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Adjudicator information

See California salary details

$31.6K

$61.1K

$91.8K

How much do adjudicator jobs pay per year?

As of Aug 28, 2026, the average yearly pay for adjudicator in California is $61,113.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,900.00 and $70,100.00 per year, depending on experience, location, and employer.

What is an adjudicator?

Adjudicators are professionals responsible for making decisions or judgments on disputes, claims, or competitions. They review evidence, apply relevant laws or rules, and ensure a fair and impartial outcome. Adjudicators are commonly found in legal, insurance, government, and competitive event settings. Their work is essential for resolving conflicts and upholding standards of fairness and justice.

What does an adjudicator do?

An Adjudicator is a position that judges a formal dispute outside of a court, however, their decisions are still legally-binding. Adjudicators most often work on civil and non-violent cases. This process is less costly and less time-consuming compared to traditional court hearings. An Adjudicator is responsible for reviewing the facts of the case which may include pieces of hard evidence, personal statements, and the legal arguments of each side’s lawyers. Based on the relevant information, the Adjudicator makes a decision and a legally-acceptable judgment. Adjudicators are meant to be fair and unbiased, and there is no jury involved. Their decision is final, but involved parties are allowed to appeal those findings to a higher court.

What are the key skills and qualifications needed to thrive as an adjudicator, and why are they important?

To thrive as an Adjudicator, you need strong analytical skills, attention to detail, and a comprehensive understanding of relevant laws or regulations, often supported by a degree in law, public administration, or a related field. Familiarity with case management systems, legal research tools, and documentation software is typically required. Excellent written and verbal communication, impartiality, and sound judgment are crucial soft skills for effectively resolving disputes and rendering fair decisions. These abilities ensure accurate, unbiased adjudication, compliance with legal standards, and public trust in the decision-making process.

What are some common challenges faced by adjudicators, and how can they effectively manage them?

Adjudicators often encounter challenges such as managing a high caseload, handling complex or sensitive cases, and ensuring impartiality in decision-making. Staying organized and adhering to established procedures are crucial for balancing workload and maintaining consistency. Clear communication, continuous professional development, and effective time management can help adjudicators deliver fair and timely outcomes, even under pressure.

What is the difference between Adjudicator vs Arbitrator?

AspectAdjudicatorArbitrator
CredentialsLegal or industry-specific certifications, training in dispute resolutionLegal background or specialized training in arbitration
Work EnvironmentAdministrative hearings, government agencies, tribunalsPrivate arbitration settings, legal firms, corporate disputes
Industry UsageUsed in government, legal, and regulatory contextsCommon in legal, commercial, and international disputes

While both Adjudicators and Arbitrators resolve disputes, Adjudicators typically work within government or regulatory bodies and focus on administrative hearings, whereas Arbitrators are often hired privately to settle commercial or legal disputes outside court. Understanding these differences helps in choosing the right professional for specific dispute resolution needs.

What qualifications do I need to be an adjudicator?

To become an adjudicator, candidates typically need a relevant educational background such as a bachelor's degree, along with strong analytical, communication, and decision-making skills. Some roles may require specific certifications or experience in the field they oversee, and familiarity with relevant laws or regulations can be beneficial.
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Adjudicator jobs near you
Infographic showing various Adjudicator job openings in California as of August 2026, with employment types broken down into 94% Full Time, 4% Part Time, 1% Temporary, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $61,113 per year, or $29.4 per hour.

Adjudicator, Provider Claims (Kentucky)-Heavy on the phone

Long Beach, CA • Remote

Molina Healthcare
Health Care and Social Assistance • 10K+ employees

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

168th of 313 rated insurance

People enjoy working here

Good employer

Recommended by students

Learn more about Molina Healthcareexternal

$15.58 - $31.97/hr

Full-time

Posted 23 days ago

Job description

JOB DESCRIPTION Job Summary

MUST CURRENTLY RESIDE IN KENTUCKY

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.

Essential Job Duties

Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.  
Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. 
Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
Assists in reviews of state and federal complaints related to claims. 
Collaborates with other internal departments to determine appropriate resolution of claims issues. 
Research claims tracers, adjustments, and resubmissions of claims.
Adjudicates or readjudicates high volumes of claims in a timely manner.
Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
Meets claims department quality and production standards.
Supports claims department initiatives to improve overall claim's function efficiency.
Completes basic claims projects as assigned.
 

Required Qualifications

At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
Research and data analysis skills.
Organizational skills and attention to detail.
Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Customer service experience.  
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.
 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $15.58 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time
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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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