ZipRecruiter

Log In

1

Adjudication Jobs in Michigan (NOW HIRING)

ICONMA

Pharmacy technician

Detroit, MI · On-site

$16 - $19.50/hr

Pharmacy claim adjudication experience * Knowledge of basic drug classes * Certified Pharmacy Technician * High School Diploma Why Should You Apply? * Health Benefits * Referral Program * Excellent ...

ICONMA

Pharmacy Technician

Detroit, MI · On-site

$16 - $19.50/hr

Pharmacy claim adjudication experience * Knowledge of basic drug classes * Certified Pharmacy Technician * High School Diploma Why Should You Apply? * Health Benefits * Referral Program * Excellent ...

TIC Midwest, LLC

Pension File Clerk

Lansing, MI · On-site

$16.75 - $20/hr

Equal Opportunity Employer Company Description TIC provides consulting and administration of plan design, funding, eligibility testing, claim adjudication, benefit payment, FASB ASC 965 (formerly SOP ...

next page

Showing results 1-20

All JobsAdjudication JobsAdjudication Jobs in Michigan

Adjudication information

See Michigan salary details

$13

$32

$40

How much do adjudication jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for adjudication in Michigan is $32.24, according to ZipRecruiter salary data. Most workers in this role earn between $27.45 and $37.31 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.

What are the most commonly searched types of Adjudication jobs in Michigan? The most popular types of Adjudication jobs in Michigan are:
What are popular job titles related to Adjudication jobs in Michigan? For Adjudication jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Adjudication jobs in Michigan look for? The top searched job categories for Adjudication jobs in Michigan are:
What cities in Michigan are hiring for Adjudication jobs? Cities in Michigan with the most Adjudication job openings:
Adjudication jobs near you
Infographic showing various Adjudication job openings in Michigan as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 76% Physical, 4% Hybrid, and 20% Remote job distribution, with an average salary of $67,056 per year, or $32.2 per hour.

Customer Service/Call Center Representative - Adjudication

PDP Group, Inc.

Grand Rapids, MI • On-site

$15 - $19.25/hr

Full-time

Re-posted 9 days ago

Job description

We're thrilled that you are interested in joining us here at the Amynta Group!

Provides exceptional customer service to internal and/or external customers. Responsibilities include but are not limited to: processing claims, providing standard information, completing forms, determining status of claims based on plan guidelines and meeting or exceeding department metrics for call handling, productivity and quality.

ESSENTIAL JOB FUNCTIONS:

Assists consumers by providing highest level of customer service; remains professional and polite at all times.

Responds to standard questions and concerns from customers; follows-up with common questions to document nature and status of claim; communicates in a clear and educated manner.

Processes routine or standard claims and a variety of forms based on documentation and categorization of claims; informs customer of results and closes out claim as appropriate; requests and reviews photos/receipts to complete processing if necessary.

Receives incoming calls from consumers to resolve claims; utilizes judgement and problem-solving skills to deliver accurate information in a timely manner; makes outbound phone calls to consumers; documents information as required.

Aids internal and external customers during claim and general call center process; forwards call and relevant information to other team members, departments or management as needed.

Serves as a mentor to new hires or other staff, which may include providing direction and training.

Performs other duties as assigned.

EXPERIENCE/EDUCATION QUALIFICATIONS:

  • 1-year minimum customer service experience in a call center environment is preferred;
  • Office or customer service experience is preferred;
  • High school graduate or equivalent education is required;
  • Post-secondary education is preferred.

SKILL REQUIREMENTS:

  • Mastery of the English language (both written and verbal);
  • Professional telephone etiquette;
  • Ability to read and interpret information;
  • Proficient computer and data entry skills; comprehensive knowledge of computer operations, including software and web-based programs; Applix; Microsoft Office applications (Outlook, Word, Excel, PowerPoint, etc.);
  • Ability to solve problems; diffuse escalated customer situations; excellent decision-making skills;
  • Self-motivated with strong work ethic, time management and interpersonal skills; ability to work well with others;
  • Ability to operate dual screens and multitask; detail-oriented; follows instructions;
  • Knowledge and understanding of department metrics for call handling and quality;
  • Willingness to learn; flexibility to adapt to changes;
  • Maintain professional appearance and provide positive company image.

WORK ENVIRONMENT:

Professional office and call center environment.

PHYSICAL REQUIREMENTS:

Positions in this class typically require: typing, talking, writing, hearing, seeing and repetitive motions.

Sedentary Work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

****Amynta and its affiliates (BTIS, Clearview, Guardsman, PDP, etc.) will never ask for your personal information via Google Hangouts, nor do we conduct job interviews via Google Hangout or instant messenger. Please be aware of scams involving these tactics and do not send personal information to anyone representing our company with a free email address (@gmail.com, @yahoo.com, etc.)****

Apply