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Contractual Adjudication Jobs (NOW HIRING)

Judi Health

Claims Adjudication Associate

Charlotte, NC · Hybrid

$17.25 - $23.50/hr

... contractual claims processing SLAs. In year two, this individual will be responsible for managing and servicing new and existing clients of JUDI's Medical Claims Adjudication platform. This ...

Judi Health

Claims Adjudication Associate

Charlotte, NC · On-site

$82K - $103K/yr

... contractual claims processing SLAs. In year two, this individual will be responsible for managing and servicing new and existing clients of JUDI's Medical Claims Adjudication platform. This ...

Capital Rx

Claims Adjudication Associate

Charlotte, NC · On-site

$82K - $103K/yr

... contractual claims processing SLAs. In year two, this individual will be responsible for managing and servicing new and existing clients of JUDI's Medical Claims Adjudication platform. This ...

Judi Health

Claims Adjudication Associate

Charlotte, NC · On-site

$82K - $103K/yr

... contractual claims processing SLAs. In year two, this individual will be responsible for managing and servicing new and existing clients of JUDI's Medical Claims Adjudication platform. This ...

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Timely and accurate processing and adjudication of all types of claims from assigned workflow queues * Compliance with state, federal and contractual requirements to Claims Administration

MagnaCare

Claims Examiner I

Las Vegas, NV · On-site

Applying medical policies, contractual provisions, and operational procedures to ensure precise adjudication and adjustments. * Generate correspondence, such as letters and questionnaires, to gather ...

Careington

Claims Finance Manager

Frisco, TX · On-site

Analyze claims payment activity, funding, payment activity, adjudication outcomes, and ... Ensure claims-related financial processes comply with contractual, regulatory, and organizational ...

MagnaCare

Claims Examiner II

Las Vegas, NV · On-site

Applying medical policies, contractual provisions, and operational procedures to ensure precise adjudication and adjustments. * Generate correspondence, such as letters and questionnaires, to gather ...

Link Up Overseas

Customer Service Representative (Remote)

$16.50 - $22.25/hr

... within contractual requirements. * Communicate with inquirer to determine appropriate authorization or referral of services. * Submit claims for adjudication, correction, payment, or review as ...

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Contractual Adjudication information

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How much do contractual adjudication jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for contractual adjudication in the United States is $38.10, according to ZipRecruiter salary data. Most workers in this role earn between $23.80 and $45.19 per hour, depending on experience, location, and employer.

What is the difference between Contractual Adjudication vs Contract Administrator?

AspectContractual AdjudicationContract Administrator
CredentialsLegal or contractual training, certifications in dispute resolutionProject management, contract management certifications
Work EnvironmentLegal, dispute resolution, or contractual review settingsConstruction, engineering, or project management offices
Industry UsageLegal and dispute resolution sectorsConstruction, engineering, and project-based industries

Contractual Adjudication focuses on resolving contractual disputes through legal or formal dispute processes, often involving legal expertise. Contract Administrators manage contract documentation, compliance, and coordination during project execution. While both roles deal with contracts, Adjudicators primarily resolve disputes, whereas Administrators oversee contract management throughout the project lifecycle.

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Contractual Adjudication jobs near you
Infographic showing various Contractual Adjudication job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $79,243 per year, or $38.1 per hour.

Claims Adjudication Associate

Judi Health

Charlotte, NC • Hybrid

$17.25 - $23.50/hr

Full-time

Re-posted 17 days ago

Job description

Location: Hybrid 3 days in Charlotte office

Position Summary: 

Judi Health is seeking a self-driven Claims Adjudication Associate to support the Medical claims adjudication workflow for JUDI Health, our enterprise health platform. 

In year one, this individual will train on the JUDI Medical adjudication system. This individual will be responsible for maintaining the operational adjudication process, member, and provider escalated inquiry management, subrogation, stop-loss, recoupment and adjustment flows, and adhering to standard and contractual claims processing SLAs. 

In year two, this individual will be responsible for managing and servicing new and existing clients of JUDI's Medical Claims Adjudication platform. This individual will be expected to maintain an in-depth understanding of the evolving capabilities of JUDI and our medical network support and client base. Exceptional communication skills and attention to detail are critical for communicating with internal and external stakeholders to build holistic support for medical claims processing. 

Position Responsibilities: 

  • Review, assess, and make decisions on medical claims submitted by networks, claimants, or other parties.  
  • Provide support to Customer Care representatives in relation to claims and benefits questions from Members and Providers. 
  • The Claims Adjudicator reviews the facts of each case and applies the applicable laws, regulations, and policy provisions to determine the appropriate claim outcome.  
  • The Claims Adjudicator must be knowledgeable of the claims process, laws, and policies, as well as possess excellent communication skills and a commitment to providing outstanding customer service.  
  • Manually adjudicate claims received via 837 EDI file, HIPAA 1500 or UB-04 forms, or direct member reimbursement submissions via superbill submission. 
  • Adhere to standard SLA's regarding number or percentage of claims processed per day 
  • Assist in management of claims related mail workflows including Appeals, subrogation, payments, and stop-loss. 
  • Build and maintain trusting relationships with clients through superior customer service. 
  • Assist in communications throughout the implementation process, including detailed and strategic guidance for adjudication infrastructure, processing, reporting, inquiry management, and complex claim situations/requests. 
  • Proactively identify execution risks and mitigation strategies. 
  • Identify and drive efficiencies to automate adjudication flows and reduce risk. 
  • Certain times of year may require meeting participation, service support or other requirements outside of standard business hours, including weekends. 
  • Responsible for adherence to the Judi Health Code of Conduct including reporting of noncompliance. 

Minimum Qualifications: 

  • Bachelors degree strongly preferred 
  • Experience managing a team of direct reports 
  • 1+ years of work experience at a health plan, claims adjudicator, or TPA 
  • Well-versed in Benefit determinations 
  • Well-versed in impact of claims processing and adjudication in regards to COB, Adjustments, Appeals, and member/provider inquiries 
  • Act as a patient advocate, protecting privacy and confidentiality issues. 
  • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables 
  • Exceptional project / time management, prioritization, and organizational skills to ensure customer satisfaction 
  • Ability to shift between competing priorities and meet organizational goals 
  • Proficient in Microsoft office Suite and willing to adapt to software such as Jira, Miro, Confluence, Github, and AWS Redshift 
  • Excellent verbal, written, interpersonal and presentation skills 
  • Ability to work effectively with virtual teams 

Preferred Qualifications: 

  • Medicare/Medicaid experience preferred 

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