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Medical Adjuster Jobs (NOW HIRING)

Relation Insurance

Medical Only Adjuster - TPA

Stuart, FL · On-site

$58K - $75K/yr

WHAT WE'RE LOOKING FOR The Medical Only Adjuster is responsible for confirming the compensability of workers' compensation medical-only claims and closely monitoring assigned files for potential lost ...

Relationinsurance

Medical Only Adjuster - TPA

Stuart, FL · On-site

$58K - $75K/yr

WHAT WE'RE LOOKING FOR The Medical Only Adjuster is responsible for confirming the compensability of workers' compensation medical-only claims and closely monitoring assigned files for potential lost ...

Universal Insurance Holdings, Inc.

$47K - $63K/yr

The Field Adjusters primary responsibility is to manage, investigate and resolve assigned property ... Industry leading medical, dental and vision insurance plan * 401(k) Retirement Plan with a company ...

TWFG Insurance

Be Seen First

Senior Claims Desk Adjuster

The Woodlands, TX · On-site

$65K - $80K/yr

The Senior Claims Desk Adjuster position reports to the Claims Manager and is responsible for the ... Medical/Dental Insurance * 401K with matching * STD/LTD * Paid Time Off * 9 Paid Holidays a year ...

New

AVONRISK

General Liability Adjuster

Los Angeles, CA · Remote

$55K - $95K/yr

General Liability Claims Adjuster MUST Reside in California & MUST have California General ... Competitive salary and benefits package, including medical, dental, vision, and 401(k)

Capstone ISG

Property Adjuster (Inside)

Inside Property Adjuster - Remote Join a Growing Leader in Independent Claims Adjusting Capstone ... Medical, Dental, and Vision Insurance * 401(k) Retirement Plan * Short-Term and Long-Term ...

Jonus Group

Workers' Compensation Adjuster

Birmingham, AL · On-site

$75K - $95K/yr

Review medical records, claim documentation, and other relevant information. * Communicate with ... Applicable claims adjuster licensing and professional designations are preferred. Compensation ...

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Medical Adjuster information

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$41K

$76K

$99K

How much do medical adjuster jobs pay per year?

As of Sep 14, 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.

What are the key skills and qualifications needed to thrive as a medical adjuster?

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 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.

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.

How to become a medical claims adjuster?

To become a medical claims adjuster, typically one needs a high school diploma or equivalent, relevant work experience, and sometimes a state license or certification depending on the jurisdiction. Developing skills in insurance policies, medical terminology, and claims processing software can improve job prospects; ongoing training or certification programs are often recommended.

What does a medical adjuster do?

A medical adjuster evaluates insurance claims related to medical injuries or illnesses, reviewing medical records, reports, and bills to determine coverage and liability. They often work with healthcare providers and policyholders to resolve claims efficiently and may require knowledge of medical terminology and insurance policies.
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What states have the most Medical Adjuster jobs?

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What are popular job titles related to Medical Adjuster jobs?

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Medical Adjuster jobs near you
Infographic showing various Medical Adjuster job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.

Sr. General Liability Claims Adjuster - NY Adjuster's License Needed

Hartford, CT • Remote

North American Risk Services, Inc. (NARS)
Insurance Services • 501 - 1,000 employees
Learn more about North American Risk Services, Inc. (NARS)external

$85K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Sr. General Liability Claims Adjuster – NY Adjuster’s License Needed

What You’ll Do:

· Maintain claim metrics; must be kept current.

· Handle a case load commensurate with the complexity level of claims assigned.

· Responsible for establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination.

· Coordinate medical care (as appropriate), litigation management, damage assessment, settlement negotiations.

· Identify potential fraud.

· Mange the appropriate use of authorized vendors.

· Ensure the timely and appropriate reserve analysis and report completion.

· Attend conferences, client meetings, and other meetings/events which may include travel.

· Mentor other adjusters as requested.

· Ensure all file handling is within state statutes, clients’ guidelines, and company’s best practices.

· Assist management with other miscellaneous duties as requested.

What You Bring:

· High School Diploma or equivalent required.

· 2-year degree or higher preferred.

· 5+ years of prior claim adjusting experience, preferably in general liability.

· 5+ years of heavy litigation experience.

· The eligibility for reserve/payment authority level of $50,000+ when appropriate.

· An active New York Adjuster’s License.

· The willingness and ability to obtain a Florida Adjuster’s License or other required jurisdictional licensing.

What We Offer:

Professional Growth Opportunities

Comprehensive Benefits

· Medical, Dental & Vision Insurance – effective on start date

· 401k

· Paid Time Off Program

· Company Paid Holidays

· And So Much More!

In the spirit of pay transparency we are excited to share the base salary for the position of Senior Claims Adjuster is $85,000 -$95,000 exclusive of fringe benefits or potential bonuses. This position is also eligible for an annual performance raise if all guidelines are met. Your salary compensation will be determined based on factors such as geographic location, skills, education and or experience. In addition to those factors, we believe in the importance of pay equality and consider internal equality of our current team members as a final part of any offer. Please keep in mind that range mentioned above is full base salary range for the role. Hiring at maximum of the range would not be typical in order to allow future and continued salary growth. We also offer a generous compensation and benefits package.

Company Description

North American Risk Services (NARS) is a premier third-party claims administrator that is dedicated to producing the best possible results for our clients. "Founded in 1996, NARS handles claims for insurers, brokerages, managing general agencies, reinsurers, liquidation bureaus, self-insured funds and entities."

For more career opportunities and to learn more about NARS, please visit www.narisk.com.