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Medical Only Adjuster Jobs in Raleigh, NC (NOW HIRING)

Sedgwick

Patient Care Coordinator-Bilingual Preferred

Raleigh, NC · On-site

$17/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... of medical goods and services. ESSENTIAL FUNCTIONS and RESPONSIBILITIES * Spanish Bilingual ... Communicates with vendor partners, claims adjusters and nurse case managers providing updates on ...

Murphy-Hoffman Company

Body Shop Manager

Durham, NC · On-site

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Develops good relations with customer, adjusters, and insurance companies. SAFETY-SENSITIVE This ... Medical, Dental and Prescription Insurance * Disability and Life Insurance * Paid Time Off program ...

All JobsMedical Only Adjuster JobsMedical Only Adjuster Jobs in Raleigh, NC

Medical Only Adjuster information

See Raleigh, NC salary details

$36K

$73.1K

$123.9K

How much do medical only adjuster jobs pay per year?

As of Aug 17, 2026, the average yearly pay for medical only adjuster in Raleigh, NC is $73,089.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,100.00 and $81,600.00 per year, depending on experience, location, and employer.

What is a medical only adjuster?

A Medical Only Adjuster is an insurance professional who handles workers' compensation claims that involve only medical expenses and do not include lost wage benefits. Their primary responsibility is to review, process, and manage claims where the injured employee requires medical treatment but can still work or does not miss significant time from work. They communicate with medical providers, claimants, and employers to ensure proper documentation and payment of medical bills. This role is crucial to ensure that claims are handled efficiently and within the guidelines set by state laws and insurance policies.

What are the key skills and qualifications needed to thrive as a medical only adjuster, and why are they important?

To thrive as a Medical Only Adjuster, you need knowledge of workers’ compensation laws, claims processing, and medical terminology, often supported by relevant experience or insurance certification. Familiarity with claims management software and document management systems is typically required. Strong attention to detail, organizational skills, and effective communication are important soft skills for efficiently handling claims and collaborating with providers. These competencies are crucial to ensure accurate claims resolution, compliance with regulations, and positive claimant experiences.

What are some common challenges faced by medical only adjusters when managing multiple claims simultaneously?

Medical Only Adjusters often handle a high volume of claims at once, which can make time management and organization critical challenges. Accurately tracking medical documentation, timely communication with healthcare providers, and ensuring prompt claim resolution require strong multitasking skills. Staying current on workers' compensation laws and maintaining detailed notes are essential for avoiding errors. Collaboration with other adjusters, nurses, and legal teams is also common, especially when claims escalate or require additional review.

What is the difference between Medical Only Adjuster vs Property Claims Adjuster?

AspectMedical Only AdjusterProperty Claims Adjuster
CertificationsTypically requires adjuster license, possibly medical certificationsRequires adjuster license, sometimes specific to property claims
Work EnvironmentPrimarily office-based, field visits to medical providersOffice and field work inspecting property damage
Industry UsageUsed mainly in insurance companies handling health-related claimsUsed in property and casualty insurance claims
Search/Comparison IntentOften compared for claims handling scope and credentialsRelated but focuses on physical property damage

The Medical Only Adjuster specializes in claims related to medical benefits and injuries, often requiring medical knowledge and specific licenses. In contrast, a Property Claims Adjuster handles physical damage to property, such as homes or vehicles. While both roles involve claims investigation and settlement, their focus areas, required credentials, and work environments differ significantly.

What are popular job titles related to Medical Only Adjuster jobs in Raleigh, NC?

For Medical Only Adjuster jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Medical Only Adjuster jobs in Raleigh, NC look for?

The top searched job categories for Medical Only Adjuster jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Medical Only Adjuster jobs?

Cities near Raleigh, NC with the most Medical Only Adjuster job openings:

Medical Only Adjuster jobs near you
Infographic showing various Medical Only Adjuster job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $73,089 per year, or $35.1 per hour.

Workers Comp Lost Time Adjuster

North Carolina League of Municipalities

Raleigh, NC • On-site

$56K - $88K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Job description

The North Carolina League of Municipalities (NCLM) is seeking a Workers Compensation Lost Time Adjuster. This position is part of the Workers Compensation Claims team. Under the supervision of the Workers Compensation Claims Supervisor, this role is responsible for managing workers’ compensation claims where lost wages may be due, and determine compensability. This is accomplished by investigating files through a recorded statement, performing interviews, reviewing medical notes, accepting or denying claims, calculating pay compensation, assigning outside vendors when needed, attending mediations and hearings, monitoring and adjusting reserves on claims, handling and reviewing incoming mail, filing appropriate forms, and acquiring and maintaining adjuster licenses.

Additional duties include:

Manages claims by monitoring and paying medical bills; determining and calculating various types of payment; assigning appropriate vendors; facilitating doctors’ orders; overseeing adequacy until closure; maintaining computer notes, diary and contact with employer; monitoring incoming correspondence; concluding claims by paying PPD or settlement; attending mediations and hearings; reporting per requirements; and requesting settlement authority.

Minimum qualifications:

Work requires broad knowledge in a general professional or technical field. Knowledge is normally acquired through four years of college resulting in a Bachelor's degree or equivalent.

Over four years of experience handing workers’ compensation claims; Medical Only and/or Lost Time.

Why work for the League?

The North Carolina League of Municipalities has been one voice for cities and towns across the state for more than 100 years. Our motto is “Working As One. Advancing All,” and through our collective efforts, cities and towns are better equipped to serve their residents and improve their quality of life. If you have a heart for service and are looking to make a positive impact on NC communities, then we want to hear from you!

Benefits:

The anticipated hiring range for this position is $60,000-$70,000. This position is a hybrid position, with some time each week required in the League’s Raleigh office. NCLM full-time employees enjoy participation in the N.C. Local Government Retirement System, a 401(k) plan with 4% employer match, generous paid time off, employer paid health, dental, vision, and life insurance, employer paid parking, on-site gym access, and bottomless beverages in our downtown Raleigh office.

Qualified applicants are encouraged to apply today! EOE