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Adjudication Jobs in Georgia (NOW HIRING)

Georgia

Adjudicator 1

Atlanta, GA · On-site

Professional experience working with disability, medical or insurance claims adjudication or investigation, health care, unemployment, workers compensation, social services, or related field.

Georgia

Adjudicator 1

Atlanta, GA · On-site

Professional experience working with disability, medical or insurance claims adjudication or investigation, health care, unemployment, workers compensation, social services, or related field.

Georgia

Adjudicator 1

Atlanta, GA · On-site

$927/wk

Professional experience working with disability, medical or insurance claims adjudication or investigation, health care, unemployment, workers compensation, social services, or related field.

Georgia

Adjudicator 1

Atlanta, GA · On-site

Professional experience working with disability, medical or insurance claims adjudication or investigation, health care, unemployment, workers compensation, social services, or related field.

French Consulting

Medical Case Manager

Warner Robins, GA · On-site

$60 - $90/hr

You'll review medical case files, track them through adjudication, and keep reserve units informed at every step. What You'll Do * Update case status in AIMWTS, ECT, PEPP, and other systems of record ...

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Adjudication information

See Georgia salary details

$13

$31

$39

How much do adjudication jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for adjudication in Georgia is $31.23, according to ZipRecruiter salary data. Most workers in this role earn between $26.59 and $36.15 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 the most commonly searched types of Adjudication jobs in Georgia?

The most popular types of Adjudication jobs in Georgia are:

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

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

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

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

What cities in Georgia are hiring for Adjudication jobs?

Cities in Georgia with the most Adjudication job openings:

Adjudication jobs near you
Infographic showing various Adjudication job openings in Georgia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 86% In-person, 7% Hybrid, and 7% Remote job distribution, with an average salary of $64,963 per year, or $31.2 per hour.

Claims Adjudication Coordinator

Curant Health

Smyrna, GA • On-site

$22/hr

Full-time

Medical, PTO

Posted 4 days ago

Job description

JOIN A LEADING HEALTHCARE COMPANY
Do you dream of a great career with a great company - where you can make an impact and help people? We dream of giving you the opportunity to do just this.
We are not only committed to improving the lives of patients we serve, but yours as well. Curant means CARE, and that is just what we do.
Our culture of caring is evident by being recognized as one of Inc.'s fastest growing healthcare companies, receiving the Georgia Fast 40 and Atlanta Business Chronicle Trendsetters awards every year since 2013. Our medication management programs and processes are proven to improve outcomes while reducing overall healthcare costs for our patients.
Curant Curant Health is searching for a Claims Adjudication Coordinator to join its team in Smyrna, GA. This position is primarily responsible for all adjudication of prescription claims which includes primary, secondary and tertiary insurance claims.
Responsibilities
With your passion to help patients and your drive to make an impact on those you touch, you will lead a business unit to drive operational results and deliver world class customer service. Your experience, positive attitude and your drive to deliver results will help navigate the excitement of a fast-growing company and all the fun and excitement that comes with it. We have listed a few of your responsibilities below:
  • Accurately performs the billing and adjudication functions in Pioneer Rx.
  • Reviews, applies, and rectifies assignment of benefits claims for proper billing sequence, methods, and application.
  • Notifies Patient Care Coordinators of all exceptions and errors in a timely and productive manner.
  • Responsible for all communication to ensure that action items that were not processed as planned by the Patient Care Coordinators (PCC's) are complete (any insurance rejections, prior authorizations, problems with patient packet assembly, etc.).
  • Checks cycle fill claims/patients for missing prescriptions and copay assistance options.
  • Enters and charges credit cards when applicable
  • Accurately works all insurance rejections that are found with all processing of claims.
  • Communication to the PA team and Pharmacy team when any exceptions and errors that effect these departments are found and not resolved.
  • Double checks accuracy of secondary and tertiary claims to ensure compliance to department policies and seeks copay and financial assistance for claims that qualify.
  • Double checks 340b compliance to SOP, P&P's, and SOW's.
  • Provides communication and follow-up on actions items that need approval from the Patient Care Coordinators and Pharmacy staff.
  • Holds claims that require further clarification and/or follow up from appropriate staff. 30
  • Performs daily Quality Check reporting to verify accuracy of the days processing of claims.
    Runs and reviews various assigned reports daily, corrects claims identified as missed or incorrect, and notifies the Patient Care Coordinators of any exceptions and errors that cannot be resolved.
  • Applies for copay assistance for applicable drugs and price plans.
  • Performs QA functions on all claims in Pioneer Rx daily/weekly/monthly
  • General administrative support as assigned by manager. Provide back up to team members as needed.
Qualifications
  • Requires a high school diploma or equivalent with a
  • Minimum of 2 years experience
  • Registered Pharmacy Technician in the state of GA

Compensation: $22/hour.
Why Work for Us?
We offer competitive pay, paid holidays, benefits, paid time off and a work/life balance. Not only that, but we also offer paid parental leave, recognition programs, promotion opportunities, a comprehensive training program to enhance your career, and employee prescription discounts.
Our Core Values consist of ICARE; Integrity, Communication, Accountability, Relationships and Excellence, and we take pride in you embodying those traits. Curant Health is an equal opportunity employer.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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