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Medical Adjudicator Jobs (NOW HIRING)

Bishop & Company, Inc.

Claims Adjudicator(s)

Honolulu, HI · On-site

$37K - $45K/yr

  • Medical

  • Retirement

  • PTO

The Claims Adjudicator is responsible for reviewing and analyzing medical claims to determine the health plan's financial liability and making accurate benefit determinations in accordance with plan ...

New

LUMA

DISABILITY CLMS AJCTR TR

Boise, ID · On-site

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Adjudicator. Minimum statistical performance standards exist at all levels in the areas of customer service, productivity, and quality. These positions require reading extensive medical records ...

Judi Health

Claims Adjudication Associate

Manhattan, NY · On-site

Claims Adjudication Associate Capital Rx is seeking a self-driven Claims Adjudication associate to ... Evaluate complex medical claims, coverage issues, and benefit determinations by reviewing claim ...

Judi Health

Claims Adjudication Associate

New York, NY · On-site +1

$19.50 - $26.25/hr

The Claims Adjudication Associate is responsible for evaluating claims submitted by policyholders ... Evaluate complex medical claims, coverage issues, and benefit determinations by reviewing claim ...

Capital Rx

Claims Adjudication Associate

Manhattan, NY · On-site

$19.50 - $26.50/hr

The Claims Adjudication Associate is responsible for evaluating claims submitted by policyholders ... Evaluate complex medical claims, coverage issues, and benefit determinations by reviewing claim ...

Onco360

Pharmacy Claims Adjudication Specialist

Columbus, OH · On-site

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits - life; and short and long-term disability Pharmacy Adjudication ...

Onco360

Pharmacy Claims Adjudication Specialist

Louisville, KY · On-site

$21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits - life; and short and long-term disability Pharmacy Adjudication ...

Onco360

Pharmacy Claims Adjudication Specialist

Houston, TX · On-site

$21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits - life; and short and long-term disability Pharmacy Adjudication ...

Onco360

Pharmacy Claims Adjudication Specialist

Burlington, VT · Remote

$25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits - life; and short and long-term disability Pharmacy Adjudication ...

Onco360

Pharmacy Claims Adjudication Specialist

Columbus, OH · Remote

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits - life; and short and long-term disability Pharmacy Adjudication ...

Onco360

$21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits - life; and short and long-term disability Pharmacy Adjudication ...

Onco360

Pharmacy Claims Adjudication Specialist

Burlington, VT · On-site

$25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits - life; and short and long-term disability Pharmacy Adjudication ...

Onco360

Supervisor - Pharmacy Adjudication

Houston, TX · On-site

$62 - $73/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Quarterly Incentive ... Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role ...

Onco360

Pharmacy Claims Adjudication Specialist

Scottsdale, AZ · Remote

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits - life; and short and long-term disability Pharmacy Adjudication ...

Onco360

Pharmacy Claims Adjudication Specialist

Woodridge, IL · On-site

$24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits - life; and short and long-term disability Pharmacy Adjudication ...

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Showing results 21-40

All JobsMedical Adjudicator Jobs

Medical Adjudicator information

See salary details

$32K

$61.9K

$93K

How much do medical adjudicator jobs pay per year?

As of Aug 12, 2026, the average yearly pay for medical adjudicator 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 medical adjudicator, and why are they important?

To thrive as a Medical Adjudicator, you need in-depth medical knowledge, analytical skills, and a relevant healthcare qualification such as an RN, MD, or related health sciences degree. Familiarity with case management software, electronic health records (EHRs), and government or insurance claims systems is typically required. Strong attention to detail, critical thinking, and effective written communication are vital soft skills for this role. These abilities are essential to accurately assess claims, ensure fair decisions, and uphold regulatory standards in medical adjudication processes.

What is the difference between Medical Adjudicator vs Medical Claims Processor?

AspectMedical AdjudicatorMedical Claims Processor
Required CredentialsMedical degree or relevant healthcare certification, knowledge of insurance policiesHigh school diploma or equivalent, basic understanding of claims processing
Work EnvironmentHealthcare offices, insurance companies, remote workClaims processing centers, insurance companies, remote options
Employer & Industry UsageInsurance companies, third-party administrators, healthcare providersInsurance companies, third-party administrators, healthcare payers
Common Search & Comparison IntentUnderstanding roles, qualifications, and responsibilitiesComparing entry-level claims processing tasks and requirements

While both roles involve working within the insurance and healthcare industries, Medical Adjudicators typically have more advanced healthcare credentials and focus on reviewing complex claims and medical necessity. Medical Claims Processors handle the initial processing of claims, often with less specialized healthcare knowledge. The choice depends on your experience level and career goals within the insurance and healthcare sectors.

What is a medical adjudicator?

Medical adjudicators are professionals who review medical evidence and make decisions about disability claims, insurance benefits, or other healthcare-related cases. They assess whether an individual meets specific medical criteria for benefits or coverage, often working for government agencies, insurance companies, or healthcare organizations. Their role involves analyzing medical records, consulting with healthcare providers, and ensuring decisions comply with relevant guidelines and laws.

How does a medical adjudicator typically collaborate with other professionals in the disability claims process?

Medical Adjudicators frequently work closely with case managers, physicians, and specialists to review and assess medical evidence for disability claims. Collaboration involves discussing complex cases, clarifying medical information, and sometimes participating in interdisciplinary meetings to ensure fair and accurate decisions. Effective communication and teamwork are essential, as Medical Adjudicators must balance medical guidelines with policy requirements while ensuring all perspectives are considered in the adjudication process.
More about Medical Adjudicator jobs
What cities are hiring for Medical Adjudicator jobs? Cities with the most Medical Adjudicator job openings:
What states have the most Medical Adjudicator jobs? States with the most job openings for Medical Adjudicator jobs include:
What job categories do people searching Medical Adjudicator jobs look for? The top searched job categories for Medical Adjudicator jobs are:
Medical Adjudicator jobs near you
Infographic showing various Medical Adjudicator job openings in the United States as of August 2026, with employment types broken down into 78% Full Time, 11% Part Time, and 11% Contract. Highlights an 100% In-person job distribution, with an average salary of $61,924 per year, or $29.8 per hour.

Claims Adjudicator(s)

Bishop & Company, Inc.

Honolulu, HI • On-site

$37K - $45K/yr

Full-time

Medical, Retirement, PTO

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

Job description

Claims Adjudicator
Bishop and Company is seeking two Claims Adjudicators to join our client's Claims team. This is a full-time opportunity available on either a temp-to-hire or direct-hire basis.
The Claims Adjudicator is responsible for reviewing and analyzing medical claims to determine the health plan’s financial liability and making accurate benefit determinations in accordance with plan benefits, processing guidelines, and applicable policy provisions.
Key Responsibilities
  • Analyze and adjudicate medical claims accurately and efficiently.
  • Determine the extent of the health plan’s liability based on plan benefits, guidelines, and policy provisions.
  • Apply knowledge of medical terminology and coding to evaluate claims.
  • Enter and maintain claim information accurately within applicable systems.
  • Review claims for completeness, accuracy, and adherence to established processing guidelines.
  • Prioritize workload and consistently meet established deadlines.
  • Exercise sound judgment and decision-making when resolving claims-related issues.
  • Work independently while also collaborating effectively with members of the Claims team.
Qualifications
Required:
  • High school diploma or GED.
  • Basic proficiency in Microsoft Word and Excel.
  • Knowledge of medical terminology and CPT, ICD, and HCPCS codes.
  • Strong organizational and decision-making skills.
  • Ability to prioritize tasks and consistently meet deadlines.
  • Strong data-entry skills, including 10-key by touch.
  • Exceptional attention to detail.
  • Ability to work independently and effectively as part of a team.

Preferred qualifications:
  • Certificate or coursework from a college or technical school.
  • Previous experience in medical claims processing with a health insurance company or third-party administrator (TPA).
  • Equivalent combination of education and relevant experience.
  • Certified Professional Coder (CPC) certification.
Additional Information:
  • Job Type: Temp-to-hire  or direct hire opportunity
  • Annual salary: $37,000–$45,000, depending on qualifications and experience.
  • Full-time employment.
  • Convenient downtown Honolulu office location.
  • Monthly parking available for $80 per month, or mass transit reimbursement of $63 per month.
  • Schedule: Monday-Thursday 7:00 am to 4:00 pm and Fridays 7:00 am to 3:00 pm (1-hour lunch break). In-office every workday
  • Benefits: Bishop & Company offers its temporary and contract employees attractive, competitive benefits, including paid holidays, paid vacation, health insurance, and matching 401k plan for all those who qualify!
Bishop & Company provides recruiting and placement services for client companies and opportunities for job seekers throughout Hawaii. We charge no fees to candidates and our client services are 100% guaranteed.
Please forward resumes to:
Bishop & Company
Phone: 808-839-2200
Website: http://www.bishopco.net/
Location: Honolulu, HI
***No relocation, In-state applicants only. Must be available to interview immediately.***
Equal Opportunity Employer – Disability and Veteran