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Adjudication Jobs in Florida (NOW HIRING)

Lukos

Cyber Security Systems Engineer

Tampa, FL · On-site

$54 - $66.50/hr

Must be able to complete a favorably adjudicated Tier 5 (T5) or Tier 5 Review (T5R) of the SSBI. This applies to all IA and Cybersecurity tasks. * Must be able to meet COMSEC briefing and Local ...

Lukos

Cyber Security Systems Engineer

Tampa, FL · On-site

$54 - $66.50/hr

Must be able to complete a favorably adjudicated Tier 5 (T5) or Tier 5 Review (T5R) of the SSBI. This applies to all IA and Cybersecurity tasks. * Must be able to meet COMSEC briefing and Local ...

Molina Healthcare

Examiner, Claims Location: FL

Tampa, FL · Remote

$14 - $26.42/hr

Essential Job Duties Evaluates the adjudication of claims using standard principles, and state-specific regulations to identify incorrect coding, abuse and fraudulent billing practices, waste ...

Molina Healthcare

Examiner, Claims Location: FL

Miami, FL · Remote

$14 - $26.42/hr

Essential Job Duties Evaluates the adjudication of claims using standard principles, and state-specific regulations to identify incorrect coding, abuse and fraudulent billing practices, waste ...

eTeam

Background Check Specialist

Tampa, FL · On-site

Apply established adjudication guidelines and escalation protocols. * Partner with Compliance, Legal, HR, and business stakeholders on escalated or sensitive cases. * Support adverse action processes ...

Lukos

Security Specialist

Tampa, FL · On-site

... adjudicated for SCI eligibility by the DoD Central Adjudication Facility (DoD CAF) without conditions, exceptions, or waivers at the time of performance and must maintain the level of security ...

Lukos

Operational Planning Analyst (Levant)

Tampa, FL · On-site

... adjudicated for SCI eligibility by the DoD Central Adjudication Facility (DoD CAF) without conditions, exceptions, or waivers at the time of performance and must maintain the level of security ...

Lukos

Strategy and Policy Analyst

Tampa, FL

... adjudicated for SCI eligibility by the DoD Central Adjudication Facility (DoD CAF) without conditions, exceptions, or waivers at the time of performance and must maintain the level of security ...

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All JobsAdjudication JobsAdjudication Jobs in Florida

Adjudication information

See Florida salary details

$11

$27

$35

How much do adjudication jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for adjudication in Florida is $27.64, according to ZipRecruiter salary data. Most workers in this role earn between $23.51 and $31.97 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 Florida?

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

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

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

Adjudication jobs near you
Infographic showing various Adjudication job openings in Florida as of August 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $57,493 per year, or $27.6 per hour.

Claims Adjudicator

National Healthcare Solutions Group, Inc.

Miami, FL • On-site

Other

Medical

Re-posted 5 days ago

Job description

Claims Adjudicator

The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and regulatory requirements. The claims adjudicator ensures that all claims are handled accurately, efficiently, and within specified timeframes, contributing to the overall effectiveness of the claims processing team. This role requires a detailed-oriented professional with a strong ability to follow instructions and a proactive approach to identifying and resolving discrepancies.

Essential Functions
  • Ensure all claims are processed in strict accordance with established guidelines and instructions.
  • Review and adjudicate claims in accordance with policy benefits.
  • Send claims for coverage analysis to the medical department in specific cases.
  • Regularly generate and analyze claims processing reports to identify discrepancies and ensure data accuracy.
  • Properly code procedures and diagnostics (CPT and ICD 10 coding)
  • Verify banking information.
  • Validate prescription medicines to the corresponding patient diagnosis.
  • Verify expenses with the renewal date for coverage.
  • Calculate expenses and deductible per policy year.
  • Verify waiting periods.
  • Verify pre-existing conditions and exclusions; deductible increases
  • Verify dates of service.
  • Verify currency conversions.
  • Verify general benefits of the policy according to the contracted plan.
Minimum Qualifications
  • Minimum 2 years' experience.
  • Bilingual (Spanish or Portuguese).
  • Experience in quality customer service.
  • General knowledge and proper management of Microsoft Office
  • Proactively identify discrepancies in claims; monitor claims patterns to identify opportunities for improvement.
  • Ability to work under pressure.
  • Ability to manage interpersonal relationships.
  • Effective oral and written communication skills.
  • Strong ability to follow detailed procedures and instructions with precision to ensure accurate and compliant claims adjudication.
Working Conditions

The following job-related working conditions are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function.

Work Environment

The role primarily operates in an in-door, climate-controlled office setting working in close proximity to others. Noise level in the work environment is low to moderate. Light level provides adequate brightness for reading, computer work, and other tasks without causing glare or strain.

Physical Demands

The job primarily involves sedentary work with prolonged periods sitting at a desk. While performing the duties of this job, employees may occasionally be expected to:

  • exert up to 10 pounds of force and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
  • operate standard office equipment such as copiers, computers, telephones, printers, etc.
Travel Requirements

Minimal to no travel required

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