Claims Adjudicator
Miami, FL · On-site
Claims Adjudicator The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms ...
Miami, FL · On-site
Claims Adjudicator The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms ...
Miami, FL · On-site
Claims Adjudicator The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms ...
Miami, FL · On-site
Position Summary The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and ...
Quick apply
Miami, FL · On-site
Position Summary The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and ...
Miami, FL · On-site
Position Summary The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and ...
Quick apply
Miami, FL · On-site
Position Summary The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and ...
Fort Lauderdale, FL · On-site +1
The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring timely billing and maximum payer reimbursement. They prioritize customer needs, maintain courteous communication ...
Fort Lauderdale, FL · On-site +1
The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring timely billing and maximum payer reimbursement. They prioritize customer needs, maintain courteous communication ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Coral Gables, FL · On-site
$85 - $115/hr
This position serves as a liaison between Claims, Compliance, Quality, Provider Relations, IT, and Delegation Oversight to support accurate claims adjudication, encounter data integrity, and ...
New
Coral Gables, FL · On-site
$85 - $115/hr
This position serves as a liaison between Claims, Compliance, Quality, Provider Relations, IT, and Delegation Oversight to support accurate claims adjudication, encounter data integrity, and ...
New
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 ...
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 ...
Miami, FL · On-site
Auto-adjudication rates * Financial accuracy * Denial trends * Encounter submission quality/reporting * Claims Adjudicator Production * Present findings and recommendations to leadership Cross ...
Quick apply
Miami, FL · On-site
Auto-adjudication rates * Financial accuracy * Denial trends * Encounter submission quality/reporting * Claims Adjudicator Production * Present findings and recommendations to leadership Cross ...
Auto-adjudication rates * Financial accuracy * Denial trends * Encounter submission quality/reporting * Claims Adjudicator Production * Present findings and recommendations to leadership Cross ...
Auto-adjudication rates * Financial accuracy * Denial trends * Encounter submission quality/reporting * Claims Adjudicator Production * Present findings and recommendations to leadership Cross ...
Tallahassee, FL · On-site
$15.76 - $25.22/hr
Yes * No 06 Have you ever been convicted of, received a withhold of adjudication for, or entered a plea of guilty or nolo contendere to any felony? * Yes * No 07 Have you been civilly or ...
Tallahassee, FL · On-site
$15.76 - $25.22/hr
Yes * No 06 Have you ever been convicted of, received a withhold of adjudication for, or entered a plea of guilty or nolo contendere to any felony? * Yes * No 07 Have you been civilly or ...
At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an ...
At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an ...
... 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 ...
... 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 ...
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 ...
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 ...
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 ...
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 ...
... 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 ...
... 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 ...
... 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 ...
... 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 ...
... 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 ...
... 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 ...
... 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 ...
... 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 ...
$23.9K - $28.1K
7% of jobs
$28.1K - $32.2K
7% of jobs
$36.2K is the 25th percentile. Wages below this are outliers.
$32.2K - $36.3K
11% of jobs
$36.3K - $40.5K
11% of jobs
$40.5K - $44.6K
12% of jobs
The median wage is $45.4K / yr.
$44.6K - $48.8K
15% of jobs
$52K is the 75th percentile. Wages above this are outliers.
$48.8K - $52.9K
17% of jobs
$52.9K - $57.1K
13% of jobs
$57.1K - $61.2K
7% of jobs
$61.2K - $65.4K
1% of jobs
$65.4K - $69.5K
0% of jobs
$23.9K
$46.3K
$69.5K
| Aspect | Adjudicator | Arbitrator |
|---|---|---|
| Credentials | Legal or industry-specific certifications, training in dispute resolution | Legal background or specialized training in arbitration |
| Work Environment | Administrative hearings, government agencies, tribunals | Private arbitration settings, legal firms, corporate disputes |
| Industry Usage | Used in government, legal, and regulatory contexts | Common 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.
For Adjudicator jobs in Florida, the most frequently searched job titles are:
The top searched job categories for Adjudicator jobs in Florida are:
For Adjudicator jobs in FL, the most frequently searched job titles are:

Other
Medical
Re-posted 7 days ago
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 FunctionsThe 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 EnvironmentThe 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 DemandsThe 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:
Minimal to no travel required