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Disability Adjudicator Jobs in Florida (NOW HIRING)

Advocate

SSDI Case Manager

Orlando, FL · On-site +1

Desire to transform the 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 ...

Advocate

SSDI Case Manager

Orlando, FL · Remote

Desire to transform the 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 ...

Fortegra

Claims Examiner, Credit

Jacksonville, FL · On-site

Balance claim adjudication responsibilities with inbound customer service support based on business ... long term disability, 401(k), tuition assistance and more #LI-Onsite Job Posting Disclaimer:

Solis Health Plans

Claim Examiner I

Miami, FL · On-site

$19 - $23/hr

POSITION SUMMARY The Claims Examiner I is responsible for the accurate and timely adjudication of ... Reasonable accommodation may be made to enable individuals with disabilities to perform the ...

Solis Health Plans

Claim Examiner I

Miami, FL · On-site

$19 - $23/hr

POSITION SUMMARY The Claims Examiner I is responsible for the accurate and timely adjudication of ... Reasonable accommodation may be made to enable individuals with disabilities to perform the ...

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All JobsDisability Adjudicator JobsDisability Adjudicator Jobs in Florida

Disability Adjudicator information

See Florida salary details

$23.9K

$46.3K

$69.5K

How much do disability adjudicator jobs pay per year?

As of Aug 10, 2026, the average yearly pay for disability adjudicator in Florida is $46,275.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,200.00 and $53,100.00 per year, depending on experience, location, and employer.

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 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 popular job titles related to Disability Adjudicator jobs in Florida? For Disability Adjudicator jobs in Florida, the most frequently searched job titles are:
Disability Adjudicator jobs near you
Infographic showing various Disability Adjudicator job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 3% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $46,275 per year, or $22.2 per hour.

Claims Adjudicator

National Healthcare Solutions Group, Inc.

Miami, FL • On-site

Other

Medical

This job post has expired today. Applications are no longer accepted.

Job description

Claims Adjudicator

The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and regulatory requirements. The claims adjudicator ensures that all claims are handled accurately, efficiently, and within specified timeframes, contributing to the overall effectiveness of the claims processing team. This role requires a detailed-oriented professional with a strong ability to follow instructions and a proactive approach to identifying and resolving discrepancies.

Essential Functions
  • Ensure all claims are processed in strict accordance with established guidelines and instructions.
  • Review and adjudicate claims in accordance with policy benefits.
  • Send claims for coverage analysis to the medical department in specific cases.
  • Regularly generate and analyze claims processing reports to identify discrepancies and ensure data accuracy.
  • Properly code procedures and diagnostics (CPT and ICD 10 coding)
  • Verify banking information.
  • Validate prescription medicines to the corresponding patient diagnosis.
  • Verify expenses with the renewal date for coverage.
  • Calculate expenses and deductible per policy year.
  • Verify waiting periods.
  • Verify pre-existing conditions and exclusions; deductible increases
  • Verify dates of service.
  • Verify currency conversions.
  • Verify general benefits of the policy according to the contracted plan.
Minimum Qualifications
  • Minimum 2 years' experience.
  • Bilingual (Spanish or Portuguese).
  • Experience in quality customer service.
  • General knowledge and proper management of Microsoft Office
  • Proactively identify discrepancies in claims; monitor claims patterns to identify opportunities for improvement.
  • Ability to work under pressure.
  • Ability to manage interpersonal relationships.
  • Effective oral and written communication skills.
  • Strong ability to follow detailed procedures and instructions with precision to ensure accurate and compliant claims adjudication.
Working Conditions

The following job-related working conditions are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function.

Work Environment

The role primarily operates in an in-door, climate-controlled office setting working in close proximity to others. Noise level in the work environment is low to moderate. Light level provides adequate brightness for reading, computer work, and other tasks without causing glare or strain.

Physical Demands

The job primarily involves sedentary work with prolonged periods sitting at a desk. While performing the duties of this job, employees may occasionally be expected to:

  • exert up to 10 pounds of force and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
  • operate standard office equipment such as copiers, computers, telephones, printers, etc.
Travel Requirements

Minimal to no travel required

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