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Disability Adjudicator Jobs in California (NOW HIRING)

PBM Biller

Irvine, CA · On-site

$25 - $27/hr

Claim adjudication * Manage authorizations and prior authorization process * Collect co-pays ... Term Disability Insurance. * Term Life Insurance Plan. * We will consider for employment all ...

... adjudication * Coordinate potential recovery efforts with Company Accounting and coordinate ... If you require assistance in applying for open positions due to a disability, please email us at ...

Court Clerk

Pomona, CA · On-site

$37K - $50K/yr

... Adjudication Management System (EAMS). The incumbent will also provide assistance to the Disability Evaluation Unit (DEU), the workers' compensation judges, and court personnel. This posting may be ...

Quality Engineer

Goleta, CA · On-site

$75.80 - $144.20/hr

Medical, dental, vision, life insurance, short‑term and long‑term disability, 401(k) match ... The security clearance process is handled and adjudicated by DCSA Consolidated Adjudication ...

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Showing results 1-20

Disability Adjudicator information

See California salary details

$31.6K

$61.1K

$91.8K

How much do disability adjudicator jobs pay per year?

As of Aug 31, 2026, the average yearly pay for disability adjudicator in California is $61,113.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,900.00 and $70,100.00 per year, depending on experience, location, and employer.

What is a disability adjudicator?

A Disability Adjudicator reviews medical and vocational evidence to determine whether applicants qualify for disability benefits. They assess claims based on government guidelines and work closely with medical professionals to ensure fair and accurate decisions. The role requires strong analytical skills, attention to detail, and knowledge of disability policies and laws. Adjudicators may also communicate with applicants to gather additional information or explain decisions.

What are the typical daily responsibilities of a disability adjudicator?

As a Disability Adjudicator, your typical day involves reviewing medical records, employment histories, and other evidence to determine eligibility for disability benefits. You may communicate with applicants, healthcare providers, and legal representatives to clarify information or request additional documentation. The role also includes preparing detailed written decisions and collaborating with other adjudicators or supervisors for case discussions and training. This work is primarily office-based and requires a balance of independent analysis and team-based problem-solving.

What are the key skills and qualifications needed to thrive in the disability adjudicator position, and why are they important?

To thrive as a Disability Adjudicator, you need strong analytical skills, attention to detail, and a solid understanding of disability policies and medical terminology, usually supported by a relevant bachelor's degree. Familiarity with case management systems, government benefits databases, and document review software is often required. Excellent communication, empathy, and critical thinking abilities help adjudicators navigate complex cases and interact with claimants and healthcare professionals. These skills are essential for making fair, accurate, and timely decisions that significantly impact individuals' access to services and benefits.

What are the most commonly searched types of Disability Adjudicator jobs in California?

The most popular types of Disability Adjudicator jobs in California are:

What are popular job titles related to Disability Adjudicator jobs in California?

For Disability Adjudicator jobs in California, the most frequently searched job titles are:

What job categories do people searching Disability Adjudicator jobs in California look for?

The top searched job categories for Disability Adjudicator jobs in California are:

Infographic showing various Disability Adjudicator job openings in California as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 2% Contract, and 1% Nights. Highlights an 94% Physical, 3% Hybrid, and 3% Remote job distribution, with an average salary of $61,113 per year, or $29.4 per hour.

Adjudication Lead - Roseville, CA (Hybrid)

Roseville, CA • Hybrid


Gainwell Technologies LLC
Health Care and Social Assistance • 10K+ employees

7.8

Company rating: 7.8 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

138th of 247 rated software companies

People enjoy working here

Good employer

Recommended by parents


$70K - $76K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 10 days ago


Job description

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Your role in our mission
  • Answers questions from the claims adjudication team and responds to complex customer inquiries or routes them to the appropriate personnel.
  • Researches and responds to customer inquiries in a timely manner.
  • Processes requests and updates account history with proper documentation.
  • Processes and distributes incoming and outgoing work in accordance with service level agreements.
  • Performs data entry and matches documents to the appropriate accounts.Interfaces with team members, management, and customers regarding claim adjudication issues.
  • Reviews client reports daily to ensure data integrity and submits reports to management.
  • Recommends workflow and procedure improvements to support efficient transaction processing.
  • Monitors daily claims transactions to ensure compliance with policies, procedures, and service level agreements.
  • Assists with day-to-day claims adjudication operations, including training and mentoring less experienced staff.
What we're looking for
  • High school diploma or G.E.D. 
  • Three or more years of Claims, TARs, CIFs. NOAs, RTDs experience 
  • Experience working with organizational functions and personnel 
  • Experience working with, computer software, and CRM technology, and Mainframe 
  • Experience working with and skilled in the use of help desk software
What you should expect in this role
  • Remote hybrid work arrangement with 2 days per week in the Roseville, CA office, depending on business and client needs.
  • Monday through Friday schedule.
  • Up to 10% travel required.
 
This position will remain open for applications through September 10, 2026.

The pay range for this position is $70,304.00 - $76,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.


Gainwell Technologies logo

About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US


What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

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