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Disability Adjudicator Remote Jobs (NOW HIRING)

Millennium Physician Group

$144K - $238K/yr

... Time Remote work Essential Responsibilities * Direct all aspects of claims intake, adjudication ... Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of ...

Insperity

Medical Claims Examiner

CA · On-site +1

$20 - $25/hr

Description & Requirements Medical Claims Examiner Local Remote or In-Office Join a team where your ... In this role, you will be responsible for the accurate and timely adjudication of CMS 1500 and UB ...

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Disability Adjudicator Remote information

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$32K

$61.9K

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How much do disability adjudicator remote jobs pay per year?

As of Jul 20, 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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Disability Adjudicator Remote jobs near you
Director, Claims Support

Director, Claims Support

Millennium Physician Group

Remote

$144K - $238K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Millennium Physician Group rating

6.3

Company rating: 6.3 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

669th of 886 rated healthcare providers

Job description

Job Description Summary

The Director, Claims Support is responsible for the strategic and operational leadership of CareMore Health's claims administration function, ensuring the accurate, timely, and compliant adjudication and payment of medical, behavioral health, pharmacy, and ancillary claims. This role oversees claims operations across multiple markets and systems, drives operational excellence, and ensures compliance with Medicare, Medicaid, Commercial, CMS, and state regulatory requirements.
The Director develops and executes claims strategies that support organizational objectives, provider satisfaction, member experience, payment integrity, and financial stewardship. Serving as a key leader within Health Plan Operations, the Director partners closely with Provider Network Management, Finance, Compliance, Configuration, Delegation Oversight, Appeals & Grievances, Clinical Operations, and external provider organizations to ensure optimal claims performance and regulatory compliance.

How will you make an impact & Requirements

Hours & Location:

Full Time: Monday-Friday, Pacific Time

Remote work

Essential Responsibilities

  • Direct all aspects of claims intake, adjudication, payment, adjustment, and provider reimbursement activities.

  • Ensure claims are processed accurately, timely, and in compliance with contractual, regulatory, and organizational requirements.

  • Provide leadership and guidance on highly complex claims and provider disputes.
    Establish and monitor operational metrics, SLAs, productivity standards, and quality indicators.

  • Lead continuous improvement initiatives focused on automation, efficiency, payment accuracy, and provider experience.

  • Ensure compliance with CMS, Medicare Advantage, Medicaid, and state regulations.

  • Lead strategic planning, budgeting, workforce planning, and operational transformation initiatives.

  • Partner with providers, delegated entities, vendors, and internal stakeholders to resolve issues and improve performance.

  • Lead, coach, and develop managers and claims professionals across multiple locations.

Required Qualifications

  • Bachelor's degree in Business Administration, Healthcare Administration, Finance, Public Health, or related field, or equivalent experience.

  • Minimum 9 years of progressive healthcare claims operations experience.

  • Minimum 5 years of leadership experience managing managers and/or large operational teams.

  • Experience within Medicare Advantage, Medicaid, Managed Care, Health Plan, or Payer environments.

Preferred Qualifications

  • Master's degree (MBA, MHA, MPH, or related field).

  • Experience supporting delegated provider organizations, value-based care models, payment integrity programs, and provider dispute resolution.

Benefits:

  • 3 weeks PTO & 8 paid holidays

  • Medical, Dental, Vision

  • Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)

  • 401(k) with match

  • Employee Wellness

  • Other Employee Discount programs like Tickets at Work and cell phone discounts

  • Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

Compensation:

$144,368.00

to

$238,207.00

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