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Medical Only Adjuster Jobs (NOW HIRING)

Davies

Workers' Compensation Claims Manager

San Diego, CA · On-site +1

$100K - $120K/yr

Supervise, coach, and mentor a team of Workers' Compensation Adjusters handling medical-only, indemnity, and litigated claims. * Conduct regular file reviews, audits, and performance evaluations to ...

The AF Group

Medical Only Claims Spec I/II

Lansing, MI · On-site

The Medical Only Claims Specialist II is an experienced level claims role. The incumbent is ... May serve as an adjuster to the dedicated account representative * Supports the team, as required ...

The AF Group

Medical Only Claims Spec I/II

Lansing, MI · On-site

The Medical Only Claims Specialist II is an experienced level claims role. The incumbent is ... May serve as an adjuster to the dedicated account representative * Supports the team, as required ...

The AF Group

Medical Only Claims Spec I/II

Lansing, MI · On-site

The Medical Only Claims Specialist II is an experienced level claims role. The incumbent is ... May serve as an adjuster to the dedicated account representative * Supports the team, as required ...

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Medical Only Adjuster information

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$37K

$75.2K

$127.5K

How much do medical only adjuster jobs pay per year?

As of Sep 6, 2026, the average yearly pay for medical only adjuster in the United States is $75,193.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,000.00 and $84,000.00 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.

More about Medical Only Adjuster jobs

What cities are hiring for Medical Only Adjuster jobs?

Cities with the most Medical Only Adjuster job openings:

What states have the most Medical Only Adjuster jobs?

States with the most job openings for Medical Only Adjuster jobs include:

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

The top searched job categories for Medical Only Adjuster jobs are:

Medical Only Adjuster jobs near you
Infographic showing various Medical Only Adjuster job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $75,193 per year, or $36.2 per hour.

Claims Representative - Medical Only

Berkshire Hathaway GUARD Insurance Companies

Wilkes Barre, PA • Hybrid

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Job description

Overview

Good Things Start Here.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies-an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, longterm careers.

Good Things You Can Count On.

  • Hybrid schedule: 2 days remote / 3 inoffice
  • Predictable hours (no nights, weekends, or holidays)
  • Competitive pay + generous PTO
  • Medical, dental & vision starting day one
  • 401(k), tuition reimbursement & longevity bonuses
Responsibilities

The Medical Claims Representative manages Workers' Compensation medical-only claims while providing timely service to injured workers, employers, and medical providers. This role is responsible for the communication, coordination and administration of Workers' Compensation claims.

  • Manage Workers' Compensation medical-only claims from initial report through resolution.
  • Determine compensability and ensure timely delivery of benefits.
  • Coordinate medical treatment and facilitate early return-to-work efforts.
  • Review and process medical bills for payment.
  • Serve as a liaison between injured workers, employers, and medical providers.
  • Provide guidance regarding Workers' Compensation processes and claim management.
  • Maintain accurate claim documentation and comply with applicable regulations and company procedures.
Qualifications

Candidate must have:

  • Proficiency with Microsoft Office applications and other business technologies
  • Strong communication, organizational, and customer service skills
  • Ability to understand and apply medical and legal terminology related to Workers' Compensation claims
  • Strong attention to detail
  • Ability to learn new technology and systems
  • High School Diploma/GED required; additional education or relevant claims experience is a plus
  • Licensing Requirement: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses. The company will support the licensing process, including cost, training and compliance with ongoing continuing education requirements

Interview Integrity Notice: Berkshire Hathaway GUARD is committed to a fair and consistent hiring process. Candidates are expected to participate independently in interviews. Unauthorized recording, transcription, AI note-taking, or AI interview assistance tools may not be used during interviews without prior approval.

Employment Type: FULL_TIME

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