# Claims Adjudication Associate at Judi Health

- Company: Judi Health
- What the company does: Judi Rx delivers transparent, member-focused PBM solutions, while Judi Care provides medical, vision, and dental benefits through Judi®, supporting millions of plan members across employers, unions, health systems, and government programs. Backed by General Catalyst.
- Company website: https://www.judi.health/
- Type: Startups
- Level: Associate
- Location: Charlotte, North Carolina, United States
- Work setup: On-site
- Posted: 2026-08-19
- Apply by: 2026-10-08
- Apply: https://job-boards.greenhouse.io/judihealth/jobs/5387237008
- Page: https://www.1752.vc/careers/jobs/judi-health-claims-adjudication-associate/

## About the role

Judi Health is seeking a self-driven Claims Adjudication Associate to support the Medical claims adjudication workflow for JUDI Health, our enterprise health platform. In year one, this individual will train on the JUDI Medical adjudication system. This individual will be responsible for maintaining the operational adjudication process, member, and provider escalated inquiry management, subrogation, stop-loss, recoupment and adjustment flows, and adhering to standard and contractual claims processing SLAs.

## What they're looking for

- Bachelors degree strongly preferred
- Experience managing a team of direct reports
- 1+ years of work experience at a health plan, claims adjudicator, or TPA
- Well-versed in Benefit determinations
- Well-versed in impact of claims processing and adjudication in regards to COB, Adjustments, Appeals, and member/provider inquiries
- Act as a patient advocate, protecting privacy and confidentiality issues

Tags: Administrative Services