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Adjudication Jobs in Alabama (NOW HIRING)

NaphCare

Senior Claims Adjudicator

Birmingham, AL

Minimum five years of recent adjudication experience required. * An ability to define and calculate Medicare and Medicaid is critical. * Working knowledge of medical terminology, billing standards ...

NaphCare

Senior Claims Adjudicator

Vestavia Hills, AL · On-site

Minimum five years of recent adjudication experience required. * An ability to define and calculate Medicare and Medicaid is critical. * Working knowledge of medical terminology, billing standards ...

Viva Health

Claims Training Coordinator

Birmingham, AL · On-site

This position supports quality initiatives to ensure accurate and consistent claims adjudication. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health ...

VIVA Health

Claims Training Coordinator

Birmingham, AL · Remote

This position supports quality initiatives to ensure accurate and consistent claims adjudication. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health ...

GDIT

Medicaid Claims Operations Manager

Montgomery, AL · Hybrid

This role involves managing the processing, adjudication, and resolution of healthcare claims for Medicaid beneficiaries while ensuring operational compliance and consistent service delivery. As the ...

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Adjudication information

See Alabama salary details

$14

$33

$42

How much do adjudication jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for adjudication in Alabama is $33.53, according to ZipRecruiter salary data. Most workers in this role earn between $28.56 and $38.80 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.

How much does a claim adjudicator make?

A claim adjudicator typically earns between $40,000 and $70,000 annually, depending on experience, location, and the employer. The role often requires strong attention to detail and knowledge of insurance policies or healthcare regulations.

What are popular job titles related to Adjudication jobs in Alabama?

For Adjudication jobs in Alabama, the most frequently searched job titles are:

What job categories do people searching Adjudication jobs in Alabama look for?

The top searched job categories for Adjudication jobs in Alabama are:

Adjudication jobs near you
Infographic showing various Adjudication job openings in Alabama as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, and 4% Contract. Highlights an 75% Physical, 5% Hybrid, and 20% Remote job distribution, with an average salary of $69,733 per year, or $33.5 per hour.

Senior Claims Adjudicator

Birmingham, AL • On-site

Naphcare, Inc.
Health Care and Social Assistance • 1 - 5K employees

6.4

Company rating: 6.4 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

645th of 893 rated healthcare providers

People enjoy working here

Recommended by students

Learn more about Naphcare, Inc.external

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Overview
NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in Birmingham, AL This is an on-site position.
NaphCare is a family owned, medical technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 36 years. Come join our team of over 7000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do.
NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare as you use our cutting-edge resources, including our award-winning electronic operating system.
NaphCare Benefits for Full-Time Employees Include:
  • Prescriptions free of charge through our health plan
  • Health, dental & vision insurance that starts day one!
  • Employment Assistance Program (EAP) services
  • 401K and Roth with company contribution that starts day one!
  • Tuition Assistance
  • Referral bonuses
  • On-site education
  • Free Continuing Education!
  • Term life insurance at no cost to the employee
  • Generous paid time off & paid holidays

NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up to date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing.
With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different.
We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership.
Responsibilities
Responsibilities for Senior Claim Adjudicator:
  • Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines.
  • Demonstrate ability to handle daily workload with speed and accuracy.
  • Demonstrate a high comfort level in working with large volumes of data.
  • Demonstrate the ability to act as a mentor for others within team.
  • Demonstrate a strong attention to detail and a commitment to customer service throughout the claims process.
  • Additional duties and specific projects as assigned.

Qualifications
Qualifications for Senior Claim Adjudicator:
  • Associate Degree or higher or equivalent work experience.
  • Minimum five years of recent adjudication experience required.
  • An ability to define and calculate Medicare and Medicaid is critical.
  • Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies.
  • Proficiency in Microsoft Office Suite and strong written and verbal communication skills are also required.
  • CPC, COC, CIC, or Specialty Medical Coding Certification preferred.

If you would like to speak with our Talent Acquisition team to learn more about this position and NaphCare, please first apply directly to this position to initiate the application process, and then please send your resume to jerry.hughes@NaphCare.com where we will be in touch.
Equal Opportunity Employer: disability/veteran
#NCE
NaphCare logo

About NaphCare

Sourced by ZipRecruiter

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare. NaphCare offers competitive compensation! Our full-time teammates have a top-notch benefits package, which includes medical, dental, vision, FREE prescriptions, flexible spending account, company-paid life and AD&D insurance with voluntary life and AD&D options, ST & LT disability, 401(k) company contribution, 20 days Paid Time Off, paid holidays, tuition assistance, employee referral bonuses, etc.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Birmingham, AL, US

Year founded

1989

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