2,914 Claims Adjuster jobs in the United States

• Lead claims resolution : Investigate, evaluate, and adjust property claims, with a focus on contents within claimants' storage units
• Drive fair settlements : Negotiate effectively with claimants and third-party representatives to reach equitable resolutions
• Ensure accuracy : Process payments and maintain precise, up-to-date claim records to support operational excellence
• Tackle complexity : Provide expertise and support for complex claims, ensuring thorough and efficient handling
• Uphold standards : Adhere to company policies and procedures while delivering exceptional service
• Operate efficiently : Perform desk-based adjusting, focusing on streamlined processes without field inspections

• Licensed with 3+ years of experience as a claims adjuster
• Proven experience in handling liability and injury claims
• Ability to clearly and professionally communicate with internal and external stakeholders
• Experience analyzing claims data and make informed decisions swiftly, balancing risks and available resources
• Ability to document and ensure compliance while helping improve internal processes and efficiency
• Ability to adapt to priority shifts and fast-paced environment by working both autonomously and collaboratively
• Desire to work in an in-person or hybrid work environment from our beautiful downtown Austin office

Providence Staffing’s client, a respected personal injury law firm in Providence, RI, is seeking a detail-oriented and experienced Personal Injury Plaintiff Claims Adjuster to join their team. This role is critical in managing, evaluating, and negotiating insurance claims on behalf of injured plaintiffs. The ideal candidate will hold an active adjuster license and possess deep knowledge of insurance practices, liability assessments, and client advocacy.

Key Responsibilities:

• Conduct thorough investigations of personal injury claims by reviewing police reports, medical records, photographs, and witness statements.
• Interview clients, witnesses, and relevant third parties to establish timelines and clarify the facts of each incident.
• Evaluate bodily injuries and damages, including wage loss and future medical expenses, in consultation with healthcare professionals as needed.
• Determine liability by applying relevant laws and analyzing available evidence.
• Negotiate settlements with insurance companies to secure fair compensation, providing detailed responses to insurer offers and lowball settlements.
• Maintain accurate, well-documented claim files including notes on investigations, interviews, communications, and settlement negotiations.
• Ensure all claims handling complies with state laws, insurance regulations, and internal firm policies.
• Collaborate with attorneys as needed to support litigation strategy and trial preparation.
• Communicate empathetically with clients throughout the claims process, ensuring they are informed, supported, and guided.

Required Qualifications:

• Active state-issued insurance adjuster license (must be valid at the time of application and maintained throughout employment).
• Proven experience managing personal injury claims , ideally on the plaintiff side or as an independent adjuster .
• Strong knowledge of insurance policies, coverage interpretation, and personal injury legal principles.
• Skilled negotiator with excellent written and verbal communication skills.
• Analytical thinker with the ability to review complex data and make sound decisions.
• Self-motivated and capable of handling multiple cases in a fast-paced, deadline-driven environment.

Preferred Skills:

• Experience conducting field investigations, including site visits and evidence collection.
• Background working with both direct insurance carriers and independent adjusting agencies.
• Bilingual or multilingual skills are a plus, particularly for firms with a diverse client base.

Working Conditions:

• Hybrid schedule available (combination of in-office and remote work).
• Flexible, supportive work environment focused on collaboration and client-centered results.

If you are a licensed adjuster who thrives in advocacy-based claims handling and wants to make a direct impact in clients’ lives, we encourage you to apply and join a mission-driven legal team.

Job Title: Claims Adjuster - Texas

Job Type: Full-Time

Location: Dallas, TX

Industry: Healthcare / Insurance

Position Summary

We are seeking an experienced and detail-oriented Claims Adjuster to join our team. The ideal candidate will be responsible for investigating, evaluating, and resolving a variety of healthcare-related claims. This role requires strong analytical skills, a working knowledge of Texas non-subscription claims, and the ability to manage claims efficiently and compliantly.

Key Responsibilities

• Investigate, evaluate, and resolve claims in accordance with Texas state laws and internal guidelines

• Handle a caseload of Texas non-subscription claims with accuracy and timeliness

• Review medical records, billing codes, and supporting documentation to assess claim validity

• Communicate professionally with claimants, providers, insurers, and internal departments

• Maintain detailed claim files, document claim activities, and update claim systems

• Identify potential fraud and escalate when necessary

• Ensure compliance with Texas All Lines Adjuster License regulations and company policies

• Participate in claim reviews, audits, and reporting activities as needed

Qualifications

• Active Texas All Lines Adjuster License (required)

• Prior claims experience (2+ years preferred)

• Experience handling Texas non-subscription claims (required)

• Strong knowledge of medical billing, coding, and terminology (preferred)

• Excellent communication, negotiation, and organizational skills

• Proficient in claims management software and Microsoft Office Suite

• Ability to manage multiple priorities in a fast-paced environment

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending

A winner of Best Places to Work in Insurance seven years in a row, Virtus is looking for innovative individuals to join our fast-paced, rapidly growing team headquartered in Overland Park, Kansas. Virtus is a next generation insurance consulting firm that focuses on middle market clients in a variety of lines of coverage. With locations in Kansas City, Memphis, Ft. Collins, Ft. Worth, and Austin, our team has a national scope and with a sophisticated client base that thrives on new ideas and our consultative approach. We're shaking up a tired insurance industry and creating something better: an experience that empowers our people to evolve, take smart risks, and face the future boldly.

The Claims Adjuster role presents an opportunity to join one of the fastest growing firms in the industry and play a significant role in shaping a team of consultants into an innovative group. The Claims Adjuster will oversee the handling and adjusting of property and liability claims that are submitted to Habitat Specialty's programs in accordance with Habitat's designated claims authority from Lloyd's. Responsible for claims intake, review, adjustment and/or referral to carrier or third-party administrator, as applicable, and steering the claim through the entire claim lifecycle.

The Ideal Candidate:

• Lives the Virtus Core Values - brings their A game and a great attitude each day.

• Detail-oriented, service motivated, and accountable to working harmoniously and thoroughly with their team to achieve results

that are aligned with Virtus' company goals.

• Recognizes this role is people facing; must have strong interpersonal skills, persuasive speaking, and a client service mindset.

• Presents complex information to groups of people in a clear manner - either in person or via technology.

• Has the ability to think outside of the box as needed while also working within a workflow structure.

• Enjoys working in an empowered, entrepreneurial environment of innovation and creativity.

• Showcases their natural and specialized technical skills through drive, determination, and self-discipline.

Essential Duties and Responsibilities:

• Adjust Commercial Property contents and tenant caused damage claims files for the life of the claim.
• Determine covered insurance losses by studying provisions of a policy or certificate.
• Establish proof of loss by studying documentation and assembling additional information from outside sources.
• Document specific claims by completing and recording forms, reports, logs, and records.
• Analyze insurance claims and interview claimants to prevent fraud.
• Prepare reports by collecting, analyzing, and summarizing information in accordance with service level agreements and requirements with Lloyd's
• Resolve claims by approving or denying documentation, calculating benefits due, and determining compensation settlement as permitted by Coverholder Agreement.
• Ensure legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations.
• Maintain quality customer service by following customer services practices and responding to customer inquiries in a timely and consistent fashion.
• Communicate with all claim stakeholders, including claimants, brokers, internal underwriting and client success team, carriers/syndicates, etc.
• Assist with the completion of ad hoc projects as needed.
• Resolve claims fairly and timely abiding by all regulatory (DOI) mandates.
• Maintain all necessary claim licensing.
• Ensure legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations.
• Other duties as assigned by the team and leadership.
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• 2-5 years of property and casualty insurance claims and coverage experience.
• Experience with Lloyd's policies is a plus.
• Subrogation experience Is a plus.
• Required to have active insurance adjusters license in the candidate's home state, Texas or Florida (or be willing to re-activate a prior license immediately upon hiring) as well as all states that require a license for claims adjusting.
• Position requires direct communication with clients; therefore, strong written, oral and presentation communication skills, with a commitment to impeccable client service are required; ability to adjust easily to working well with a variety of workstyles.
• Great, positive attitude and the ability to work independently under pressure.
• Ability to complete quality work and solve Insured/claimant Issues minimal supervision.
• Ability to manage and analyze high volumes of complex information.
• Advanced analytical and problem-solving skills.
• Outstanding organizational skills and attention to detail.
• Willingness to grow and develop.
• Must have familiarity and good working knowledge of various Microsoft software applications (Excel), Agency Management Systems, and the ability to learn new software systems.
• Ability to be flexible, adaptable, and work in a team environment that is constantly evolving.
• Ability to negotiate and utilize conflict management skills.
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You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking an experienced Bodily Injury Claims Representative to join a high-volume TPA environment. This role involves managing complex auto injury claims, including litigated cases, from start to finish. You will work closely with defense counsel, review detailed case materials, and ensure compliance with state regulations.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Job Type

Full-time

Description

For 70 years George Hills has offered our clients unparalleled service and innovative excellence in claims administration and offered our employees a positive and collaborative culture that builds relationships based on pride and respect. As an "Employer of Choice", we are pleased to offer employees a flexible hybrid work schedule, competitive salary, and excellent benefits including medical, dental, vision, PTO, holidays, and 401k. To learn more, please visit our website at . George Hills is an equal-opportunity employer.

The Claims Adjuster investigates, evaluates, and adjusts General and Automobile Liability claims. Although assigned claims generally consist of low to medium exposure, first and third-party automobile bodily injury and property damage claims, as well as premises liability accidents, product liability claims, the claims adjuster must be qualified legally and technically to handle all claims competently.

Requirements

Primary responsibilities:

Based on the area of responsibility, the employee shall be asked to all of the following essential functions:

• Investigate, analyze, and determine the extent of insurance provider's liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants.

• Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve

• Manage an inventory of auto liability claims
• Evaluate coverage, assess liability/compensability, and determine damages
• Establish and adjust reserves; escalate claims to SIU or subrogation as needed
• Negotiate settlements within your authority limits
• Communicate with policyholders, claimants, attorneys, and third parties
• Assist with subrogation and salvage on complex cases
• Contribute to department improvement initiatives
• Ensure regulatory compliance and perform other related duties as assigned

• 1–3 years of experience handling auto liability claims (private passenger)
• Bodily injury claims experience (preferred)
• Familiarity with California and Texas insurance regulations (preferred)
• Excellent organization and attention to detail
• Strong written and verbal communication skills
• Comfort with claims management software + Microsoft Office
• A growth mindset and collaborative spirit
• Bilingual skills are a plus
• Active adjuster licenses (or ability to obtain as required)

• Medical, Dental, and Vision benefits
• Supplemental life insurance policies for you and your dependents
• Long term disability insurance
• Flexible Spending

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

LANCER CLAIMS SERVICES

Claims Adjuster

Ideal candidates will have experience as a securities attorney, 5 years handling securities claims, or 3+ years engaged in the selling and servicing of various financial products such as annuities, life insurance, securities etc. Ideal candidates may also have 3+ years in a compliance roll handling financial institutions customer complaints.

Summary:

The Claims Adjuster is the lead adjuster on the programs in which he/she handles claims for the financial services group where the pending is comprised mostly of large national accounts; analyze coverage under professional liability policies, including but not limited to, Securities Broker/Dealer Insurance, Investment Management Insurance, Financial Institution Professional Liability Insurance and Life Agents Professional Liability Insurance. Manage litigation and engage in settlement negotiations daily with outside counsel and claimants; attend mediations; this would require better than ordinary knowledge of the coverages, types of claims, and problems/solutions on the program. The Claims Adjuster is a troubleshooter for the

• Mandatory: Workers Comp experience in Southeast state jurisdictions some or all AL. GA, FL, NC, SC, TN
• Experience: 5+ years of relevant WC experience with above mentioned states.

• To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

• Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
• Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
• Manages subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Ensures claim files are properly documented and claims coding is correct.
• May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
• Maintains professional client relationships.

• Bachelor's degree from an accredited college or university preferred.

• Four (5) years of claims management experience or equivalent combination of education and experience required.