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Adjudicator Jobs (NOW HIRING)

NaphCare

Senior Claims Adjudicator

Vestavia Hills, AL · On-site

Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in Birmingham, AL This is an on-site position. NaphCare is a family owned ...

GDIT

Adjudicator - TS/SCI w/Poly

Chantilly, VA · On-site

$80K - $109K/yr

Adjudication, Analytical Thinking, Investigation, Security Clearances, Written Communication Certifications: None Experience: 2 + years of related experience US Citizenship Required: Yes ADJUDICATOR ...

State of Maine

Disability Claims Adjudicator

Winthrop, ME · On-site

$54K - $76K/yr

As a Disability Claims Adjudicator, you request and research prior medical records, collaborate with in-house Doctors and Psychologists around functional limitations, conduct vocational work analyses ...

Maine

Disability Claims Adjudicator

Winthrop, ME · Hybrid

$54K - $76K/yr

As a Disability Claims Adjudicator, you request and research prior medical records, collaborate with in-house Doctors and Psychologists around functional limitations, conduct vocational work analyses ...

UNITE HERE HEALTH

Claims Adjudicator III

Oak Brook, IL · On-site

The Claims Adjudicator Level III ensures claims are processed accurately according to the benefits as defined in the various Plan Documents. This position supports the team Supervisor in meeting ...

UNITE HERE HEALTH

Claims Adjudicator II

Oak Brook, IL · On-site

$20.36 - $24.97/hr

The Claims Adjudicator II position will receive, examine, verify and input submitted claim data, determine eligibility status, and review and adjudicate claims within established timeframes. This ...

UNITE HERE HEALTH

Claims Adjudicator II

Oak Brook, IL · On-site

$20.36 - $24.97/hr

The Claims Adjudicator II position will receive, examine, verify and input submitted claim data, determine eligibility status, and review and adjudicate claims within established timeframes. This ...

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Adjudicator information

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$32K

$61.9K

$93K

How much do adjudicator jobs pay per year?

As of Jul 14, 2026, the average yearly pay for adjudicator in the United States is $61,924.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,500.00 and $71,000.00 per year, depending on experience, location, and employer.

What are adjudicators?

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 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 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.

How much do adjudicators get paid?

Adjudicators' salaries vary depending on the industry, location, and level of experience, but they typically earn between $40,000 and $70,000 annually. Some positions may offer additional benefits or opportunities for overtime, especially in government or legal settings where certification and analytical skills are important.

What jobs pay 500,000 a year in the US?

Adjudicators typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, and sometimes ownership of a business or investment portfolio. Most adjudicator positions offer moderate salaries aligned with government or organizational pay scales.

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.

How do you become an adjudicator?

To become an adjudicator, candidates typically need relevant education or experience in the field they will judge, along with strong decision-making and communication skills. Some roles require certification or training specific to the industry or organization, and familiarity with relevant laws or regulations is often beneficial.

What is the job of an adjudicator?

An adjudicator is responsible for reviewing and evaluating cases, disputes, or applications to ensure they comply with relevant rules and regulations. They make decisions based on evidence, often working in legal, administrative, or regulatory settings, and may require knowledge of specific procedures or standards. The role typically involves analyzing information, applying policies, and documenting findings accurately.
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Adjudicator jobs near you
Senior Claims Adjudicator

Senior Claims Adjudicator

Naphcare, Inc.

Birmingham, AL

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

NaphCare rating

6.2

Company rating: 6.2 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

696th of 884 rated healthcare providers

Job description

Overview

NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in Birmingham, AL This is an on-site position.  

NaphCare is a family owned, medical technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 36 years.  Come join our team of over 7000 employees and growing!  NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do. 

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare.  We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need.  Be part of a world-class team of professionals who are revolutionizing correctional healthcare as you use our cutting-edge resources, including our award-winning electronic operating system.

NaphCare Benefits for Full-Time Employees Include:

  • Prescriptions free of charge through our health plan
  • Health, dental & vision insurance that starts day one!
  • Employment Assistance Program (EAP) services
  • 401K and Roth with company contribution that starts day one!
  • Tuition Assistance
  • Referral bonuses
  • On-site education
  • Free Continuing Education!
  • Term life insurance at no cost to the employee
  • Generous paid time off & paid holidays

NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up to date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing.

With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry.  If you want a career that will make a difference, choose the company that is different.

We support your growth and internal promotion.  Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership.

Responsibilities

Responsibilities for Senior Claim Adjudicator:

  • Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines.
  • Demonstrate ability to handle daily workload with speed and accuracy.
  • Demonstrate a high comfort level in working with large volumes of data.
  • Demonstrate the ability to act as a mentor for others within team.
  • Demonstrate a strong attention to detail and a commitment to customer service throughout the claims process.
  • Additional duties and specific projects as assigned.
Qualifications

Qualifications for Senior Claim Adjudicator:

  • Associate Degree or higher or equivalent work experience.
  • Minimum five years of recent adjudication experience required.
  • An ability to define and calculate Medicare and Medicaid is critical.
  • Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies.
  • Proficiency in Microsoft Office Suite and strong written and verbal communication skills are also required.
  • CPC, COC, CIC, or Specialty Medical Coding Certification preferred.

If you would like to speak with our Talent Acquisition team to learn more about this position and NaphCare, please first apply directly to this position to initiate the application process, and then please send your resume to jerry.hughes@NaphCare.com where we will be in touch. 

Equal Opportunity Employer: disability/veteran

#NCE

Employment Type: FULL_TIME

What NaphCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About NaphCare

Sourced by ZipRecruiter

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare. NaphCare offers competitive compensation! Our full-time teammates have a top-notch benefits package, which includes medical, dental, vision, FREE prescriptions, flexible spending account, company-paid life and AD&D insurance with voluntary life and AD&D options, ST & LT disability, 401(k) company contribution, 20 days Paid Time Off, paid holidays, tuition assistance, employee referral bonuses, etc.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Birmingham, AL, US

Year founded

1989

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