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Medical Only Adjuster Jobs (NOW HIRING)

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 Aug 17, 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 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 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 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 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.
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, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $75,193 per year, or $36.2 per hour.

Claims Examiner, Medical Only

AmTrust Financial Services, Inc.

Princeton, NJ • Hybrid

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 21 days ago

Job description

Overview

The Workers' Compensation Medical Only Claims Examiner is responsible for the prompt and effective investigation of workers' compensation claims involving injuries requiring medical treatment without lost wages. Claim adjudication requires interaction with employers, claimants, medical providers, and other parties to ensure adequate medical treatment is provided utilizing company resources in a cost-effective manner. 

Note, this is a hybrid opportunity out of our Princeton, NJ office.

Responsibilities
  • Ability to multitask and prioritize work in a fast-paced environment and manage time effectively
  • Investigates losses of low to moderate severity to determine cause, scope and extent of injury and/or liability for potential subrogation
  • Verifies coverage and confirms policy conditions have been met
  • Obtains missing information and ensures data integrity for regulatory reporting
  • Communicates effectively with claimants, policyholders, underwriters, agents, and other internal and external stakeholders
  • Authorizes medical treatment and schedules medical appointments
  • Establishes medical reserves, approves medical bills and reviews/requests medical records
  • Documents all correspondence, reports, discussions, and decisions in claim file notes
  • Knowledge of multi-state jurisdictions (if applicable)
  • Obtain appropriate examiner licensing (if applicable)
  • Performs other related duties as assigned
Qualifications

Required

  • Proficiency with MS Word, Excel, and other business applications
  • Demonstrated skills in critical thinking and independent decision making
  • State licensing requirements (if applicable)

Preferred:

  • Minimum of 2 years handling Medical Only or other Workers' Compensation claims experience
  • Basic knowledge of medical conditions, treatment plans and casual relation to occupational injury/illness
  • Drive and desire to use this position as a starting point to potentially enter the Claim Associate training program and become a lost time adjuster in the future
What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

Employment Type: FULL_TIME

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