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Senior Claims Adjudicator Jobs (NOW HIRING)

NaphCare

Senior Claims Adjudicator

Birmingham, AL · On-site

Senior Claims Adjudicator Location US-AL-Birmingham ID 2026-30871 Category Accounting/Finance Position Type Full-Time Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like ...

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 at our Corporate Office in Birmingham, AL This is an on-site position. NaphCare is a family owned ...

NaphCare

Senior Claims Adjudicator

Birmingham, AL

Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in Birmingham, AL This is an on-site position. NaphCare is a family owned ...

Infosys

Warranty Claims Adjudicator

Peoria, IL · On-site

Warranty Claims Adjudicator Domain Lead We are seeking a meticulous and detail-oriented Warranty ... The company's senior leaders contribute widely to industry forums as BPM strategists. EOE/Minority ...

Infosys

Warranty Claims Adjudicator

Peoria, IL · On-site

... Claims processing adjudicator to join our team in back-office operations. The primary ... The company's senior leaders contribute widely to industry forums as BPM strategists. EOE/Minority ...

Managed Staffing

Claims Examiner

Whittier, CA · On-site

$30 - $32/hr

... senior claims. * Investigate and resolve claims discrepancies or errors in accordance with compliance guidelines. * Interpret contract reimbursement terms and apply them to claim adjudication.

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Jobs@sourcedge.com FACETS SENIOR CLAIMS PROCESSOR * 5 Years Facets Claims Adjudication Experience * The Claims Examiner must maintain production and inventory standards compliant with Claims ...

Trean Corporation

Senior Claims Adjuster

Wayzata, MN · On-site

$75K - $90K/yr

The Senior Claims Adjuster is responsible for managing complex workers compensation claims and assisting the process of determining benefits due the injured worker, ensure ongoing adjudication of ...

Trean Corporation

Senior Claims Adjuster

Ontario, CA · On-site

$85K - $95K/yr

The Senior Claims Adjuster is responsible for managing complex workers compensation claims and assisting the process of determining benefits due the injured worker, ensure ongoing adjudication of ...

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Senior Claims Adjudicator information

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How much do senior claims adjudicator jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for senior 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 the key skills and qualifications needed to thrive as a senior claims adjudicator?

To excel as a Senior Claims Adjudicator, you need in-depth knowledge of insurance policies, claims processing, and regulatory compliance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, document imaging systems, and sometimes certifications like AIC (Associate in Claims) is typically required. Exceptional analytical thinking, attention to detail, and strong communication skills set top performers apart in this role. These skills are crucial for ensuring accurate, timely claim resolutions and maintaining trust with clients and regulatory bodies.

What is the difference between Senior Claims Adjudicator vs Claims Examiner?

AspectSenior Claims AdjudicatorClaims Examiner
CredentialsTypically requires insurance certifications, experience in claims processingOften requires similar certifications, entry to mid-level experience
Work EnvironmentInsurance companies, healthcare providers, government agenciesInsurance companies, third-party administrators
Employer & Industry UsageUsed across insurance and healthcare sectors for complex claimsCommonly employed for routine claims review and processing

The main difference is that a Senior Claims Adjudicator handles more complex claims and may oversee or mentor others, while a Claims Examiner focuses on reviewing and processing standard claims. Both roles require similar certifications and work in comparable environments, but the Senior Claims Adjudicator typically has more experience and handles higher-level cases.

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

Senior Claims Adjudicators often encounter complex or high-value claims that require careful analysis and sound judgment. Challenges can include interpreting ambiguous policy language, managing tight deadlines, and ensuring compliance with regulatory standards. Effective management involves staying updated on industry regulations, leveraging specialized software, collaborating closely with legal and medical experts, and maintaining clear communication with stakeholders. Developing strong analytical skills and attention to detail is also crucial for success in this role.

What does a senior claims adjudicator do?

A senior claims adjudicator reviews and evaluates insurance claims to determine coverage and appropriate payment amounts. They analyze claim documentation, ensure compliance with policies, and may mentor junior staff while using claims processing software. Strong attention to detail and knowledge of insurance policies are essential for this role.

What is a senior claims adjudicator?

Senior Claims Adjudicators are experienced professionals who review, analyze, and process insurance claims to determine their validity and ensure they comply with policy terms. They handle complex or escalated cases, make final decisions on claim acceptance or denial, and may provide guidance to junior adjudicators. Their role involves interpreting policy language, investigating claims, communicating with claimants and providers, and ensuring regulatory compliance. Senior Claims Adjudicators often work for insurance companies, healthcare providers, or government agencies.
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What cities are hiring for Senior Claims Adjudicator jobs? Cities with the most Senior Claims Adjudicator job openings:
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Senior Claims Adjudicator jobs near you
Infographic showing various Senior Claims Adjudicator job openings in the United States as of August 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 71% In-person, and 29% Remote job distribution, with an average salary of $55,623 per year, or $26.7 per hour.

Senior Claims Adjudicator

NaphCare

Birmingham, AL • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

NaphCare rating

6.2

Company rating: 6.2 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

699th of 887 rated healthcare providers

Job description


Senior Claims Adjudicator
Location
US-AL-Birmingham
ID
2026-30871
Category
Accounting/Finance
Position Type
Full-Time
Overview

NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in Birmingham, AL This is an on-site position.

NaphCare is a family owned, medical technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 36 years. Come join our team of over 7000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do.

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare as you use our cutting-edge resources, including our award-winning electronic operating system.

NaphCare Benefits for Full-Time Employees Include:

    Prescriptions free of charge through our health plan
  • Health, dental & vision insurance that starts day one!
  • Employment Assistance Program (EAP) services
  • 401K and Roth with company contribution that starts day one!
  • Tuition Assistance
  • Referral bonuses
  • On-site education
  • Free Continuing Education!
  • Term life insurance at no cost to the employee
  • Generous paid time off & paid holidays

NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up to date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing.

With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different.

We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership.

Responsibilities

Responsibilities for Senior Claim Adjudicator:

  • Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines.
  • Demonstrate ability to handle daily workload with speed and accuracy.
  • Demonstrate a high comfort level in working with large volumes of data.
  • Demonstrate the ability to act as a mentor for others within team.
  • Demonstrate a strong attention to detail and a commitment to customer service throughout the claims process.
  • Additional duties and specific projects as assigned.

Qualifications

Qualifications for Senior Claim Adjudicator:

  • Associate Degree or higher or equivalent work experience.
  • Minimum five years of recent adjudication experience required.
  • An ability to define and calculate Medicare and Medicaid is critical.
  • Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies.
  • Proficiency in Microsoft Office Suite and strong written and verbal communication skills are also required.
  • CPC, COC, CIC, or Specialty Medical Coding Certification preferred.

If you would like to speak with our Talent Acquisition team to learn more about this position and NaphCare, please first apply directly to this position to initiate the application process, and then please send your resume to jerry.hughes@NaphCare.com where we will be in touch.

Equal Opportunity Employer: disability/veteran

#NCE

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About NaphCare

Sourced by ZipRecruiter

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare. NaphCare offers competitive compensation! Our full-time teammates have a top-notch benefits package, which includes medical, dental, vision, FREE prescriptions, flexible spending account, company-paid life and AD&D insurance with voluntary life and AD&D options, ST & LT disability, 401(k) company contribution, 20 days Paid Time Off, paid holidays, tuition assistance, employee referral bonuses, etc.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Birmingham, AL, US

Year founded

1989

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