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Medical Claims Adjuster Jobs (NOW HIRING)

B Capital

Claims Adjustor

Buffalo, NY · On-site

$60 - $90/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 ...

New

Brown & Brown, Inc.

Claims Adjuster

Dallas, TX · On-site

Brown & Brown is seeking a Claims Adjuster to join our growing team in Dallas, TX! The Claims ... Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance * Financial Benefits: ESPP; 401k;

Centivo

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 ...

Tokio Marine HCC

Property Claims Adjuster

Troy, MI · On-site

Property Claims Adjuster Location: Remote / Hybrid (dependent upon on proximity of office location ... Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of ...

Tmhcc

Property Claims Adjuster

Troy, MI · On-site +1

Property Claims Adjuster Location: Remote / Hybrid (dependent upon on proximity of office location ... Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of ...

Tmhcc

Property Claims Adjuster

Property Claims Adjuster Location: Remote / Hybrid (dependent upon on proximity of office location ... Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of ...

Snap-on Inc

Claims Adjuster II

Kenosha, WI

The Claims Adjuster II is responsible for adjusting claims from franchisee and corporate (Auto ... Review, document, and evaluate medical records and negotiate third party settlements with claimants ...

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All JobsFinance and Insurance JobsInsurance JobsInsurance Adjuster 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 Sep 3, 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 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.

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 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 you need a high school diploma or equivalent, and some states require a license which involves passing a state exam. Relevant skills include knowledge of insurance policies, medical terminology, and claims processing software. Gaining experience through entry-level insurance or claims positions can also be beneficial.

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, typically with a standard schedule, and may require certification or training. It can be a stable career path for those interested in healthcare and insurance industries.

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.
More about Medical Claims Adjuster jobs

What cities are hiring for Medical Claims Adjuster jobs?

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What states have the most Medical Claims Adjuster jobs?

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What job categories do people searching Medical Claims Adjuster jobs look for?

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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 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.

Claims Adjuster

American Farm Bureau Insurance Services, Inc.

Grand Rapids, MI • On-site

$50K - $65K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

American Farm Bureau Insurance Services, Inc. (AFBIS, Inc.) is looking for a Claims Adjuster to work remotely in Grand Rapids, Michigan and the surrounding area. As a member of our Claims Team, you will be responsible for performing loss adjustment, pre-acceptance and quality control activities for Crop Hail and Federally Reinsured Crop Insurance products. 

If you are an experienced Claims Adjuster or if you have an interest in agriculture and enjoy helping people, this might be a great opportunity for you. 

Reporting to the Claims Supervisor, the Claims Adjuster will be responsible for:

  • Communicating directly and following up with insureds to perform loss adjustments, pre-acceptance or quality control inspections to gather facts involved with the settlement of reported claims or inspections. 
  • Staying abreast of crop insurance industry procedures relating to proper adjustment of claims.
  • Analyzing and making recommendations for enhancements for company software products to assure compliance with company and RMA procedures. 
  • Performing claim audits and reviews.

What you will bring to this position:

  • A Bachelor’s degree and/or 2+ years of claims adjusting experience.
  • The ability to obtain and/or maintain the required adjuster certifications and licenses. 
  • A valid driver’s license. 
  • The ability to read, analyze, and interpret policy information and applicable procedures.
  • Computer skills including but not limited to Microsoft word and excel. 
  • Excellent verbal, written, and interpersonal communication skills.
  • Effective problem-solving, critical thinking, analytical, organizational, multitasking, and time management skills

Additional experience and skills preferred for this role:

  • Knowledge of Crop Hail and Multi-Peril Insurance Policies forms, endorsements, and approved claims adjusting procedures.
  • Crop insurance experience with emphasis in the claims area. 
  • Knowledge of farming practices and crops typical to the territory. 

Essential Functions and Physical Demands:

  • Ability to drive for extended periods of time.
  • Primary territory includes the home state and adjourning states which requires some overnight travel. 
  • Must be willing to travel and accept assignments in any state serviced by AFBIS. 
  • Climbing grain bins or other storage structures and walking on uneven ground in field adjusting crops.

The expected starting salary range for this position is between $ 50,000 and $65,000. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law.

We do not sponsor employment visas and are unable to take over an employment visa from another employer. Applicants must be authorized to work in the U.S. for ANY employer without the need for employment visa sponsorship.

AFBS offers a competitive benefits package that includes medical, dental, vision, life, and disability insurance; company funded cash balance pension and a 401(k) retirement plan; Flexible Spending and Health Savings Accounts; paid holidays, vacation, and sick time; Employee Assistance Program; and other benefits.

AFBIS participates in E-Verify. Learn more about applicant rights under Federal Employment Laws.