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Medical Payments Adjuster Jobs (NOW HIRING)

Brookfield

TEMP-Workers' Compensation Claims Adjuster

Omaha, NE · On-site +1

$63K - $81K/yr

... medical payments are made timely and accurately. The position emphasizes strong claim management ... Our Adjusters contribute to providing superb results for our clients. Although Rockwood underwrites ...

Brookfield

$66K - $85K/yr

... medical payments are made timely and accurately. The position emphasizes strong claim management ... Our Adjusters contribute to providing superb results for our clients. Although Rockwood underwrites ...

Brookfield

TEMP-Workers' Compensation Claims Adjuster

OR · On-site +1

$65K - $85K/yr

... medical payments are made timely and accurately. The position emphasizes strong claim management ... Our Adjusters contribute to providing superb results for our clients. Although Rockwood underwrites ...

Brookfield

TEMP-Workers' Compensation Claims Adjuster

Albany, NY · On-site +1

$65K - $84K/yr

... medical payments are made timely and accurately. The position emphasizes strong claim management ... Our Adjusters contribute to providing superb results for our clients. Although Rockwood underwrites ...

Brookfield

TEMP-Workers' Compensation Claims Adjuster

Minto, AK · On-site +1

$68K - $88K/yr

... medical payments are made timely and accurately. The position emphasizes strong claim management ... Our Adjusters contribute to providing superb results for our clients. Although Rockwood underwrites ...

Brookfield

$66K - $85K/yr

... medical payments are made timely and accurately. The position emphasizes strong claim management ... Our Adjusters contribute to providing superb results for our clients. Although Rockwood underwrites ...

Frontline Insurance Managers Inc.

Field Adjuster

Lake Mary, FL · On-site

$56K - $75K/yr

Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and ... Make payment recommendation for amounts above authority level * Respond to all questions in a ...

Posted today

National Equine Adjusting, Inc.

Be Seen First

Equine Insurance Adjuster

Nicholasville, KY · On-site

$45K - $50K/yr

Initial position would be handling equine major medical and mortality claims, with potential future ... reimbursement payments. Proficiency in Microsoft products and adaptability in the use of third ...

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Medical Payments Adjuster information

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$41K

$76K

$99K

How much do medical payments adjuster jobs pay per year?

As of Aug 7, 2026, the average yearly pay for medical payments adjuster in the United States is $76,039.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $85,500.00 per year, depending on experience, location, and employer.

What does a medical payments adjuster do?

A Medical Payments Adjuster is responsible for reviewing and processing insurance claims related to medical expenses after an accident or injury. They examine policy details, verify the validity of the claim, assess medical documentation, and determine the appropriate payment based on coverage limits. Their goal is to ensure that claims are handled fairly, efficiently, and according to the terms of the insurance policy while preventing fraud.

What are the key skills and qualifications needed to thrive as a medical payments adjuster?

To thrive as a Medical Payments Adjuster, strong analytical skills, attention to detail, and a solid understanding of insurance policies and medical terminology are essential, often supported by a bachelor's degree or relevant claims experience. Familiarity with claims management software, billing codes, and regulatory compliance tools is typically required. Excellent communication, negotiation, and empathy help navigate interactions with claimants, providers, and internal teams. These skills ensure accurate claim assessments, cost control, and customer satisfaction in a high-stakes, deadline-driven environment.

What are some common challenges faced by medical payments adjusters, and how can new hires prepare for them?

Medical Payments Adjusters often encounter challenges such as handling a high volume of complex claims, interpreting medical documentation, and communicating with various stakeholders like healthcare providers, claimants, and legal representatives. New hires can prepare by developing strong organizational skills, becoming familiar with medical terminology, and practicing effective communication. Additionally, staying up-to-date on insurance regulations and company procedures will help ensure efficient and accurate claim processing.

What is the difference between Medical Payments Adjuster vs Claims Processor?

AspectMedical Payments AdjusterClaims Processor
Required CredentialsHigh school diploma; certifications like CPCU or ARM beneficialHigh school diploma; often some insurance or claims processing training
Work EnvironmentInsurance companies, healthcare providers, or third-party administratorsInsurance companies, claims centers, or third-party administrators
Job FocusReviewing and adjusting medical payment claims, verifying coverage, negotiating settlementsProcessing insurance claims, data entry, verifying claim information

Medical Payments Adjusters and Claims Processors both work within insurance environments, but Medical Payments Adjusters focus on evaluating and settling medical payment claims, often requiring specific certifications. Claims Processors handle the initial processing of claims, with less emphasis on negotiations. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

How to become a medical payments adjuster?

To become a medical payments adjuster, typically one needs a high school diploma or equivalent, along with knowledge of insurance claims and medical terminology. Many employers prefer candidates with prior experience in insurance adjusting or related fields, and obtaining relevant certifications such as the Certified Professional Coder (CPC) or insurance adjuster licenses can improve job prospects. On-the-job training is common, and strong communication and analytical skills are essential for success in this role.
More about Medical Payments Adjuster jobs
What cities are hiring for Medical Payments Adjuster jobs? Cities with the most Medical Payments Adjuster job openings:
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Medical Payments Adjuster jobs near you
Infographic showing various Medical Payments 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 $76,039 per year, or $36.6 per hour.

PIP Claims Adjuster - NY Adjusters License Needed

North American Risk Services, Inc. (NARS)

Dallas, TX • Remote

$55K - $78K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

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Job description

PIP Claims Adjuster – NY Adjusters License Needed

Working From Home

Comprehensive Benefits Package

·         Medical, Dental, Vision Insurance

·         Paid Time Off Program

·         401k

·         And Much More

 

Premier TPA with Growth Opportunities is searching for a PIP Claims Adjuster with New York Adjusters License

·         Handle a caseload commensurate with complexity level of assigned PIP/Medical Payment claims.

·         Requires investigating loss, determining coverage, coordinating medical care, managing litigation, assessing damages, negotiating settlements, identifying fraud, and utilizing authorized vendors.

·         Ensure compliance with state statutes, client guidelines, and best practices.

·         Attend conferences, client meetings, mentor other adjusters and support management as needed.

·         Timely address claim metrics.

·         Other miscellaneous duties as assigned, which may include travel. 

Experience / Education / Licensing:

·         High School Diploma or equivalent required, 2-year degree or higher preferred.

·         Must have experience with litigation.

·         3+ years of prior claim adjusting experience or have successfully completed the NARS Claims Trainee program.  

·         Must possess an active New York Adjuster's license.

·         Must possess, or have the ability to obtain, a Florida Adjuster's license or other required jurisdictional licensing.

 

In the spirit of pay transparency we are excited to share the base salary for the position of Claims Adjuster is $55,000 -$78,000 exclusive of fringe benefits or potential bonuses. This position is also eligible for an annual performance raise if all guidelines are met. Your salary compensation will be determined based on factors such as geographic location, skills, education and or experience. In addition to those factors, we believe in the importance of pay equality and consider internal equality of our current team members as a final part of any offer. Please keep in mind that range mentioned above is full base salary range for the role. Hiring at maximum of the range would not be typical in order to allow future and continued salary growth. We also offer a generous compensation and benefits package.

Company Description

North American Risk Services (NARS) is a premier third-party claims administrator that is dedicated to producing the best possible results for our clients. "Founded in 1996, NARS handles claims for insurers, brokerages, managing general agencies, reinsurers, liquidation bureaus, self-insured funds and entities."

For more career opportunities and to learn more about NARS, please visit www.narisk.com.