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How much do part time claims adjudicator jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for part time 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 is a part time claims adjudicator?

A Part Time Claims Adjudicator is a professional who reviews and evaluates insurance claims on a part-time basis to determine their validity and compliance with policy terms. They analyze claim documents, investigate supporting evidence, and make recommendations or decisions regarding payment or denial. This role often involves communication with claimants, insurance agents, and other stakeholders to ensure accurate and timely processing. Part-time adjudicators typically work flexible hours and may be employed by insurance companies, government agencies, or third-party administrators.

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

To thrive as a Part Time Claims Adjudicator, you generally need a strong attention to detail, analytical skills, and a background in insurance or a related field, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and basic office systems such as Microsoft Office is typically required. Excellent communication, time management, and problem-solving abilities are essential soft skills for effectively processing claims and interacting with clients or colleagues. These skills ensure accurate, timely claim resolution and uphold the integrity and efficiency of the claims process.

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

Part-time claims adjudicators often face the challenge of managing a high volume of claims within limited working hours, requiring strong organizational skills and efficient time management. Additionally, staying updated on frequently changing policies and regulations can be demanding, especially when working fewer hours. Effective communication with full-time colleagues and supervisors is crucial to ensure consistency and accuracy in claim evaluations. Regular training, clear documentation, and leveraging digital tools can help part-time adjudicators stay aligned with team expectations and maintain productivity.

How much does a part time claims adjudicator make?

Part-time claims adjudicators typically earn between $15 and $25 per hour, depending on experience, location, and the employer. They often work flexible hours and may require knowledge of claims processing systems and insurance policies.
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Part Time Claims Adjudicator jobs near you
Infographic showing various Part Time Claims Adjudicator job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $55,623 per year, or $26.7 per hour.

Nationally Certified Pharmacy Technician

KPH Healthcare Services

Malone, NY • On-site

$17 - $19.75/hr

Part-time

Re-posted 16 days ago

KPH Healthcare Services rating

6.8

Company rating: 6.8 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Overview

Scope of Responsibilities:

Works under direct supervision of a pharmacist. Follows standard procedures to accomplish assigned tasks. May assist in orienting and training employees.  Assist the professional staff in the triaging, processing and delivery of prescriptions to the patient. Assist in the management of the Pharmacy Inventory and Third-Party Receivables.

Responsibilities
  • Perform duties of Pharmacy Clerk as needed including, but not limited to running cash register and answering telephones  
  • Executes the plan - able to learn and understand specific aspects of the pharmacy management system (i.e., reception and release to patient queues) as well as our POS system; follows instructions and completes tasks with a sense of urgency; responsible for daily department standards
  • Quality focused - understands and embraces the importance of our Quality Assurance Policy & Procedures; understands and embraces all patient care programs and initiatives; understands and embraces all policies and procedures; accuracy with cash and related cash controls
  • Intermediate to advanced understanding of pharmacy technology - included is product dispensing, data entry, and adjudication workflow step
  • Insure that every prescription has been checked by a pharmacist prior to dispensing to the patient
  • Assist in the initial submission, and resubmission (as required) of all third-party claims
  • Inventory management - proficient in inventory management including ordering & receiving processes, inventory freshness; proficient with return to stocks and cycle counting
  • Assist in the checking of pharmacy inventory for outdates and processing all returns
  • Locating prescription files and other manual records from storage as needed
  • Prepare and file manual records for pharmacist signatures and review
  • Integrity/Ethical Behavior - acts with integrity always; never willing to compromise integrity; behaves in a manner consistent with company standards; understands and fully complies with all HIPPA compliance standards
  • Regulatory & Operational Compliance - Proficient in all state and federal regulations ensuring compliance with the law; understands and ensures we follow company operational policies & procedures.
  • Perform all store clerk duties as needed
  • Responsible for completing all mandatory and regulatory training programs
  • Perform other duties as assigned
  • Professional services - proficient in the management of our MTM program as well as other patient centered professional services
Qualifications

Education

  • Preferred: AS Degree or Higher

Qualificaitons

  • Preferred hospital or retail pharmacy experience preferred
  • PTCB or other nationally recognized certification program

Required (Vermont Employees only):  Registered with the State of Vermont as a Pharmacy Technician

Special Conditions of Employment:

  • Drug Test
  • Initial and continuous exclusion and sanction/disciplinary monitoring

 Compensation:

$17.00 - $19.75 an hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education. 

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

Employment Type: PART_TIME

What KPH Healthcare Services employees say

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Benefits

Hours and flexibility

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