We are seeking a dedicated Claims Adjudicator to review, analyze, and adjudicate medical and vision claims in accordance with plan documents, policies, and industry standards. This role requires interpreting complex benefit language, applying judgment in determining appropriate claim outcomes, and ensuring data integrity across systems.
ResponsibilitiesReview, analyze, and adjudicate medical and vision claims.Interpret complex benefit language and determine claim outcomes.Enter and verify claim information with high accuracy.Respond to inquiries from providers, members, and internal departments professionally.Investigate discrepancies, research data issues, and make necessary adjustments or referrals.Process electronic and paper claims, maintaining data integrity.Generate and review provider correspondence, including system-generated letters and EOBs.Collaborate with internal teams to support compliance, audit readiness, and customer satisfaction.Identify process inefficiencies and contribute to best practice discussions.
Essential SkillsClaims adjudicationMedical claim processingData entryInsurance knowledgeMedical billing and coding6+ months of medical administrative experienceProficiency in CPT, HCPCS, ICD-10Experience with CMS-1500 and UB-04/CMS-1450 formsExcellent written and verbal communication skillsCritical thinking abilities
Additional Skills & QualificationsHigh school diploma or equivalent required; associate degree or higher in a related field preferred.Minimum of 3–5 years of experience in medical claims adjudication.Proficiency in interpreting benefit plan documents and EOBs.Experience with claim systems and TPA platforms.Ability to work independently, prioritize tasks, and meet processing benchmarks.
Work Environment
The work schedule is from 8 am to 5 pm. The environment is supportive of collaboration with internal teams and allows for independent task management. The role emphasizes professionalism in communication and adherence to data accuracy standards.
Job Type & Location
This is a Contract to Hire position based out of Spokane, Washington.
Pay and Benefits
The pay range for this position is $20.00 - $26.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Spokane,WA.
Application Deadline
This position is anticipated to close on Sep 16, 2025.
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\n\nAbout Aston Carter:\n
Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.
\n\nThe company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
\nIf you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.
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