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Disability Adjudicator Remote Jobs in Chicago, IL

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Disability Adjudicator Remote information

See Chicago, IL salary details

$33K

$63.8K

$95.8K

How much do disability adjudicator remote jobs pay per year?

As of Aug 23, 2026, the average yearly pay for disability adjudicator remote in Chicago, IL is $63,790.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $73,100.00 per year, depending on experience, location, and employer.

What is a disability adjudicator?

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.

What are the key skills and qualifications needed to thrive as a disability adjudicator?

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 popular job titles related to Disability Adjudicator Remote jobs in Chicago, IL?

For Disability Adjudicator Remote jobs in Chicago, IL, the most frequently searched job titles are:

What job categories do people searching Disability Adjudicator Remote jobs in Chicago, IL look for?

The top searched job categories for Disability Adjudicator Remote jobs in Chicago, IL are:

Disability Adjudicator Remote jobs near you
Infographic showing various Disability Adjudicator Remote job openings in Chicago, IL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $63,790 per year, or $30.7 per hour.

Business Analyst, Optum CES

Co-Sourcing Partners

Chicago, IL • On-site, Remote

Contractor

Re-posted 3 days ago

Job description

Business Analyst, Optum CES
Location: Remote
Employment Type: 1 month contract with possibility of extension
We are seeking a seasoned Business Analyst with deep expertise in Optum Claims Editing System (CES) and integration experience with Epic Tapestry. This individual will be responsible for driving CES configuration, edit implementation, and system alignment with Epic denial codes and benefit configurations. The role demands cross-functional collaboration, system analysis, and execution oversight to enhance claims adjudication workflows and ensure alignment with payer strategies.
Key Responsibilities:
  • Collaborate with stakeholders including business leaders, claims operations, IT teams, and vendors to guide the end-to-end implementation of Optum CES.
  • Analyze and document business requirements related to claims editing rules, benefit configuration, and adjudication logic.
  • Design and validate system edits (e.g., age edits, duplicate logic, modifier rules) to ensure compliance with regulatory and payer-specific policies.
  • Map and reconcile EDI transactions (837/835) with Epic Tapestry records to ensure accurate CES integration.
  • Partner with configuration analysts to ensure benefit structures and payment policies align with claims editing logic.
  • Lead and support functional testing, UAT, and defect resolution for CES edits and Epic denial workflows.
  • Monitor project timelines, milestones, risks, and cross-functional dependencies to ensure on-time delivery.
  • Identify and recommend process improvements to reduce manual intervention and enhance claims accuracy and provider experience.

Required Skills & Experience:
  • Minimum 5 years of experience as a Business Analyst in healthcare IT, with hands-on implementation of Optum CES.
  • Stong understanding of PPS reimbursement within the claims processing cycle.
  • Experience with Epic Tapestry strongly preferred.
  • Proficiency in claims editing systems, claims adjudication logic, and healthcare EDI standards (837/835).
  • Demonstrated ability to lead cross-functional initiatives involving technical and business teams.
  • Strong written and verbal communication skills, with the ability to translate complex technical details into business-friendly language.
  • Exceptional organizational skills and a track record of managing high-impact healthcare IT projects.

CoSourcing Partners is an equal opportunity employer committed to fostering an inclusive and diverse workplace. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other protected status under applicable federal, state, or local laws.
We believe in creating a work environment where all employees feel valued, respected, and empowered to contribute to our success. Accommodations are available upon request for applicants with disabilities throughout the hiring process.
Join us and be part of a team that values diversity, equity, and inclusion.

Apply