Top 12 Claims adjudicator Jobs in United States

Claims Adjudicator(s)
Bishop & Company, Inc. —Honolulu, HI
- $21.63 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Office
- Paid holidays
- Health insurance
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6h
Claims Adjudicator
Advanced MSO —El Centro, CA
- $19 - $25 an hour
- Part-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Paid time off
Quick Apply
Claims Adjudicator
National Guardian Life Insurance Company —Madison, WI
- Full-time
- Hybrid work
- Writing skills
- Research
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Claims Adjudicator
National Healthcare Solutions, Inc. —Miami, FL
- Full-time
- Spanish
- Customer service
- Data analysis skills
Quick Apply
Senior Physics Adjudicator
AuraOne Human Data —Remote
- Remote
- Doctor of Philosophy
- US work authorization
- Senior level
Warranty Claims Adjudicator
Infosys —Peoria, IL
- Management
- Office
- Microsoft Office
Quick Apply
Bilingual UI Adjudicator (Spanish/English)
State of Nebraska —Lincoln, NE
- $21.33 an hour
- Full-time
- Word processing
- Computer literacy
- Basic math
- Paid holidays
- Health insurance
8d
DISABILITY ADJUDICATOR TRAINEE - UNDERFILL
State of Nevada —Carson City, NV
- Overtime
- Word processing
- High school diploma or GED
- Analysis skills
- Paid holidays
- Disability insurance
1d
Claims Adjudicator (Temporary-6 months)
National Guardian Life Insurance Company —Madison, WI
- Temporary
- Hybrid work
- Computer literacy
- Writing skills
- Research
Quick Apply

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Claims Warranty Manager
Infosys BPM Limited —Peoria, IL
Valid Property and Causality adjuster license for handling insurance claims for all 50 states (USA) should have at least licenses for Min states and should be…
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Claims Adjudicator
Advanced MSO —El Centro, CA
Associate or Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field preferred.
$19 - $25 an hour
Quick Apply

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Claims Adjudicator(s)

Bishop & Company, Inc. -
Honolulu, HI

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Job Details

Temp-to-hire | Full-time
$21.63 an hour
6 hours ago

Benefits

Paid holidays
Health insurance
401(k) matching

Qualifications

Microsoft Excel
Word embeddings
High school diploma or GED
HCPCS
Productivity software
10 key typing
Medical terminology
Quality data entry

Full 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

Quick Apply

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claims adjudicator jobs in united states

Claims Adjudicator(s)

Claims Adjudicator

Claims Adjudicator

Claims Adjudicator

Senior Physics Adjudicator

Warranty Claims Adjudicator

Bilingual UI Adjudicator (Spanish/English)

DISABILITY ADJUDICATOR TRAINEE - UNDERFILL

Claims Adjudicator (Temporary-6 months)

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