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Medical Payments Adjuster Jobs (NOW HIRING)

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

May handle 1st party medical payment and PIP claims. * Responsible for managing, investigating, and ... Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of ...

Medical Only Adjuster (Georgia)

Summerville, GA · On-site

$59K - $77K/yr

Ensure that all medical payments are issued timely and appropriately. Requirements * Successfully pass tests in states where they are required for license * Complete required ongoing education ...

Showing results 21-40

Medical Payments Adjuster information

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$41K

$76K

$99K

How much do medical payments adjuster jobs pay per year?

As of Aug 23, 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, candidates typically need a high school diploma or equivalent, along with relevant training or certification in insurance claims adjusting. Many employers prefer candidates with knowledge of medical terminology, insurance policies, and claims processing software. Licensing requirements vary by state and often involve passing an exam and completing continuing education courses.
More about Medical Payments Adjuster jobs

What cities are hiring for Medical Payments Adjuster jobs?

Cities with the most Medical Payments Adjuster job openings:

What states have the most Medical Payments Adjuster jobs?

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

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, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.

Commercial Casualty Litigation Adjuster - Remote

CSAA

On-site

Full-time

Retirement

Re-posted 28 days ago


Job description

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Internal candidates: Please go to Workday and click "Find Jobs" link under Career

Thank you for considering opportunities with us!

Job Title

Commercial Casualty Litigation Adjuster - Remote

Requisition Number

R7909 Commercial Casualty Litigation Adjuster - Remote (Open)

Location

Colorado - Home Teleworkers

Additional Locations

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}

Job Information

We're Mobilitas, a commercial insurance company created by CSAA Insurance Group. Our mission is to reinvent commercial insurance in the mobility space to offer our partners innovative solutions for today's way of doing business. At Mobilitas, we believe in what's possible and we use our inventive skills to meet the demands of modern mobility with exceptional service. We're looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company. We're excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance.

We are actively hiring for a Commercial Casualty Litigation Adjuster - Remote

Your Role:

As a Commercial Casualty Litigation Adjuster, you will be assigned as owning adjuster when injury exposures are identified. Claims will include catastrophic injuries, fatalities, and litigation. In this role, you will be responsible for management of the claim through conclusion, including trial, of litigated claims. May own claims within other specialized lines of business or during catastrophes. You will provide input and direction to defense counsel and be responsible for ultimate resolution through providing settlement authority and participating in negotiations with limited oversight. You will also be responsible for effective management of defense costs and indemnity. May handle first party non-liability-based injury claim (Medical Payment, PIP, Inland Marine, auto physical damage).

Your Work:
  • Assigned as owning adjuster when injury exposure is identified.

  • Handles complex 1st and 3rd party auto liability cases involving injury, including complexity litigated cases with defense attorney involvement.

  • May handle 1st party medical payment and PIP claims.

  • Responsible for managing, investigating, and negotiating claims, including collaborating with defense counsel to identify strategy for negotiations. Provides input as the face of the organization via phone or in attendance on video or in-person at mediations and settlement conferences for litigation claims.

  • Interacts directly with defense counsel providing direction, authority for resolution (i.e., settle or go to trial) and ensures appropriate outcome in balancing defense costs and indemnity on litigation claims.

  • Making coverage determinations and advising customers as to proper course of action related to coverage issues.

  • Conducting investigative work of a complex nature (interviewing witnesses; obtaining and analyzing evidence, including medical records; deciding whether an independent medical examination is warranted; etc.).

  • Direct defense counsel in non-litigated or litigated claims.

  • May require appearing at and representing the insureds at arbitrations and trials.

  • May require testimony in a deposition setting.

  • Evaluate defense counsel fees and cost for reasonableness and resolve.

  • Evaluating potential for subrogation and initiating initial notice of subrogation request.

  • Making final decisions to settle within settlement authority, without supervisory approval, and developing negotiating strategies.

  • Presenting cases in Committee setting when seeking above settlement authority level; thereafter, independently negotiating and settling the claim.

  • Will develop and present executive summaries on individual claims to external clients and internal executives in a virtual setting to gain alignment with client on next steps, and settlements.

  • Handles most commercial product types including but not limited to auto, fleet, last mile delivery, and trucking. Will handle claims in most geographic venues. Handles claims involving any vehicle types that may include, but is not limited to auto, motorcycles, scooters, recreational vehicles, trucks, and remote-controlled delivery vehicles.

  • Understands and handles claims in line with any applicable insurance program agreements, claim service level agreements.

  • Plays a direct role in the development of other adjusters through mentorship, training, and coaching.

Required Experience, Education and Skills:
  • 6+ years of claims experience.

  • 3+ years of experience in a Casualty claims role within P&C insurance industry with a minimum of 1 year in a Sr. Casualty role or equivalent Complex Casualty / Litigation experience.

  • BA/BS in business, insurance or related area, or equivalent combination of education and experience.

  • Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of filling position as a condition of employment.

What would make us excited about you:

  • 6+ years of Casualty claims adjusters experience.

  • 3+ years of experience in a Commercial claims role.

  • Bilingual a plus.

  • Proficiency or ability to obtain proficiency in the handling of minor, moderate and complex litigated claims.

Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.

Why Choose a Career at Mobilitas?

At Mobilitas, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive.

Recognition: We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at careers.mobilitasinsurance.com.

Career Growth: We believe in growth for everyone. Here at Mobilitas, leaders and mentors partner with employees to align interests, unlock development opportunities, and support longterm success.

Flexible Workplace: We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices. Our flexible workplace empowers you to balance remote work with intentional inperson moments that deepen connection and collaboration.

Inclusion and Belonging: An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market.

Sustainability: As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact.

Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us.

CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact jobs@mobilitasinsurance.com

If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.

Mobilitas does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Mobilitas Insurance Group is an equal opportunity employer.

#LI-CH1

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The national average salary range for this position is $80,865.00-$89,850.00. However, we have a location-based compensation structure. Our salary ranges vary and are calculated based on work location. The starting pay range for this position across all the states we hire in is $80,865.00-$107,900.00. This role also includes an opportunity for a company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to 10% of eligible pay.This job posting will be unposted on Fri, 21 Aug 2026.