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Medical Claims Adjuster Jobs (NOW HIRING)

battleface

Claims Adjuster

Stevens Point, WI · On-site

From medical emergencies to travel disruptions, Robin Assist delivers 24/7 claims handling ... Current (or ability to obtain) state adjuster licensing * A belief that claims processing should ...

battleface

Claims Adjuster

Stevens Point, WI · Remote

From medical emergencies to travel disruptions, Robin Assist delivers 24/7 claims handling ... Current (or ability to obtain) state adjuster licensing * A belief that claims processing should ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

American Agricultural

Claims Adjuster

Grand Rapids, MI · Remote

$65K/yr

If you are an experienced Claims Adjuster or if you have an interest in agriculture and enjoy ... AFBS offers a competitive benefits package that includes medical, dental, vision, life, and ...

BCForward

Claims Adjuster

Plano, TX · Remote

$39 - $40/hr

Medical records and billing * Independent Medical Evaluations (IMEs) * Evaluate injury exposure and ... Adjuster Licenses. * Professional designations such as AIC (Associate in Claims) and/or CPCU ...

New

American Agricultural

Claims Adjuster

Evansville, IN · Remote

$65K/yr

If you are an experienced Claims Adjuster or if you have an interest in agriculture and enjoy ... AFBS offers a competitive benefits package that includes medical, dental, vision, life, and ...

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Medical Claims Adjuster information

See salary details

$30.5K

$64.6K

$90K

How much do medical claims adjuster jobs pay per year?

As of Aug 8, 2026, the average yearly pay for medical claims adjuster in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

What is the difference between Medical Claims Adjuster vs Medical Claims Examiner?

AspectMedical Claims AdjusterMedical Claims Examiner
CredentialsTypically requires insurance licensing and knowledge of claims processingOften requires similar insurance certifications and detailed medical billing knowledge
Work EnvironmentInsurance companies, third-party administrators, or healthcare organizationsInsurance companies, government agencies, or third-party payers
Job FocusInvestigating, evaluating, and settling insurance claimsReviewing and verifying medical claims for accuracy and compliance
Common Search IntentUnderstanding claims processing and settlementVerifying medical billing and claim accuracy

Both roles involve working with insurance claims, but Medical Claims Adjusters focus on settling claims and negotiating payouts, while Medical Claims Examiners verify the accuracy and compliance of medical claims. They often work in similar environments and require comparable certifications, making them closely related in the insurance and healthcare industries.

How to become a medical claims adjuster?

To become a medical claims adjuster, typically one needs a high school diploma or equivalent, followed by relevant training or certification in insurance claims processing. Many employers prefer candidates with knowledge of medical terminology, insurance policies, and claims software; obtaining a license or certification, such as the Certified Claims Adjuster (CCA), can improve job prospects.

Is it worth becoming a medical claims adjuster?

Medical claims adjusters evaluate insurance claims related to healthcare expenses, requiring knowledge of medical terminology and insurance policies. The role offers steady employment, with opportunities for certification and advancement, and typically involves working in an office or remote setting. Salaries vary based on experience and location, making it a viable career choice for those interested in healthcare and insurance industries.

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

Medical Claims Adjusters often encounter challenges such as navigating complex healthcare policies, managing large caseloads, and communicating with multiple stakeholders, including providers and policyholders. Staying organized and up-to-date on changing regulations is crucial. Effective adjusters develop strong analytical skills and leverage claims management software to streamline their workflow. Collaborating closely with other team members and seeking clarification from supervisors or legal experts also helps address difficult cases and ensure accurate claim resolutions.

What does a medical claims adjuster do?

A medical claims adjuster reviews insurance claims related to healthcare services to determine coverage and appropriate payment. They analyze medical bills, verify policy details, and communicate with healthcare providers and policyholders to resolve claims efficiently, often using claims processing software. Strong attention to detail and knowledge of insurance policies are essential for this role.

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

To thrive as a Medical Claims Adjuster, you need a strong understanding of medical terminology, insurance policies, and claims processing, often supported by relevant experience or a degree in a related field. Familiarity with claims management software, billing systems, and regulatory compliance tools is typically required. Analytical thinking, attention to detail, and effective communication are essential soft skills to excel in this role. These skills ensure accurate claim evaluations, minimize errors, and support fair and timely resolutions for policyholders and insurers.
More about Medical Claims Adjuster jobs
What cities are hiring for Medical Claims Adjuster jobs? Cities with the most Medical Claims Adjuster job openings:
What states have the most Medical Claims Adjuster jobs? States with the most job openings for Medical Claims Adjuster jobs include:
What job categories do people searching Medical Claims Adjuster jobs look for? The top searched job categories for Medical Claims Adjuster jobs are:
Medical Claims Adjuster jobs near you
Infographic showing various Medical Claims 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 $64,609 per year, or $31.1 per hour.

MEDICAL CLAIMS ADJUSTER

Wilson-McShane Corp

Kansas City, MO • On-site

$28.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

Description:

As a Medical Claims Adjuster with Wilson-McShane Corporation, you will be processing medical, and short-term disability claims. This position has direct impact on the participants and families of the plans we administer by ensuring their claims are processed timely and accurately. Our Claims Adjusters also answer a high-volume of phone calls. This provides the opportunity to speak with participants and providers directly via phone and in person in order to best support them with their claims and benefit questions.


The schedule for this position is 8:00am-5:00pm, Monday-Friday with a 1 hour lunch. This role is a non-exempt position with compensation at $28.80 per hour and includes benefits such as the following:

  • Low Deductible Health, Prescription Drug and Dental Benefits
  • Voluntary Vision, Accident, Critical Illness and Pet Insurance
  • Flexible Spending Account (FSA)
  • Employer Contribution to 401(k)-No Match Required
  • 401(k) and Roth 401(k)
  • Paid Holidays and Paid time off
  • Dependent Care Reimbursement Account
  • Life Insurance and AD&D
  • Employer Paid Short Term Disability
  • Employee Assistance Program, including access to confidential counseling (virtual and in-person)

Essential Skills and Qualifications:

  • Minimum of two years claims paying experience required.
  • Ability to read and interpret documents such as Summary Plan Description and procedure manuals.
  • Computer Skills: Proficiency with Microsoft Office. Quick learner of other computer applications.

If you enjoy utilizing attention to detail to process claims and providing excellent customer service as you assist people with their claims process, please consider applying today!


Requirements: