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Disability Adjudicator Remote Jobs (NOW HIRING)

WellSense Health Plan

Claims Adjudicator

$18.27 - $25.72/hr

Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key ... disability or protected veteran status. WellSense participates in the E-Verify program to ...

Advocate

SSDI Case Manager

Orlando, FL · On-site +1

... disability application and adjudication process. * Ability to quickly pivot, change process, and adopt new ways of doing things. * Familiarity with Salesforce or a similar CRM This is a remote ...

Advocate

SSDI Case Manager

Orlando, FL · Remote

... disability application and adjudication process. * Ability to quickly pivot, change process, and adopt new ways of doing things. * Familiarity with Salesforce or a similar CRM This is a remote ...

Integrated Management Strategies LLC

Remote Medical Coder

$19.25 - $24.25/hr

... adjudication. * Complete training on all government systems, including all annual and short notice ... Group Short Term Disability Insurance * Voluntary Life Insurance, Long Term Disability Insurance ...

Sentara

Clinical Pharmacist- Remote

Virginia Beach, VA · On-site +1

$101K - $169K/yr

Experience with online pharmacy adjudication systems required (i.e., PA Hub) Keywords :Pharmacy ... Disability, and Critical Illness plans Life Insurance 401k/403B with Employer Match Tuition ...

Sentara

Clinical Pharmacist- Remote

Virginia Beach, VA · On-site +1

$112K - $134K/yr

Experience with online pharmacy adjudication systems required (i.e., PA Hub) Keywords :Pharmacy ... Disability, and Critical Illness plans Life Insurance 401k/403B with Employer Match Tuition ...

Navitus Health Solutions, LLC

Analyst, Claims Quality

$43K - $52K/yr

... with disabilities. All qualified applicants will receive consideration for employment without ... Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New ...

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Disability Adjudicator Remote information

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$32K

$61.9K

$93K

How much do disability adjudicator remote jobs pay per year?

As of Jun 6, 2026, the average yearly pay for disability adjudicator remote 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 the key skills and qualifications needed to thrive as a Disability Adjudicator (Remote), and why are they important?

To thrive as a Disability Adjudicator, you need a strong understanding of medical terminology, case evaluation, and disability regulations, typically supported by a relevant degree or experience in healthcare, social services, or claims processing. Familiarity with case management software, electronic claims systems, and government disability guidelines is essential. Attention to detail, critical thinking, and effective communication are vital soft skills for assessing complex cases and interacting with claimants. These abilities ensure accurate, fair, and timely determinations that uphold program integrity and support those in need.

What are some typical challenges faced by remote Disability Adjudicators, and how can they be managed effectively?

Remote Disability Adjudicators often face challenges such as interpreting complex medical documentation without in-person consultations, maintaining effective communication with claimants and medical professionals, and managing a high volume of cases independently. To manage these challenges, adjudicators rely on secure digital platforms for document review, participate in regular virtual meetings for case discussions, and follow structured workflows to stay organized. Building strong time management skills and staying proactive in seeking clarification from colleagues or supervisors can also help ensure accuracy and efficiency in their work.

What are Disability Adjudicators?

Disability Adjudicators are professionals who review and evaluate claims for disability benefits, typically for government agencies such as Social Security or state disability programs. They assess medical and vocational evidence to determine whether applicants meet the criteria for disability. Working remotely, they communicate with medical professionals, claimants, and sometimes conduct interviews or request additional documentation. Their role is crucial in ensuring that disability decisions are fair, consistent, and in line with established guidelines.
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What cities are hiring for Disability Adjudicator Remote jobs? Cities with the most Disability Adjudicator Remote job openings:
What are the most commonly searched types of Disability Adjudicator jobs? The most popular types of Disability Adjudicator jobs are:
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Disability Adjudicator Remote jobs near you
Infographic showing various Disability Adjudicator Remote job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 79% Full Time, 19% Part Time, and 1% Contract. Highlights an 75% Physical, 3% Hybrid, and 22% Remote job distribution, with an average salary of $61,924 per year, or $29.8 per hour.
Claims Adjudicator

Claims Adjudicator

WellSense Health Plan

Remote

$18.27 - $25.72/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

WellSense Health Plan rating

8.9

Company rating: 8.9 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

45th of 260 rated insurance

Job description

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

Job Summary:

Responsible for the accurate and timely processing of claims.  Must meet published quality and productivity standards.  Also, responsible for simple adjustments to previously processed claims. 

Our Investment in You:

·       Full-time remote work

·       Competitive salaries

·       Excellent benefits

Key Functions/Responsibilities:

·       Evaluates and processes claims in accordance with company policies and procedures according to productivity and quality standards.

·       Interprets and processes routine and less complex claims including CMS 1500 and UB04.

·       Reviews and analyzes data from system-generated reports for in-process claims in order to identify and resolve errors prior to final adjudication.

·       Alerts claims management to claims aging issues as well as provider billing problems.

·       Maintains current knowledge of company members' benefits, policies/procedures, provider network development and contract issues, processing system issues, Massachusetts Medicaid regulations, as well as industry standards for claims adjudication.

·       Consistently maintains production standards based on transactions/units per hour

·       Consistently meets quality standards 

Qualifications: 

Education:

·       High School degree or equivalent required.

·       Associate degree or some college coursework preferred.

Experience:

·       Two years or more years experience in managed care claims processing preferred.

Competencies, Skills, and Attributes:

·       Working knowledge of medical terminology as well as CPT4, HCPCS and ICD9 coding sets and HIPAA regulations.

·       Familiarity with UB04's and CMS 1500's

·       Knowledge of Microsoft Office and FACETS preferred.

·       Ability to maintain production level and quality goals.

·       Follow through on commitments and meets deadlines

·       Work is thorough, accurate, and effective.

·       Demonstrates ability to complete assigned work in a timely fashion.

Working Conditions and Physical Effort:

·       Ability to work OT during peak periods.

Compensation Range 

$18.27- $25.72

This range offers an estimate based on the minimum job qualifications.  However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer.  This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.  

Note: This range is based on Boston-area data, and is subject to modification based on geographic location. 

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees


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