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Medical Adjuster Jobs (NOW HIRING)

AIG

Claims Adjuster, Warranty

Jeffersonville, IN · On-site

Join us as a Complex Claims Adjuster-Warranty to play your part in that transformation. It's an ... Competitive Medical, Dental and Vision insurance plans. * Opportunity to earn a performance-based ...

All

MI

The General Adjuster needs to be able to work in a collaborative and responsive fashion with ... Health Insurance - Medical, Dental, Vision, Life, and Disability Insurance * ​Health Saving ...

Allstate

Telephone Claims Adjuster

Ontario, CA · On-site +1

$35.82 - $50.24/hr

Key Responsibilities Applies increased experience in the Adjuster II level or a rotation into a ... This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling ...

Allstate

Telephone Claims Adjuster

Scottsdale, AZ · On-site +1

$68K - $104K/yr

National General Insurance is hiring Material Damage Telephone Adjusters to join our team in ... This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling ...

Snap-on Inc

Claims Adjuster II

Kenosha, WI

Review, document, and evaluate medical records and negotiate third party settlements with claimants ... Adjuster insurance licensing in all states that require a license and maintain accreditation.

SAFETY INSURANCE COMPANY

Property Adjuster

Boston, MA · On-site

$57K - $78K/yr

Medical, vision, and dental insurance * 3 weeks accrued PTO * 100% matching 401(k) retirement plan ... Reviews independent adjusters' reports and estimates for accuracy * Performs other activities as ...

AIG

Claims Adjuster, Warranty

Atlanta, GA

Join us as a Complex Claims Adjuster-Warranty to play your part in that transformation. It's an ... Competitive Medical, Dental and Vision insurance plans. * Opportunity to earn a performance-based ...

Capstone ISG

Field Property Adjuster

Providence, RI · On-site

Medical, Dental, Vision * 401 (k) * Short and Long Term Disability * Life Insurance * Sick ... May assist less-experienced adjusters with claims handling when requested * Participates in special ...

Allstate

Telephone Claims Adjuster

OR · On-site +1

$68K - $104K/yr

National General Insurance is hiring Material Damage Telephone Adjusters to join our team in ... This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling ...

Erie Insurance

Property Adjuster (Trainee)

Parkersburg, WV · On-site

$50K - $80K/yr

Property Adjusters operate from a home office, but daily travel to conduct property inspections ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

Erie Insurance

Property Adjuster (Trainee)

Addyston, OH · On-site +1

$50K - $80K/yr

Property Adjusters operate from a home office, but daily travel to conduct property inspections ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

Erie Insurance

Property Adjuster (Trainee)

Cary, NC · On-site

$50K - $80K/yr

Property Adjusters operate from a home office, but daily travel to conduct property inspections ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

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How much do medical adjuster jobs pay per year?

As of Jun 11, 2026, the average yearly pay for medical adjuster in the United States is $76,039.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $85,500.00 per year, depending on experience, location, and employer.

How do I become a medical claims adjuster?

To become a medical claims adjuster, you typically need a high school diploma or equivalent, and some states require a license which involves completing pre-licensing courses and passing an exam. Relevant skills include attention to detail, knowledge of insurance policies, and familiarity with medical terminology; some employers prefer candidates with a background in healthcare or insurance. Continuing education and certification, such as the Certified Professional Coder (CPC) or other industry-specific credentials, can enhance job prospects.

What do medical adjusters do?

Medical adjusters evaluate insurance claims related to medical injuries or illnesses by reviewing medical records, consulting with healthcare providers, and determining claim validity and appropriate compensation. They often work with claims management software and require knowledge of medical terminology and insurance policies to make informed decisions.

What does a Medical Adjuster do?

A Medical Adjuster is responsible for evaluating insurance claims related to medical issues, injuries, or health treatments. They review medical records, assess the validity of claims, and determine the appropriate settlement amounts based on policy terms and medical evidence. Medical Adjusters often work closely with healthcare providers, claimants, and legal professionals to ensure claims are processed accurately and fairly. Their goal is to resolve claims efficiently while preventing fraud and controlling costs for insurance companies.

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

To thrive as a Medical Adjuster, you need a strong understanding of medical terminology, insurance policies, and claims processing, often supported by a bachelor's degree or relevant experience. Familiarity with claims management software, ICD/CPT coding, and sometimes industry certifications like AIC (Associate in Claims) is important. Excellent analytical skills, attention to detail, and effective communication are essential soft skills for negotiating settlements and interacting with stakeholders. These skills ensure accurate claim evaluations, regulatory compliance, and efficient resolution of medical insurance claims.

What is the difference between Medical Adjuster vs Claims Examiner?

AspectMedical AdjusterClaims Examiner
Required CredentialsHigh school diploma or equivalent; certifications like AIC or CPCU beneficialHigh school diploma; often requires insurance licensing or certifications
Work EnvironmentInsurance companies, healthcare facilities, remote workInsurance companies, government agencies, remote or office-based
Job FocusAssessing medical claims, reviewing medical records, determining claim validityReviewing insurance claims for accuracy, compliance, and coverage

Medical Adjusters primarily evaluate medical claims and medical documentation to determine claim validity, often working closely with healthcare providers. Claims Examiners review insurance claims for accuracy and compliance, focusing on policy details. Both roles require attention to detail and knowledge of insurance processes, but Medical Adjusters have a stronger focus on medical information, while Claims Examiners handle broader claim review tasks.

What type of adjuster gets paid the most?

In the insurance industry, specialized adjusters such as catastrophe (cat) adjusters and complex claims adjusters tend to earn the highest salaries due to the complexity and urgency of their cases. These roles often require advanced knowledge, certifications, and the ability to handle large-scale or high-value claims, which are compensated accordingly.

What are some common challenges faced by Medical Adjusters when reviewing healthcare claims?

Medical Adjusters often encounter challenges such as interpreting complex medical records, keeping up with changing healthcare regulations, and balancing thoroughness with efficiency. They must carefully analyze claim details to identify discrepancies or potential fraud, all while communicating effectively with healthcare providers, patients, and insurance companies. Staying organized and up-to-date with medical terminology and industry standards is crucial for success in this role.

How much does a claims adjuster make?

A medical claims adjuster's average annual salary in Florida is approximately $55,000 to $70,000, depending on experience, certifications, and employer. Adjusters with specialized knowledge or certifications such as the AIC or CPCU may earn higher salaries, and the role often requires strong analytical skills and familiarity with claims processing software.
More about Medical Adjuster jobs
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What states have the most Medical Adjuster jobs? States with the most job openings for Medical Adjuster jobs include:
What job categories do people searching Medical Adjuster jobs look for? The top searched job categories for Medical Adjuster jobs are:
Medical Adjuster jobs near you
Major Case Unit Adjuster, Transportation

Major Case Unit Adjuster, Transportation

Reserv, Inc.

Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Job description

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
We seek a skilled Major Case Unit claims professional to investigate and resolve Reserv's most complex and catastrophic claims. Potential to attend trials, settlement conferences, mediations, and arbitrations. Responsible for the handling of all aspects of the claim assigned, including reserving, communication, documentation, litigation management, evaluation, and negotiation. Additionally, another responsibility would be to participate in and coordinate training in the handling of complex claim matters and projects requiring advanced claim knowledge and experience.
The Major Case Unit Specialist will also be responsible for maintaining electronic files, analyzing defense counsel's performance, and regularly reporting to the Major Case Unit Team Lead. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.
What you'll do
  • Managing legal aspects of complex, high value cases, including evaluation of legal process and expenses
  • Analyzing and reviewing commercial auto and transportation claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties.
  • Managing litigation cases related to claims disputes, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims professionals, attorneys, and other stakeholders
  • Collaborating with defense counsel, claims counsel, and claims leadership for strategic planning, including fostering and maintaining positive working relationships with approved defense firms and other vendors in the industry
  • Reviewing legal documents and ensuring compliance with litigation management guidelines.
  • Analyzing and interpreting policy language and reaching appropriate coverage decisions, drafting complex coverage correspondence and proactively managing primarily litigated claim files from inception to closure
  • Directing and controlling the activities and costs of outside vendors including defense counsel, coverage counsel, experts and independent adjusters
  • Maintaining adjuster licenses and continuing education requirements

Qualifications
  • 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
  • 12+ years of claim handling experience, with 7+ of those years handling a pending of >60% in litigation
  • Understand transportation coverages. Understand contractual risk transfer and additional insured forms
  • You have strong understanding of medical terminology
  • You have a sense of urgency and understanding of how to manage time-sensitive demands and documents.
  • Strong analytical and negotiation skills with the ability to drive the negotiations to desired outcomes.
  • Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines
  • Attention to detail, time management, and the ability to work independently in a fast-paced, remote environment

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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