ZipRecruiter

Log In

1

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 ...

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)

Schneider

Claims Adjuster

Green Bay, WI · Hybrid

Claims Adjuster Work model:Hybrid Location:Green Bay, WI, USA Shift:First shift Job level ... Medical, dental and vision insurance. * Company paid life insurance. * 401(k) savings plan with ...

next page

Showing results 1-20

All JobsMedical Claims Adjuster Jobs

Medical Claims Adjuster information

See salary details

$30.5K

$64.6K

$90K

How much do medical claims adjuster jobs pay per year?

As of Jul 28, 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 do I become a medical claims adjuster?

To become a medical claims adjuster, you typically need a high school diploma or equivalent, and some states require a license which involves completing pre-licensing courses and passing an exam. Relevant skills include attention to detail, knowledge of insurance policies, and familiarity with medical terminology, often supported by certifications such as the Certified Claims Adjuster (CCA).

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 are the key skills and qualifications needed to thrive as a Medical Claims Adjuster, and why are they important?

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.

How much does a claims adjuster make?

A medical claims adjuster typically earns an average annual salary of around $60,000, though this can vary based on experience, location, and employer. Adjusters with specialized certifications or extensive experience may earn higher salaries, and some work full-time in office or remote settings.

What kind of claims adjuster makes the most money?

In the claims adjusting field, specialized roles such as catastrophe or large-loss claims adjusters tend to earn higher salaries due to the complexity and scale of claims they handle. These adjusters often require advanced certifications and experience, and work in high-pressure environments, which contribute to higher compensation compared to general claims adjusters.

Is it worth becoming a claims adjuster?

A medical claims adjuster evaluates insurance claims related to healthcare, requiring attention to detail, knowledge of insurance policies, and often a certification such as the CPCU or AIC. The role offers steady employment, with opportunities for advancement and specialization, and typically involves working in an office or remote environment. Salary and job stability can vary based on experience and location, making it a viable career choice for those interested in insurance and healthcare industries.
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 July 2026, with employment types broken down into 97% Full Time, 1% Part Time, and 2% Contract. Highlights an 79% Physical, 8% Hybrid, and 13% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.
MEDICAL CLAIMS ADJUSTER

MEDICAL CLAIMS ADJUSTER

Wilson-McShane Corp

Kansas City, MO • On-site

$28.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 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: