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Medical Claim Adjuster Jobs (NOW HIRING)

Claim Adjuster

Chattanooga, TN · On-site

$48K - $67K/yr

The Claims Adjuster is responsible for contacting claimant and /or service providers to request ... Knowledge of medical terminology The pay range for the role is $48,000 to $67,000. The specific ...

Claim Adjuster

Chattanooga, TN · On-site

$48K - $67K/yr

The Claims Adjuster is responsible for contacting claimant and /or service providers to request ... Knowledge of medical terminology The pay range for the role is $48,000 to $67,000. The specific ...

The Claims Adjuster is responsible for contacting claimant and /or service providers to request ... Knowledge of medical terminology The pay range for the role is $48,000 to $67,000. The specific ...

Workers' Compensation Claim Adjuster

Wall, NJ · On-site

$68K - $88K/yr

Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices ... adjusters stand out through ownership, accuracy, and impact. We measure success by: * Quality claim ...

Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices ... adjusters stand out through ownership, accuracy, and impact. We measure success by: * Quality claim ...

Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices ... adjusters stand out through ownership, accuracy, and impact. We measure success by: * Quality claim ...

E&S Claim Adjuster

Richardson, TX · On-site +1

$91K - $140K/yr

We are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and ... Medical, Vision, Dental & Life Insurance * Employee Referral Bonus * Paid Volunteer Time * 401(k) ...

E&S Claim Adjuster

Sarasota, FL · On-site +1

$91K - $140K/yr

We are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and ... Medical, Vision, Dental & Life Insurance * Employee Referral Bonus * Paid Volunteer Time * 401(k) ...

E&S Claim Adjuster

Carmel, IN · On-site +1

$91K - $140K/yr

We are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and ... Medical, Vision, Dental & Life Insurance * Employee Referral Bonus * Paid Volunteer Time * 401(k) ...

E&S Claim Adjuster

Lake Mary, FL · On-site +1

$91K - $140K/yr

We are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and ... Medical, Vision, Dental & Life Insurance * Employee Referral Bonus * Paid Volunteer Time * 401(k) ...

E&S Claim Adjuster

Lawrenceville, GA · On-site +1

$91K - $140K/yr

We are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and ... Medical, Vision, Dental & Life Insurance * Employee Referral Bonus * Paid Volunteer Time * 401(k) ...

E&S Claim Adjuster

Glen Allen, VA · On-site +1

$91K - $140K/yr

We are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and ... Medical, Vision, Dental & Life Insurance * Employee Referral Bonus * Paid Volunteer Time * 401(k) ...

E&S Claim Adjuster

Sarasota, FL · On-site

$91K - $140K/yr

We are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and ... Medical, Vision, Dental & Life Insurance * Employee Referral Bonus * Paid Volunteer Time * 401(k) ...

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Medical Claim Adjuster information

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$41K

$76K

$99K

How much do medical claim adjuster jobs pay per year?

As of Aug 22, 2026, the average yearly pay for medical claim 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 claim adjuster do?

A Medical Claim Adjuster reviews and evaluates insurance claims related to medical treatments and healthcare services. They assess the validity of claims, determine the amount payable under an insurance policy, and ensure claims are processed accurately and fairly. Their work involves investigating the details of each claim, communicating with healthcare providers and policyholders, and adhering to legal and company guidelines. Medical Claim Adjusters play a crucial role in preventing fraud and ensuring that claims are settled efficiently.

What skills and qualifications are needed to be a medical claim adjuster?

To thrive as a Medical Claim Adjuster, you need a solid understanding of medical terminology, insurance policies, and claims processing, often supported by a background in healthcare administration or insurance. Familiarity with claims management software, ICD and CPT coding systems, and sometimes state licensure or industry certifications is typically required. Strong analytical skills, attention to detail, and effective communication are crucial soft skills for reviewing claims and interacting with policyholders or healthcare providers. These competencies ensure accurate claim evaluations, minimize errors or fraud, and facilitate fair and timely resolutions.

What are common challenges faced by medical claim adjusters, and how can they be managed?

Medical Claim Adjusters often encounter challenges such as interpreting complex medical records, navigating evolving insurance policies, and communicating effectively with healthcare providers and claimants. Staying updated on industry regulations and utilizing claim management software can help manage these complexities. Additionally, strong organizational skills and ongoing professional development are key to balancing a high volume of cases and delivering accurate, timely decisions.

What is the difference between Medical Claim Adjuster vs Medical Claims Processor?

AspectMedical Claim AdjusterMedical Claims Processor
CredentialsInsurance licenses, certifications (e.g., CPC, CPC-A)None typically required, basic computer skills
Work EnvironmentInsurance companies, healthcare providers, remote or officeHealthcare offices, insurance companies, remote options
Job ResponsibilitiesReview, investigate, and approve or deny claimsEnter, process, and track claim data
Industry UsageCommonly used in insurance and healthcare sectorsUsed in insurance and healthcare settings

The main difference is that Medical Claim Adjusters evaluate and decide on claims, often requiring certifications, while Medical Claims Processors handle data entry and processing tasks. Both roles are essential in the claims workflow but differ in responsibilities and credentials.

Is it worth becoming a medical claim adjuster?

Medical claim adjusters evaluate insurance claims related to healthcare expenses, requiring knowledge of medical terminology and insurance policies. The role offers steady employment with opportunities for advancement and often requires certification or training in insurance adjusting. It can be a stable career for those interested in healthcare and insurance industries.
More about Medical Claim Adjuster jobs

What cities are hiring for Medical Claim Adjuster jobs?

Cities with the most Medical Claim Adjuster job openings:

What states have the most Medical Claim Adjuster jobs?

States with the most job openings for Medical Claim Adjuster jobs include:

Infographic showing various Medical Claim Adjuster job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.

Claim Adjuster

Chubb

Chattanooga, TN • On-site

$48K - $67K/yr

Full-time

Re-posted 8 days ago


Chubb rating

8.2

Company rating: 8.2 out of 10

Based on 67 frontline employees who took The Breakroom Quiz

144th of 311 rated insurance


Job description


The Claims Adjuster is responsible for contacting claimant and /or service providers to request information needed in order to process claim - includes written correspondence and phone calls. They will evaluate claims based on documentation received including responses from claimant and providers.
Will need to handle multiple priorities simultaneously, be self-directed and meet service level expectations.
The adjuster must demonstrate customer centricity in all aspects of their job by performing actions with empathy and expertise.
This role is full-time, in office at either locations below:
  • Chicago, IL
  • Columbia, SC
  • Chattanooga, TN
  • Portland, ME

RESPONSIBILITIES:
  • Efficiently and accurately adjudicate claims in accordance with the policy terms, established guidelines and regulations.
  • Conduct eligibility claim review by evaluating claim submission and comparing to policy benefits.
  • Request additional information from policyholders, providers and others as necessary to finalize claim.
  • Actively manage inventory and ongoing claim adjudication.
  • Effectively communicate with customers using empathy and professionalism via phone and written correspondence.
  • Interface with Policyholders and Agents answering a variety of questions through different service channels.
  • Develop a broad understanding of our products and systems.
  • Meet Department standards for time, service and quality.
  • Ability to maneuver between system applications confidently to find information and respond to customer needs in a timely manner.
  • Collaborate with other team members and leadership to ensure effective customer service.
  • Actively engage in Continuous Improvement initiatives and identify process and efficiency enhancements.
  • Participate in required training
  • Performs other duties as assigned

COMPETENCIES:
  • Problem Solving: Takes an organized and logical approach to thinking through problems and complex issues. Simplifies complexity by breaking down issues into manageable parts. Looks beyond the obvious to get at root causes. Develops insight into problems, issues and situation.
  • Continuous Learning: Demonstrates a desire and capacity to expand expertise, develop new skills and grow professionally. Seeks and takes ownership of opportunities to learn, acquire new knowledge and deepen technical expertise. Takes advantage of formal and informal developmental opportunities. Takes on challenging work assignments that lead to professional growth
  • Initiative: Willingly does more than is required or expected in the job. Meets objectives on time with minimal supervision. Eager and willing to go the extra mile in terms of time and effort. Is self-motivated and seizes opportunities to make a difference.
  • Adaptability: Ability to re-direct personal efforts in response to changing circumstances. Is receptive to new ideas and new ways of doing things. Effectively prioritizes according to competing demands and shifting objectives. Can navigate through uncertainty and knows when to change course
  • Results Orientation: Effectively executes on plans, drives for results and takes accountability for outcomes. Perseveres and does not give up easily in challenging situations. Recognizes and capitalizes on opportunities. Takes full accountability for achieving (or failing to achieve) desired results
  • Values Orientation: Upholds and models Chubb values and always does the right thing for the company, colleagues and customers. Is direct truthful and trusted by others. Acts as a team player. Acts ethically and maintains a high level of professional integrity. Fosters high collaboration within own team and across the company; constantly acts and thinks "One Chubb"

SKILLS:
  • Exceptional written and verbal communication skills
  • Quality and Customer Centric Orientation
  • Excellent organizational skills
  • Ability to multi-task in fast-paced environment with attention to detail and prioritize tasks
  • Analytical skills and good decision-making skills
  • Proficient in MS Office - Outlook, Word and Excel
  • Navigation between systems and use of technology is important
  • Insurance/Claims Experience
  • Windows based PC Knowledge
  • Bilingual in Spanish and English a plus

EDUCATION AND EXPERIENCE:
  • 3 or more years related claims experience required (disability management and critical care desired)
  • Experience in a customer interfacing position with progressive responsibility in role
  • Knowledge of medical terminology

The pay range for the role is $48,000 to $67,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
About Us
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

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About Chubb

Sourced by ZipRecruiter

Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. We are a unique global organization with a culture of individuals passionately committed to our respective crafts. With underwriting at our core, each of us contributes to providing the best insurance coverage and service to our clients. Our highly collaborative, inclusive nature helps us drive better business outcomes through diversity of background, experiences, insights and values.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Warren, NJ, US