1

Claim Adjudication Jobs (NOW HIRING)

Adjudication Lead, Sr

Portland, ME · On-site

$67K - $87K/yr

... adjudication team ... The role will also monitor and assist with Claim escalations from customers or other service areas ...

... claim adjudication process. (*) Coordinates responses for routine phone inquiries and written correspondence related to claim processing issues. Routes and triages complex claims to Senior Claim ...

Claims Adjudicator II

Oak Brook, IL · On-site

$20.36 - $24.97/hr

Achieve individual established goals in order to meet or exceed departmental metrics Essential Qualifications * 3 ~ 5 years of direct experience minimum in a medical claim adjudication environment

Claims Adjudicator II

$20.36 - $24.97/hr

Achieve individual established goals in order to meet or exceed departmental metrics Essential Qualifications * 3 ~ 5 years of direct experience minimum in a medical claim adjudication environment

Claims Adjudicator II

Oak Brook, IL · On-site

$20.36 - $24.97/hr

Achieve individual established goals in order to meet or exceed departmental metrics ESSENTIAL QUALIFICATIONS * 3 ~ 5 years of direct experience minimum in a medical claim adjudication environment

Experience understanding claim adjudication for member and provider reimbursements. * Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration * Knowledge of ...

Analyze prescription claims and assist with claim adjudication issues. * Research medication coverage, formulary status, and therapeutic alternatives. * Maintain accurate documentation of provider ...

Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...

Claims Adjudicator III

Oak Brook, IL · On-site

$23.79 - $29.13/hr

... claim adjudication environment * Experience with interpretation of benefit plans, including an understanding of limitations, exclusions, and schedule of benefits * Working knowledge of plan design ...

... claim adjudication environment * Experience with interpretation of benefit plans, including an understanding of limitations, exclusions, and schedule of benefits * Working knowledge of plan design ...

Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...

next page

Showing results 1-20

Claim Adjudication information

See salary details

$13

$21

$28

How much do claim adjudication jobs pay per hour?

As of Jul 11, 2026, the average hourly pay for claim adjudication in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.
More about Claim Adjudication jobs
Infographic showing various Claim Adjudication job openings in the United States as of July 2026, with employment types broken down into 86% Full Time, 12% Part Time, 1% Temporary, and 1% Contract. Highlights an 77% Physical, 4% Hybrid, and 19% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.