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Medical Claims Adjuster Jobs (NOW HIRING)

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 ...

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 ...

Claims Adjustor

Buffalo, NY · Remote

$19 - $23/hr

As a Claims Adjustor, you will manage and process healthcare claims for our self-funded employer ... Health care providers treat patients, then file medical claims to receive payment from the patient ...

The Claims Adjuster is responsible for conducting thorough investigations, resolving matters ... Employees are eligible for medical, dental, vision, basic life, and short- and long-term disability ...

The Litigation Adjuster is an advanced-level position responsible for managing and resolving ... This position will work closely with defense attorneys, medical providers, and internal ...

The Claims Adjuster is responsible for conducting thorough investigations, resolving matters ... Employees are eligible for medical, dental, vision, basic life, and short- and long-term disability ...

The Claims Adjuster is responsible for conducting thorough investigations, resolving matters ... Employees are eligible for medical, dental, vision, basic life, and short- and long-term disability ...

The Claims Adjuster is responsible for conducting thorough investigations, resolving matters ... Employees are eligible for medical, dental, vision, basic life, and short- and long-term disability ...

The Claims Adjuster is responsible for conducting thorough investigations, resolving matters ... Employees are eligible for medical, dental, vision, basic life, and short- and long-term disability ...

Claims Adjuster

Kent, WA · On-site

$72K - $103K/yr

The Claims Adjuster is responsible for conducting thorough investigations, resolving matters ... Employees are eligible for medical, dental, vision, basic life, and short- and long-term disability ...

Showing results 21-40

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:
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.

Claims Adjuster Trainee

Network Adjusters, Inc.

Denver, CO • On-site

$57K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.


Job description

Network Adjusters is seeking motivated Claims Adjuster Trainees to join our offices located in Denver, CO and Farmingdale, NY. We support clients across a wide range of industries, including transportation, inland marine, ocean marine, cannabis, construction, security, and technology.


As a Claims Adjuster Trainee, you will begin your career learning to investigate and manage insurance claims from initial investigation through final disposition. Your day-to-day work will include policy interpretation, evaluation of damages, and collaboration with internal and external partners to achieve fair and timely claim resolution.


This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.


About the Role


The Claims Adjuster Trainee role is designed to build foundational claims-handling skills through hands-on experience and structured support. In this position, you will develop technical expertise and professional judgment by investigating claims, evaluating coverage, assessing damages, and working toward amicable settlements.


Network Adjusters is committed to advancing the careers of team members at an accelerated pace through mentorship, education, and dedicated support focused on rapid professional development. This is a desk-based role.


Responsibilities


  • Lead claim investigations, including securing testimony from involved parties and coordinating experts such as engineers, forensic analysts, and attorneys to determine liability and claim value
  • Evaluate claims against insurance contracts to interpret policy application and prepare professional correspondence summarizing coverage and liability analysis
  • Utilize conflict resolution and customer service skills to communicate claim decisions with empathy and confidence
  • Work independently on claim investigations while collaborating with team members to support knowledge-sharing and continued growth
  • Negotiate settlements within assigned authority


Qualifications


  • Strong interest in building a career in insurance claims handling
  • Ability to learn and apply policy interpretation and claims investigation principles
  • Strong verbal and written communication skills
  • Customer-focused mindset with the ability to communicate confidently and professionally
  • Solid organizational skills with attention to detail and accuracy
  • Ability to work independently while collaborating effectively within a team environment
  • Proficiency with standard business software and office technology preferred
  • Bilingual proficiency preferred but not required


Compensation & Benefits


  • Salary: Starting from $57,000 annually (based on licensure, certifications, and experience)
  • Training, development, and career growth opportunities
  • 401(k) with company match and retirement planning
  • Paid time off and company-paid holidays
  • Comprehensive medical, dental, and vision insurance
  • Flexible Spending Account (FSA)
  • Company-paid life insurance and long-term disability
  • Supplemental life insurance and optional short-term disability
  • Strong work/family and employee assistance programs
  • Employee referral program


Locations


📍 Denver, CO and Farmingdale, NY

This role is on-site only; remote or hybrid arrangements are not available.


About Network Adjusters


Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results—the proof is in our extensive track record of settled claims and unmatched recovery abilities.