---
title: 'Medical Only Claims Adjuster at Pie Insurance'
canonical: 'https://feeny.ai/job/medical-only-claims-adjuster-pie-insurance-united-states-2ws98swn9e9f'
type: 'job'
last_seen: '2026-09-11'
---

# Medical Only Claims Adjuster at Pie Insurance

- **Company:** Pie Insurance
- **Location:** United States
- **Compensation:** $60k–$75k
- **Posted:** 2026-09-10
- **Last confirmed live:** 2026-09-11
- **Apply:** https://job-boards.greenhouse.io/pieinsurance/jobs/6188568004

## Job description

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.

Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by [core values and operating principles](https://pieinsurance.com/culture) that guide every decision we make.

The Medical Only Claims Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience. This will be completed by adhering to Pie’s Claims Best Practices and complying with regulatory and statutory requirements. This role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie’s customers.

## How You’ll Do It

Claims Technical Management:

- Independently handle all aspects of the workers’ compensation medical only claims from set-up to closure.
- Conduct timely 2-point contact investigation, with focus on continued medical management, potential for lost time benefits, and claim closure as facts of the case change.
- Mitigate claim  exposure while achieving the best outcome.
- Determine timely and accurate compensability decisions within statutory requirements.
- Set and adjust timely/accurate reserves within authority limits to ensure reserving activities are consistent with the case facts and company best practices.
- Timely administration of statutory medical benefits throughout the life of the claim.
- Use Utilization Review where appropriate and pay medical bills within the allotted timeframes
- Comply with all applicable statutory guidelines, rules, and regulations.
- Proactively identify and timely escalate  claims that meet indemnity claim conversion criteria
- Consistent and timely resolution of medical treatment to resolve and close claims
- Maintain a split inventory of Lien resolution claims, negotiating liens to appropriate resolution

Claims Customer Service:

- Serve as a point of contact for our partner agents and customers to provide general claim guidance and help set claim process expectations.
- Assist as necessary in providing claim status to agents and insureds, coverage verification and loss run reports, etc.
- Provide excellent customer service to internal and external customers and business partners.
- Advocate to ensure that Pie has a leading claims customer experience.
- Work to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols and processes.

The Right Stuff

- High School Diploma or equivalent is required.
- Bachelor's Degree or equivalent experience with some college coursework is preferred.
- Minimum 1 year of workers’ compensation claims experience as a Medical Only Adjuster is required.
- Minimum 1 year of  experience in California handling required.
- Additional experience in the following states preferred: Arizona and Utah
- Proficient communication (written and verbal) skills, to deliver  information effectively.
- Awareness of your own tasks, and how it impacts the team and deliverables.
- Experience using G-Suite Tools, and collaboration tools like Slack is preferred.
- Demonstrated knowledge and experience in claim adjudication and medical management.
- Developing ability to analyze and take necessary action in multiple focus areas, based on several data points.
- Ability to use skills to overcome conflict and reach beneficial outcomes.
- Ability to make claim decisions to mitigate exposure while achieving the best outcome.

The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range $60,000—$75,000 USD

## Compensation & Benefits

- Competitive cash compensation
- Comprehensive health plans
- Generous PTO
- Future focused 401k match
- Generous parental and caregiver leave
- Our [core values](https://pieinsurance.com/culture/) are more than just a poster on the wall; they’re tangibly reflected in our work

Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations.

Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members.

Location Information

Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet.

Additional Information

Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic.

Pie Insurance participates in the E-Verify program. Please click [here](https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf), [here](https://www.justice.gov/crt/case-document/file/1133936/download) and [here](https://www.justice.gov/crt/case-document/file/1133941/download) for more information.

Pie Insurance is committed to protecting your personal data. Please review our [Privacy Policy](https://pieinsurance.com/privacy/).

Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process.

[Pie Named to 2025 America's Best Startup Employers](https://www.forbes.com/lists/americas-best-startup-employers/)

[Pie Insurance 2025 State of Workplace Safety Report](https://www.pieinsurance.com/resource-center/press/2025-state-of-workplace-safety-report)

## #LI-REMOTE

## #BI-REMOTE

## About Pie Insurance

## Company Overview
- **One-liner**: Pie Insurance provides workers’ compensation and commercial auto insurance to small businesses through a technology-driven platform, offering quick quotes and significant savings.
- **Entity Type**: Private (over $615 million in total funding raised)
- **Headquarters**: Denver, Colorado, USA (remote-first company)
- **Founded**: 2017
- **Founders**: John Swigart (co-founder and CEO)

## Core Business
- **Primary industry**: Insurtech / Commercial Property & Casualty Insurance
- **Target customers**: Small businesses (B2B) and local/regional insurance agencies (B2B channel partnerships)
- **Mission statement**: “To make commercial insurance affordable and easy as Pie, empowering small businesses to thrive.”

## Products & Services
- **Workers’ Compensation Insurance**: A fully digital, agent-friendly and direct-to-business platform that provides quotes in ~3 minutes, covers 70% of class codes, and auto-decides 73% of submissions – helping customers save up to 30% compared to traditional carriers.
- **Commercial Auto Insurance**: Launched to expand Pie’s small-business insurance suite, offered through the same streamlined quote-to-claim experience.

## Market Standing
- **Valuation / Market Cap**: Not publicly disclosed
- **Key Metric**: Total funding >$615 million (as of most recent raise); headcount ~350 employees (Built In estimate)
- **Notable Investors / Partners**: Investors include Gallatin Point Capital, Greycroft, and other leading insurtech and growth-equity firms (specific list not fully detailed on company site). Pie partners with local, regional, and national insurance agencies.
- **Growth Signals**: Available in 39 states + Washington, D.C.; 70% of workers’ comp class codes covered; 73% of submissions auto-decided; average quote time 3 minutes; expansion into commercial auto; remote-first workforce of ~350 Pie-oneers.

## Competitive Advantages
- **Technology moat**: Proprietary underwriting engine that delivers instant, data-driven quotes and high automation rates, reducing friction for agents and small businesses.
- **Distribution model**: Dual channel – direct-to-small-business and a strong agency partner network – providing broad market reach.
- **Cost leadership**: Promises savings of up to 30% on workers’ comp through efficient operations and data analytics.

## Strategic Focus
- **Geographic expansion**: Continuing to add states to reach nationwide coverage.
- **Product line growth**: Scaling commercial auto and potentially adding other small-business insurance lines.
- **Technology & automation**: Increasing auto-adjudication rates and improving the digital experience for both agents and policyholders.

## Why Work Here
- **Culture**: Values-driven (Act with integrity, Demonstrate ownership, Be curious and growth oriented). Emphasizes transparent decision-making, iterative feedback, and “creating cumulative innovation.”
- **Work environment**: Fully remote-first – employees work from anywhere in the U.S. Intentional remote collaboration practices and strong benefits.
- **Benefits & perks**: Comprehensive healthcare (medical, dental, vision), generous parental leave, company equity, performance bonuses, family medical leave, job training, and talent development. Relocation assistance available.
- **Engineering culture**: Data-driven decision making, first principles thinking, and a focus on business outcomes. Tech stack supports high automation and rapid iteration.

## Sources
1. [Pie Insurance About Page](https://www.pieinsurance.com/about)
2. [Pie Insurance Careers Page](https://www.pieinsurance.com/culture/careers)
3. [Pie Insurance Culture Page](https://www.pieinsurance.com/culture)
4. [Pie Insurance on Built In](https://builtin.com/company/pie-insurance)

## Other roles at Pie Insurance

- [Payroll Partner Service Advocate](https://feeny.ai/job/payroll-partner-service-advocate-pie-insurance-united-states-rqqwan0rpxch) — United States
- [Senior Data Engineer](https://feeny.ai/job/senior-data-engineer-pie-insurance-united-states-a3wnk11evh0v) — United States
- [Principal People Partner](https://feeny.ai/job/principal-people-partner-pie-insurance-united-states-zshtp4tb631n) — United States
- [Manager, Premium Audit](https://feeny.ai/job/manager-premium-audit-pie-insurance-united-states-pp1cghk6dm69) — United States
- [Complex Claims Adjuster](https://feeny.ai/job/complex-claims-adjuster-pie-insurance-united-states-yfc6hseg4dnj) — United States
- [Team Lead, Collections](https://feeny.ai/job/team-lead-collections-pie-insurance-united-states-fgvg774bypcp) — United States
- [Senior Operational Excellence Program Manager](https://feeny.ai/job/senior-operational-excellence-program-manager-pie-insurance-united-states-mr9emq2z6da2) — United States
- [Claims Business Systems Analyst](https://feeny.ai/job/claims-business-systems-analyst-pie-insurance-united-states-1d3z1g0yqry5) — United States
- [Senior Claims Adjuster, Workers Compensation](https://feeny.ai/job/senior-claims-adjuster-workers-compensation-pie-insurance-united-states-r14fnnt8q6d1) — United States
- [CS Specialist, Service Support Team](https://feeny.ai/job/cs-specialist-service-support-team-pie-insurance-united-states-bbhkad9hkwz3) — United States