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Medical Payments Adjuster Jobs (NOW HIRING)

CCMSI

Multi-Line Claims Adjuster

Maitland, FL · On-site

$85K - $90K/yr

Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ... Authorize and make payment of liability claims utilizing a claim payment program in accordance with ...

Orion180

Seasonal Claims Adjuster (Desk)

Melbourne, FL · On-site

Evaluate repair estimates, medical records, wage documentation, and other supporting evidence to ... Issue payments, denials, or partial payments with clear, well-supported documentation. * Maintain ...

CCMSI

Multi-Line Claims Adjuster

Maitland, FL · On-site +1

$85K - $90K/yr

Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ... Authorize and make payment of liability claims utilizing a claim payment program in accordance with ...

CCMSI

Multi-Line Claims Adjuster

Maitland, FL · On-site +1

$85K - $90K/yr

Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ... Authorize and make payment of liability claims utilizing a claim payment program in accordance with ...

CCMSI

Workers' Compensation Claim Adjuster

Wall, NJ · On-site

$68K - $88K/yr

Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

North American Risk Services, Inc. (NARS)

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Senior General Liability Claims Adjuster - NY Adjusters License A Must

Springfield, IL · Remote

$85K - $105K/yr

... medical care (as appropriate), litigation management, damage assessment, settlement negotiations ... payment authority level of $50,000+ when appropriate. · An active New York Adjuster's License ...

North American Risk Services, Inc. (NARS)

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Senior General Liability Claims Adjuster - NY Adjusters License A Must

Nashville, TN · Remote

$85K - $105K/yr

... medical care (as appropriate), litigation management, damage assessment, settlement negotiations ... payment authority level of $50,000+ when appropriate. · An active New York Adjuster's License ...

North American Risk Services, Inc. (NARS)

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Senior General Liability Claims Adjuster - NY Adjusters License A Must

Harrisburg, PA · Remote

$85K - $105K/yr

... medical care (as appropriate), litigation management, damage assessment, settlement negotiations ... payment authority level of $50,000+ when appropriate. · An active New York Adjuster's License ...

North American Risk Services, Inc. (NARS)

Be Seen First

Senior General Liability Claims Adjuster - NY Adjusters License A Must

Frankfort, KY · Remote

$85K - $105K/yr

... medical care (as appropriate), litigation management, damage assessment, settlement negotiations ... payment authority level of $50,000+ when appropriate. · An active New York Adjuster's License ...

North American Risk Services, Inc. (NARS)

Be Seen First

Senior General Liability Claims Adjuster - NY Adjusters License A Must

Richmond, VA · Remote

$85K - $105K/yr

... medical care (as appropriate), litigation management, damage assessment, settlement negotiations ... payment authority level of $50,000+ when appropriate. · An active New York Adjuster's License ...

B Capital

Claims Adjustor

Buffalo, NY · On-site

$60 - $90/hr

As a Claims Adjustor, you will manage and process healthcare claims for our self-funded employer ... Health care providers treat patients, then file medical claims to receive payment from the patient ...

New

Centivo

Claims Adjustor

Buffalo, NY · Remote

$19 - $23/hr

As a Claims Adjustor, you will manage and process healthcare claims for our self-funded employer ... Health care providers treat patients, then file medical claims to receive payment from the patient ...

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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 Sep 2, 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:

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

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

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 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.

Multi-Line Claims Adjuster

CCMSI

Maitland, FL • On-site

$85K - $90K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

CCMSI rating

7.9

Company rating: 7.9 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

Overview
Position Title: Multi Line Claim Consultant
Location: Hybrid - Maitland, FL (hybrid preferred, remote reporting considered)
Hours: Monday - Friday, 8:00 AM to 4:30 PM ET
Salary Range: $85,000-$90,000
Build Your Career With Purpose at CCMSI
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.
The Multi-Line General Liability Claims Adjuster role is responsible for the investigation, evaluation, negotiation, and resolution of General Liability, Bodily Injury, Litigation, and Third-Party Property Damage claims for a dedicated national account program. The position requires the ability to independently manage a caseload, conduct thorough coverage and liability analyses, coordinate all aspects of claim handling, negotiate settlements, and ensure timely and effective claim resolution in accordance with client requirements and company best practices.
Given the national scope of the account, candidates must be willing and able to obtain and maintain all required adjuster licenses in applicable jurisdictions. Holding a New York Adjuster License is preferred and would be considered a strong asset to the team.
Key Qualifications:
  • New York claims experience/licensure is highly preferred.
  • Experience in handling multiple jurisdictional General Liability Coverages is essential.

Responsibilities
  • Investigate and adjust multi-line liability claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
  • Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing liability claims. Negotiate any disputed bills for resolution.
  • Authorize and make payment of liability claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
  • Negotiate settlements with claimants and attorneys in accordance with client's authorization.
  • Assist in selection and supervision of defense attorneys.
  • Assess and monitor subrogation claims for resolution.
  • Prepare reports detailing claims, payments and reserves.
  • Provide reports and monitor files, as required by excess insurers.
  • Compliance with Service Commitments as established by team.
  • Delivery of quality claim service to clients.

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Excellent oral and written communication skills.
  • Individual must be a self-starter with strong organizational abilities.
  • Ability to coordinate and prioritize required.
  • Flexibility, initiative, and the ability to work with a minimum of direct supervision a must.
  • Discretion and confidentiality required.
  • Ability to work as a team member in a rapidly changing environment.
  • Reliable, predictable attendance within client service hours for the performance of this position.
  • Responsive to internal and external client needs.
  • Ability to clearly communicate verbally and/or in writing both internally and externally.

Education and/or Experience
  • ML Claim Consultant will possess excellent claims management skills, typically with 5 to 10 years of experience or equivalent education, along with proven claims handling performance levels.
  • Multi-jurisdictional claims experience is required.
  • New York claims experience/license preferred.
  • Associates degree is preferred.

Computer Skills
Proficient with Microsoft Office programs such as: Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
Adjusters license is required.
New York license highly preferred.
Nice to Have:
  • Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required.

Why You'll Love Working Here
  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy)+ 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

How We Measure Success
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
  • Quality claim handling - thorough investigations, strong documentation, well-supported decisions
  • Compliance & audit performance - adherence to jurisdictional and client standards
  • Timeliness & accuracy - purposeful file movement and dependable execution
  • Client partnership - proactive communication and strong follow-through
  • Professional judgment - owning outcomes and solving problems with integrity
  • Cultural alignment - believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.
Compensation & Compliance
The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.
CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.
Visa Sponsorship:
CCMSI does not provide visa sponsorship for this position.
ADA Accommodations:
CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.
Equal Opportunity Employer:
CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.
Our Core Values
At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:
  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed.

We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.
#CCMSICareers #CCMSIMaitland #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #HybridPosition #ClaimsAdjuster #LiabilityClaims #FloridaJobs #GeneralLiability #AutoClaims #FLAdjustersLicense #CareerGrowth #InsuranceJobs #CCMSI #DedicatedClientDesk #MultiLineClaims #FLClaims #FLLiability #IND123 #LI-Hybrid

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