Pros
Lots of freedom to do what you want. Management is remote so you have lots of autonomy to do the work the way you want to. You determine when you leave and that is based on how you pace yourself. Pay is good for what you do, and lots of benefits. Lots of opportunities for advancement and raises.
Cons
The nature of the job brings out the worst in people. Adjusting claims in person is a whole different beast than doing it over the phone. If you don't have the stomach to confront people then it isn't the job for you. You will deal with people screaming, crying, and even threatening you. It's just the nature of the job and the industry. Very little support from management, which creates a sink or swim environment. The work load is large and it is very easy to get behind if you are not on top of every detail. Customers will call you over the most minute things and you need to be able to handle it. IT department is terrible and the systems you use to adjust go down often which creates problems when trying to write claims.