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Medical Claim Adjuster Jobs (NOW HIRING)

Chubb

Inside Property Senior Claim Adjuster

Phoenix, AZ · On-site

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 ...

CCMSI

Workers' Compensation Claim Adjuster

Lisle, IL · On-site

$55K - $65K/yr

Overview Workers' Compensation Claim Advocate (Adjuster) Location: Lisle, IL (Hybrid - In office 2x ... Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices ...

CCMSI

Workers' Compensation Claim Adjuster

Lisle, IL

$55K - $65K/yr

Workers' Compensation Claim Advocate (Adjuster) Location: Lisle, IL (Hybrid - In office 2x/month ... Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices ...

CCMSI

Workers' Compensation Claim Adjuster

Lisle, IL

$65K - $84K/yr

OverviewWorkers' Compensation Claim Advocate (Adjuster) Location: Lisle, IL (Hybrid - In office 2x ... Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices ...

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All JobsMedical Claim Adjuster Jobs

Medical Claim Adjuster information

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$41K

$76K

$99K

How much do medical claim adjuster jobs pay per year?

As of Aug 8, 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.

Senior Liability Claim Adjuster

FCCI Insurance Group

Saint Louis, MO • On-site

$75K - $116K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago

Job description

At FCCI, we focus on creating connections and building lasting relationships. Our people truly make the difference. Are you a dedicated team player who thrives in a diverse, innovative and upbeat culture? Do you have strong team working skills, possess technical excellence, have a desire for continuous learning and have compassion and respect for others? If so, FCCI Insurance Group is the company for you!
Currently seeking an experienced resident Senior Liability Claim Adjuster to provide quality, cost efficient, and timely investigation of liability claims and provide exceptional customer service. The selected candidate will handle claims for the Midwest states. With our One Team approach, the Claim staff partners with UW and Risk Control to meet the needs of valued agency partners and policyholders. Responsibilities include managing an inventory of claims handled within departmental guidelines, following best practices and procedures and budgetary guidelines. The selected candidate will evaluate coverage and complete field investigations with a focus on quality claim handing leading to file resolution.
This can be a field-based position, and the selected candidate will be expected to reside in the territory. If located in the Indianapolis, IN area, this position will be a hybrid schedule with 3 days working in the office and 2 days from home.
In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package which includes:
  • Flexible Work Environment
  • Paid Family Leave
  • Competitive PTO & Holidays
  • Recognition & Bonus Programs
  • Medical, Vision, Dental & Life Insurance
  • Employee Referral Bonus
  • Paid Volunteer Time
  • 401(k) Match & Profit-Sharing

The salary range for this position is $75,529-$116,314 annually. This salary range is an estimate and the actual salary will vary based on applicant's education, experience, knowledge, skills, and abilities.
We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Please apply via our website at www.fcci-group.com.
Drug Free Workplace
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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