ZipRecruiter

Log In

1

Adjudication Jobs (NOW HIRING)

Armada

Adjudication Specialist

Rockville, MD · On-site

Adjudication Specialist Location: Rockville, MD (National Capital Region) Overtime Exempt: Yes Reports to: ARMADA HQ Security Clearance Required: Tier 5 Public Trust Actual place of performance is to ...

Armada Ltd

Adjudication Specialist

Rockville, MD · On-site

The Adjudication Specialist will collect information from individuals, and various local, state, and federal databases. Manage and prepare requests for additional information (Letters of ...

Icon plc

Adjudication Project Manager

Blue Bell, PA · Remote

Adjudication Project Manager - United States (Remote) ICON is a global healthcare intelligence and clinical research organisation united by a mission to bring new medicines and treatments to patients ...

ICON

Adjudication Project Manager

Blue Bell, PA · On-site

Adjudication Project Manager - United States (Remote) ICON is a global healthcare intelligence and clinical research organisation united by a mission to bring new medicines and treatments to patients ...

PNC Bank

Adjudication Specialist

Pittsburgh, PA

As an Adjudication within PNC's HR Operations organization, you will be based in Pittsburgh, PA. The Adjudication Specialist is responsible for reviewing background screening results, including ...

Judi Health

Claims Adjudication Associate

New York, NY · On-site +1

$19.50 - $26.25/hr

The Claims Adjudication Associate is responsible for evaluating claims submitted by policyholders or providers to determine their validity, coverage, and proper reimbursement amounts. They serve as ...

Onco360

Supervisor - Pharmacy Adjudication

Woodridge, IL · On-site

$64.50 - $75.75/hr

Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role to maintain a positive working environment by creating synergy and teamwork to minimize employee ...

Onco360

Supervisor - Pharmacy Adjudication

Woodridge, IL · On-site

$64.50 - $75.75/hr

Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role to maintain a positive working environment by creating synergy and teamwork to minimize employee ...

Onco360

Supervisor - Pharmacy Adjudication

Houston, TX · On-site

$62 - $73/hr

Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role to maintain a positive working environment by creating synergy and teamwork to minimize employee ...

next page

Showing results 1-20

All JobsAdjudication Jobs

Adjudication information

See salary details

$15

$36

$46

How much do adjudication jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for adjudication in the United States is $36.99, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $42.79 per hour, depending on experience, location, and employer.

What is adjudication?

An adjudication job involves reviewing and analyzing claims, applications, or cases to determine eligibility, compliance, or resolution based on established guidelines and policies. Adjudicators work in various fields such as insurance, legal disputes, government benefits, and background checks. Their role includes reviewing documents, verifying information, and making impartial decisions to ensure fair outcomes. Strong attention to detail, analytical skills, and knowledge of relevant regulations are essential for this role.

What are the common responsibilities of adjudication?

Professionals working in Adjudication are responsible for reviewing claims, appeals, or disputes to determine their eligibility or validity based on established guidelines and regulations. Daily tasks often include gathering and analyzing evidence, preparing detailed reports, and communicating decisions to involved parties while ensuring compliance with all applicable laws and policies. Adjudicators also collaborate frequently with internal teams such as customer service, legal, and compliance departments to ensure thorough and accurate decision-making. This role often involves managing multiple cases simultaneously, making strong organizational and time-management skills essential for success.

What are the key skills and qualifications needed for adjudication?

To excel in an Adjudication role, candidates typically need strong analytical abilities, attention to detail, and a background in legal, insurance, or compliance fields, often supported by a relevant degree or professional certification. Familiarity with case management systems, claims processing software, and regulatory databases is commonly required. Excellent problem-solving, communication, and impartial decision-making skills help professionals stand out in this position. These attributes are critical for ensuring fair, consistent, and efficient resolutions in complex claims or disputes.

More about Adjudication jobs
What cities are hiring for Adjudication jobs? Cities with the most Adjudication job openings:
What are the most commonly searched types of Adjudication jobs? The most popular types of Adjudication jobs are:
What states have the most Adjudication jobs? States with the most job openings for Adjudication jobs include:
What job categories do people searching Adjudication jobs look for? The top searched job categories for Adjudication jobs are:
Adjudication jobs near you
Infographic showing various Adjudication job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 76% Physical, 4% Hybrid, and 20% Remote job distribution, with an average salary of $76,935 per year, or $37 per hour.

Adjudication Specialist

In Touch Pharmaceuticals

Valparaiso, IN • On-site

$23.25 - $32/hr

Full-time

Re-posted 14 days ago

Job description


Adjudication Specialist


Position Summary

The adjudication specialist is responsible for ensuring that all client orders and customer orders are adjudicated accurately and efficiently according to a predetermined order of importance, as well as the order of importance set forth by the Pharmacist(s) on duty, or as delegated by the Lead Adjudicator. The adjudication specialist will work in all functions of the billing services department based on the needs of workflow for that day as delegated by the Lead Adjudicator or Pharmacist(s) on duty. The adjudication specialist will utilize computer hardware and software associated with In Touch Pharmaceuticals property, and any other tools needed to successfully complete their assigned tasks. The adjudication specialist will work as a part of a team to ensure that all the needs of the client and customer are met.


Job Responsibilities and Requirements

The primary purpose of the adjudication specialist is the contribution to a team effort to complete adjudication functions on all daily and monthly claims ensuring accuracy and efficiency to meet a predetermined deadline for processing. Routinely applies critical thinking skills and effectively initiates resolution to problems identified by the customer. The adjudication specialist may be required to sit for long periods of time, frequent movements of fingers and hands, and ability to maintain professionalism while handling outgoing and incoming calls from customers.



Essential Functions

The essential functions of the adjudication specialist position include: the adjudicating of all pharmacy prescription claims from clients and customers, complete daily adjudication process within the designated cut off times of each facility and adherence to company communication compliance practices.

· Customer Service

o Routinely applies telephone etiquette with peers and customers. Greeting, tone of communication and problem-solving concerns are professional.

· Daily Adjudication

o Routinely prioritizes daily adjudication based on workflow practices to meet processing deadlines.

· Monthly Adjudication

o Prioritizes designated facilities to work through monthly adjudication processes to meet end of month deadlines.

· Use of Company Resources Appropriately

o Pharmacy electronic software systems and tools

· Compliance with Company policy and procedures

o Attendance at Department meetings

o Compliance with company handbook regulations (i.e. dress code, recording your time, conduct of behavior, etc.)

o Wears ID badge and enters time clock information as required.

o Personnel Payroll System

· Compliance with Company Communication Practices

o Company electronic communication system(s)