claim, including attorneys, nurse case managers, and investigators, are coordinated to achieve a successful resolution of the claim.
  • Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently.
  • Accurately and thoroughly prepares litigation referrals, AOE/COE investigation referrals, and MSA referrals for submission to vendor; obtains proper approval from Management.
  • Prepares timely and accurate settlement recommendations (within designated authority parameters) and effectively negotiates settlement of claims.
  • Fosters a positive and close working relationship with partner company staff, including the Call Center, Medical Management, Special Investigations, Client Services, Underwriting, and Claims Legal.
  • Communicates effectively with individuals outside the company, including clients, medical providers, and injured workers.
  • Collaborates with Adjusting staff and relevant interdepartmental personnel on special projects focused on process efficiency.
  • Ensures continual education requirements are met.
REQUIRED QUALIFICATIONS
  • EDUCATION: Minimum of a High School diploma required or equivalent certificate required; Bachelor's degree from four-year College or university preferred.
  • DESIGNATION: Designated as a Claims Adjuster or Experienced Claims Adjuster per the California Code of Regulations and has completed the minimum required continuing education credits to adjust workers compensation claims for the State of California; Self-Insured certification a plus.
  • EXPERIENCE: Minimum of three years of indemnity adjusting experience managing large and/or complex claims and accounts within a workers' compensation carrier required
  • Maintains qualifying educational criteria to adjust workers' compensation claims for the State of California; Self-Insured certification preferred. 
  • Inquisitive, critical thinker; agile learner with adaptive, smart time management skills.
  • To perform this job successfully, an individual should be proficient in the Microsoft Office Suite of applications (highly proficient in Excel preferred), and be proficient on applicable databases, systems and vendor software programs.
WHAT WE OFFER
  • Work-Life Balance
  • Work From Home Program (up to 2 days per week)
  • Reasonable caseload with in-house Medical Management support (UR, Med Bill Review, Resource Nurses); In-house Claims Assistant support
  • Free On-Site Fitness Facility
  • Free On-Site Garage Parking
  • Paid Time Off
  • Paid Holidays
  • Retirements Savings Match
  • Group Health Insurance (Medical, Dental, and Vision)
  • Life and AD&D Insurance
  • Long Term Disability Insurance
  • Accident and Critical Illness Insurance
  • Flexible Savings Accounts
  • Paid Community Volunteer Day
  • Employee Assistance Program
  • Tuition Reimbursement Program
  • Employee Referral Program
  • Diversity, Equity and Inclusion Program
$70,304 - $95,130 a year
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