ZipRecruiter

Log In

1

Medical Claims 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

NaphCare

Senior Claims Adjudicator

Birmingham, AL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Senior Claims Adjudicator Location US-AL-Birmingham ID 2026-30871 Category Accounting/Finance ... NaphCare is a family owned, medical technology company that has been delivering high quality health ...

Naphcare, Inc.

Senior Claims Adjudicator

Birmingham, AL

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our ... NaphCare is a family owned, medical technology company that has been delivering high quality health ...

Naphcare, Inc.

Senior Claims Adjudicator

Birmingham, AL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... NaphCare is a family owned, medical technology company that has been delivering high quality health ...

Naphcare, Inc.

Senior Claims Adjudicator

Birmingham, AL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... NaphCare is a family owned, medical technology company that has been delivering high quality health ...

NaphCare

Senior Claims Adjudicator

Birmingham, AL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... NaphCare is a family owned, medical technology company that has been delivering high quality health ...

Naphcare, Inc.

Senior Claims Adjudicator

Birmingham, AL · On-site

Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... NaphCare is a family owned, medical technology company that has been delivering high quality health ...

Kintegra Health

Medical Claims Supervisor

Gastonia, NC · On-site

  • Medical

  • Vision

Minimum five years of experience in medical claims processing, claims adjudication, health plan operations, payer operations, or provider billing. Experience monitoring claims inventories, denied ...

New

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 ...

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 ...

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 ...

NTT Data Americas, Inc.

Medical Claims Processor

$17 - $18/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... adjudicated as per clients defined workflows, guidelines • Sustaining and meeting the client ... s) of Medical Claims experience * 2+ year(s) using a computer with Windows applications that ...

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Key Requirements Recent medical claims experience REQUIRED Experience with medical claims adjudication Knowledge of Medicaid and Medicare guidelines Strong understanding of healthcare terminology and ...

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Hands-on experience with medical claims adjudication * Working knowledge of Medicaid and Medicare regulations * Strong understanding of healthcare terminology and claims workflows * Proven ability to ...

Adecco

Medical Claims Examiner

San Antonio, TX · On-site

$22.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Hands-on experience with medical claims adjudication * Working knowledge of Medicaid and Medicare regulations * Strong understanding of healthcare terminology and claims workflows * Proven ability to ...

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Hands-on experience with medical claims adjudication * Working knowledge of Medicaid and Medicare regulations * Strong understanding of healthcare terminology and claims workflows * Proven ability to ...

next page

Showing results 1-20

All JobsMedical Claims Adjudicator Jobs

Medical Claims Adjudicator information

See salary details

$15

$26

$34

How much do medical claims adjudicator jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for medical claims adjudicator in the United States is $26.74, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $30.29 per hour, depending on experience, location, and employer.

What are some common challenges faced by medical claims adjudicators, and how can they be managed?

Medical Claims Adjudicators often encounter challenges such as interpreting complex medical documentation, ensuring compliance with ever-changing insurance policies, and managing a high volume of claims under tight deadlines. To manage these challenges, it is important to stay updated on policy guidelines, utilize available training resources, and communicate effectively with healthcare providers and team members. Strong organizational skills and attention to detail are essential for minimizing errors and ensuring claims are processed accurately and efficiently.

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

AspectMedical Claims AdjudicatorMedical Claims Processor
CredentialsTypically requires a high school diploma or equivalent; certifications like CPC or CPC-A are commonUsually requires a high school diploma; certifications are less common
Work EnvironmentInsurance companies, healthcare providers, or third-party administratorsInsurance companies, healthcare providers, or billing offices
Job FocusReviewing, evaluating, and making decisions on claims based on policies and regulationsEntering and processing claim data for payment
Common Search IntentUnderstanding roles, responsibilities, and differencesProcessing claims efficiently and accurately

While both roles involve handling healthcare claims, Medical Claims Adjudicators focus on reviewing and making decisions on claims, ensuring compliance with policies. Medical Claims Processors primarily input and process claim data for payment. The adjudicator role often requires more analytical skills and decision-making authority, whereas processors focus on data entry and accuracy.

What is a medical claims adjudicator?

Medical Claims Adjudicators are professionals who review and process health insurance claims to determine if they are valid and eligible for payment. They analyze medical records, insurance policies, and billing codes to ensure claims comply with regulations and company guidelines. Their role is essential in preventing fraud and ensuring that healthcare providers and patients are reimbursed accurately and promptly.

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

To thrive as a Medical Claims Adjudicator, you need a strong understanding of medical terminology, health insurance policies, and claims processing, often supported by experience in healthcare administration or a related certification. Familiarity with claims management software, electronic health records (EHR) systems, and coding systems like ICD-10 and CPT is typically required. Attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These skills ensure accurate and timely claims processing, minimize errors, and help maintain compliance with regulations, ultimately supporting both providers and patients.
More about Medical Claims Adjudicator jobs

What states have the most Medical Claims Adjudicator jobs?

States with the most job openings for Medical Claims Adjudicator jobs include:

What job categories do people searching Medical Claims Adjudicator jobs look for?

The top searched job categories for Medical Claims Adjudicator jobs are:

Medical Claims Adjudicator jobs near you
Infographic showing various Medical Claims Adjudicator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $55,623 per year, or $26.7 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 1 day ago. 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