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Medical Claim Adjuster Jobs (NOW HIRING)

Chubb

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 ...

Chubb

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 ...

AmTrust Financial Services, Inc.

Claim Adjuster

Dallas, TX · On-site

$53K - $67K/yr

The adjuster manages a personal caseload, ensures regulatory compliance, and partners with vendors ... Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible ...

AmTrust Financial Services, Inc.

Claim Adjuster

Dallas, TX · Hybrid

$53K - $67K/yr

The adjuster manages a personal caseload, ensures regulatory compliance, and partners with vendors ... Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible ...

AmTrust Financial Services, Inc.

Claim Adjuster

Dallas, TX · Hybrid

$53K - $67K/yr

The Renter's Insurance Claims Adjuster investigates, evaluates, and resolves first-party renter ... Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible ...

CCMSI

Workers' Compensation Claim Adjuster

Wall, NJ

$70K - $90K/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 ...

CCMSI

Workers' Compensation Claim Adjuster

Wall, NJ

$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 ...

CCMSI

Workers' Compensation Claim Adjuster

Wall, NJ · On-site

$70K - $90K/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 ...

FCCI Insurance Group

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) ...

FCCI Insurance Group

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) ...

FCCI Insurance Group

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) ...

FCCI Insurance Group

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) ...

FCCI Insurance Group

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) ...

FCCI Insurance Group

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) ...

Chubb

Inside Property Senior Claim Adjuster

Phoenix, AZ · Remote

The Property Claims Adjuster/Claim Specialist is responsible for managing and resolving first-party ... Medical, dental, and vision coverage starting on your first day of employment * Generous paid time ...

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All JobsMedical Claim Adjuster Jobs

Medical Claim Adjuster information

See salary details

$41K

$76K

$99K

How much do medical claim adjuster jobs pay per year?

As of Aug 9, 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 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 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.

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.

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 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.

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:
What job categories do people searching Medical Claim Adjuster jobs look for? The top searched job categories for Medical Claim Adjuster jobs are:
Medical Claim Adjuster jobs near you
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, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.

Alternative Dispute Resolution (ADR) Claim Adjuster

Frontline Homeowners Insurance

Lake Mary, FL • On-site

$57K - $74K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Frontline Insurance rating

9.1

Company rating: 9.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

27th of 304 rated insurance

Job description

Alternative Dispute Resolution (ADR) Claim Adjuster

Remote

At Frontline Insurance, we are on a mission to Make Things Better, and our Alternative Dispute Resolution (ADR) Claim Adjuster plays a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our customers to ensure that we are making things better for each one.

What makes us different? At Frontline Insurance, our core values – Integrity, Patriotism, Family, and Creativity – are at the heart of everything we do. We’re committed to making a difference and achieving remarkable things together. If you’re looking for a role, as an Alternative Dispute Resolution (ADR) Claim Adjuster, where you can make a meaningful impact and grow your career, your next adventure starts here!

Our Alternative Dispute Resolution (ADR) Claim Adjusters enjoy robust benefits:

  • Remote work schedule!
  • Health & Wellness: Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term).
  • Financial Security: 401k Retirement Plan with a generous 9% match
  • Work-Life Balance: Four weeks of PTO and Pet Insurance for your furry family members.

What you can expect as an Alternative Dispute Resolution (ADR) Claim Adjuster:

  • Review assigned claims promptly.
  • Formulate and execute appropriate ADR strategy in compliance with statutory guidelines.
  • Verify facts of loss and pertinent information to analyze and confirm coverage is appropriately applied.
  • Handle the complete claim, including collecting and reviewing all loss related facts, performing an analysis under the terms of the insurance policy to make coverage recommendation and issue payments within applicable authority level.
  • Review and analyze all claim material to determine the facts of loss, the investigation completed and/or needed and position file for appropriate resolution.

What we are looking for as an Alternative Dispute Resolution (ADR) Claim Adjuster:

  • Bachelor’s degree in Business Administration or an industry related field
  • Minimum of 7 years of experience in claim adjusting and/or training in Property and Casualty or equivalent combination of education and experience
  • Minimum of 3 years of experience in the appraisal process
  • Maintain active Florida 5-20 License and obtain licenses in Alabama, North Carolina, South Carolina, Virginia, and Georgia within 30 days of hire


Why work for Frontline Insurance?

At Frontline Insurance, we’re more than just a workplace – we’re a community of innovators, problem solvers, and dedicated professionals committed to our core values: Integrity, Patriotism, Family, and Creativity. We provide a collaborative, inclusive, and growth-oriented work environment where every team member can thrive.

Frontline Insurance is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

What Frontline Insurance employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

Frontline Insurance logo

About Frontline Insurance

Sourced by ZipRecruiter

Frontline Insurance has provided smart, customizable solutions to our customers across the southeast for over 20 years. Homeowners and business owners in Alabama, Florida, Georgia, North Carolina and South Carolina trust Frontline Insurance to protect their most valuable possessions.

Industry

Insurance services

Company size

51 - 200 Employees

Headquarters location

Lake Mary, FL, US

Year founded

1998

Social media

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