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Medical Adjuster Jobs (NOW HIRING)

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... medical care (as appropriate), litigation management, damage assessment, settlement negotiations ... other adjusters as requested. · Ensure all file handling is within state statutes, clients ...

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... medical care (as appropriate), litigation management, damage assessment, settlement negotiations ... other adjusters as requested. · Ensure all file handling is within state statutes, clients ...

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.

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 ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

Claims Adjuster

Portland, OR · On-site

$40 - $42/hr

Claims Adjuster 4 Contract: W2 Location: Portland, OR Work Arrangement: Hybrid Pay Range: $40 - $42 ... Ability to build professional relationships with claimants, insureds, brokers, attorneys, medical ...

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 ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

About the Role As a Liability Adjuster, you will work closely with HDVI's Claims and Fleet Services ... Medical, Dental, Vision, Short/Long Term Disability, Basic Life, and AD&D to support you and your ...

Provide training and assistance to coworkers, including other adjusters. * Ensure all change parts ... medical, dental, vision, life insurance, short amp; long-term disability, 401k, PTO, and Company ...

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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 Jul 25, 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 does a medical adjuster do?

A medical adjuster evaluates insurance claims related to medical injuries or illnesses, reviewing medical records, consulting with healthcare providers, and determining coverage and settlement amounts. They often work with claims management software and require knowledge of medical terminology and insurance policies.

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, catastrophic or large-loss adjusters typically earn the highest salaries due to the complexity and severity of claims they handle. These adjusters often work on major claims such as natural disasters and require specialized knowledge, certifications, and experience, which contribute to higher pay compared to staff or desk adjusters handling routine claims.

Is claim adjusting a dying field?

Claim adjusting, including medical adjusting, remains a stable profession with steady demand, especially as insurance companies require claims processing for healthcare and injury cases. The role often requires strong communication skills, attention to detail, and knowledge of insurance policies, with opportunities for certification and ongoing training. While technological advancements like claims management software are changing workflows, the need for human judgment in complex cases sustains the field's relevance.

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?

The average annual salary for a medical claims adjuster 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 involves working in an office or remotely with claims management software.
More about Medical Adjuster jobs
What cities are hiring for Medical Adjuster jobs? Cities with the most Medical Adjuster job openings:
What states have the most Medical Adjuster jobs? States with the most job openings for Medical Adjuster jobs include:
Infographic showing various Medical Adjuster job openings in the United States as of July 2026, with employment types broken down into 37% Locum Tenens, 10% Internship, 50% Full Time, 1% Part Time, 1% Contract, and 1% Summer. Highlights an 79% Physical, 8% Hybrid, and 13% 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

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

North American Risk Services, Inc. (NARS)

Boston, MA • Remote

$70K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

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Job description

Now Hiring:  Sr. General Liability Claims Adjuster – NY Adjuster’s License Required

Location:  Work-From-Home

 

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 required.

·         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!

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.