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Medicare Claim Adjuster Jobs (NOW HIRING)

Davies

Enter necessary information into the claim system to ensure mandatory reporting to Medicare ... Review field adjuster reports for thoroughness and accuracy. * College degree or equivalent ...

AppleOne

Liability Claims Adjuster

Salt Lake City, UT · On-site

$75K/yr

The Liability Claims Adjuster will work in a fast-paced insurance environment where accuracy, sound ... regulations, and Medicare requirements for bodily injury claim settlements. Compensation and ...

BayOne Solutions

Claims Adjuster

El Dorado Hills, CA · On-site

$36/hr

Communicates claim action with claimant and client. * Ensures claim files are properly documented ... Medicare application procedure as applicable to line of business * Excellent oral and written ...

CR England

Liability Claims Adjuster

Salt Lake City, UT · On-site

$65K/yr

Liability Claims Adjuster Pay: $ 60,000+ Location: Corporate Office, SLC UT Schedule: M- F 7AM ... Knowledge of industry claim handling standards, Medicare requirements, and applicable state ...

ceiwc

Claims Adjuster or Senior Claims Adjuster

Towson, MD · On-site

$64K - $96K/yr

Keeps agents and policyholders informed of claim status as appropriate. Anticipates and promptly ... Demonstrates an understanding of the impact of Medicare on workers' compensation claims to include ...

Heartland SIG

CCS Defense Based Act (DBA) Adjuster

Dallas, TX · On-site

$61K - $79K/yr

Determines whether an injured worker is a Medicare beneficiary or possibly receiving SSDI benefits ... Independently identify and resolve most common claim file issues. * Prepare for and/or represent ...

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Medicare Claim Adjuster information

See salary details

$30.5K

$64.6K

$90K

How much do medicare claim adjuster jobs pay per year?

As of Sep 12, 2026, the average yearly pay for medicare claim adjuster in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

What is the difference between Medicare Claim Adjuster vs Medicare Claims Processor?

AspectMedicare Claim AdjusterMedicare Claims Processor
CertificationsTypically requires insurance or healthcare claims processing certificationsOften requires basic claims processing training or certifications
Work EnvironmentOffice-based, working with claims data and insurance systemsOffice or remote, handling claims submissions and data entry
Employer & Industry UsageInsurance companies, healthcare providers, government agenciesHealthcare providers, insurance companies, government programs

Medicare Claim Adjusters and Medicare Claims Processors both work within the healthcare claims industry, but Claim Adjusters focus on reviewing and resolving complex claims, often requiring specialized certifications. Claims Processors handle the initial data entry and processing of claims, typically with less specialized training. Both roles are essential in ensuring accurate Medicare reimbursements and customer service.

How to become a Medicare Claim Adjuster?

To become a Medicare Claim Adjuster, candidates typically need a high school diploma or equivalent, with some roles requiring an associate degree or higher in healthcare administration or related fields. Relevant skills include knowledge of insurance policies, claims processing, and familiarity with Medicare regulations, often supported by certifications such as the Certified Professional Coder (CPC) or Medicare-specific training. On-the-job training is common, and strong attention to detail and computer skills are essential for success in this role.

Is there a demand for Medicare Claim Adjusters?

Medicare Claim Adjusters are in demand due to the ongoing need for healthcare claims processing and insurance reimbursement. The role requires knowledge of Medicare policies and often involves working with claims management software, with job growth expected to align with the expanding healthcare industry.

What states have the most Medicare Claim Adjuster jobs?

States with the most job openings for Medicare Claim Adjuster jobs include:

What are popular job titles related to Medicare Claim Adjuster jobs?

For Medicare Claim Adjuster jobs, the most frequently searched job titles are:

Infographic showing various Medicare Claim Adjuster job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 78% Full Time, 14% Part Time, and 4% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.

P&C Liability Bodily Injury Adjuster

Jacksonville, FL • On-site, Remote

Davies
Public Relations Agencies • 11 - 50 employees
Learn more about Daviesexternal

$65K - $75K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

P&C Liability Bodily Injury Adjuster
Department: Claims Administration & Adjusting
Employment Type: Permanent - Full Time
Location: Remote, FL
Reporting To: Chris Lewis
Compensation: $65,000 - $75,000 / year
Description
Our Story
Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.
We're on the lookout for a Bodily Injury Adjuster to join our growing team! As a Bodily Injury Adjuster, you will adjust third party General Liability, Auto Liability, Errors and Omissions, and Law Enforcement claims in which a claim exists for bodily injury, personal injury or wrongdoing. This role is a full-time, home-based position that may require travel at times to claims meetings at client locations, seminars for obtaining CEU credits, and scene investigations or inspections.
Key Responsibilities
  • Perform all duties as outlined in the Property Damage Adjuster Job Description
  • Daily review of workflow and claim system reminders with follow up and significant progress towards completion of any task set as a reminder, or received in workflow within 72 hours
  • Review of new claims assignments within 24 hours of assignment/Completion of the Plan of Action
  • Contact with the insured/claimant within 24 hours of assignment
  • Assign appraisers or coordinate the receipt of estimates of damage according to client guidelines or approval
  • Determine if estimates or appraisals are appropriate based upon reported damages and other evidence
  • Gather evidence of damages
  • Interview or obtain recorded statements from the claimant, the Insured and any witnesses
  • Request payment authorization according to client guidelines and Davies Claims North America policy and procedures
  • Follow client guidelines for any claim denial
  • Obtain internal investigation reports from the insured (client) when permitted by the client
  • Professional and timely communication with the client
  • Determine degree of attorney involvement, if any
  • Always act with the utmost good faith in handling of the claim from beginning to closure
  • Set reminders within the claim system for necessary follow up in an appropriate time frame
  • Accurately record any communication, or activity relevant to the claim; in the claim system notes
  • Follow procedures to image documents sent to you that are relevant to the claim file (including e-mail)
  • Meet the requirements of Continuing Education as required for licensure as an adjuster
  • Maintain a 95% claim closure ratio
  • Report to the Excess carrier on any claim that meets the requirements to do so (including status reports)
  • Immediately notify your supervisor and the client of any Summons and Complaint received, identify assigned defense counsel, communicate and cooperate with defense counsel
  • Obtain status reports from defense counsel at 90-day intervals
  • Read and Understand the Excess Carrier Insurance Policy
  • Run ISO ClaimSearch on injured claimants
  • Determine the injury status of all persons involved in a crash investigation
  • Interact with insurance adjusters from other companies to obtain information needed to process your claim
  • Respond to Reservation of Rights letters from Excess Carrier if necessary
  • Develop working knowledge of No Fault/PIP law
  • Enter necessary information into the claim system to ensure mandatory reporting to Medicare
  • Follow Davies Claims North America guidelines when settling claims involving a Medicare recipient
  • Check for the claimant's compliance with F.S. 768.28 Sovereign Immunity
  • Recommend/assign field adjuster as necessary
  • Review field adjuster reports for thoroughness and accuracy.

Skills, knowledge & expertise
  • College degree or equivalent experience
  • Possession of Adjuster license
  • Maintain CEU credits for Adjuster license
  • Excellent knowledge of Tort Law, bad faith procedures and case law, as well as principles of liability and medical terminology
  • Previous experience with settling bodily injury claims
  • Proficiency with Microsoft Office Suite
  • Proactive, independent, dependable, and takes initiative with consistent follow through
  • Superb written and verbal communication skills conducted in a timely manner with diverse audiences
  • Superior time management skills with capability of working with and meeting deadlines
  • Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced work environment
  • High level attention to detail with ability to utilize decision making and problem-solving skills
  • Capable of working collaboratively and independently with minimal supervision
  • Exhibit discretion with sensitive and confidential information

Equal Employment Opportunity & Legal Notices
Benefits
At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes:
  • Medical, dental, and vision plans to support your health and that of your family
  • A 401(k) plan with employer matching
  • Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
  • Paid holidays
  • Life insurance and short‑term and long‑term disability coverage

Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee's primary work location.
Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.
Diversity and Inclusion
Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.
Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
Essential Functions
The following responsibilities and expectations are considered essential to the successful performance of this role. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions.
  • Maintain regular and dependable attendance.
  • Be available and able to perform job responsibilities during established work hours.

Background Check & Fair Chance Compliance
Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements.
Massachusetts NoticeIt is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
AI PolicyAt Davies, we value authentic conversations and a fair candidate experience. While candidates may use AI and technology tools to prepare for interviews, we expect interview responses and assessments to reflect each individual's own experience, knowledge, and professional judgment.
We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at recruitment@davies-group.com

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