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Adjudicator skills for your resume and career

Updated January 8, 2025
3 min read
Below we've compiled a list of the most critical adjudicator skills. We ranked the top skills for adjudicators based on the percentage of resumes they appeared on. For example, 15.5% of adjudicator resumes contained disability claims as a skill. Continue reading to find out what skills an adjudicator needs to be successful in the workplace.

15 adjudicator skills for your resume and career

1. Disability Claims

Here's how adjudicators use disability claims:
  • Delivered comprehensive medical and psychiatric decisions on disability claims in conjunction with medical doctors and psychologists.
  • Develop, evaluate, & adjudicate disability claims in an electronic environment.

2. State Laws

Here's how adjudicators use state laws:
  • Applied federal and state laws in conjunction with commission rules and policies to reach decisions that affected the public and employers.
  • Decide whether to suspend or expel students based on evidence, district policies, procedures and state laws.

3. Personnel Security

Here's how adjudicators use personnel security:
  • Worked with organizations and external investigative and adjudicative agencies to identify and resolve personnel security related issues.
  • Maintain confidentiality of all candidate information to include medical records and personnel security adjudications.

4. Social Security Administration

Here's how adjudicators use social security administration:
  • Provide professional disability adjudication for Social Security Administration disability applicants.
  • Determined level of functioning of claimant and composted Residual Functional Capacity Evaluations for Social Security Administration (SSA).

5. Background Investigations

Here's how adjudicators use background investigations:
  • Conduct preliminary and final reviews of statements of personal history and related data prior to initiation of background investigation procedures.
  • Reviewed background investigation reports and polygraph examinations on candidates applying for access and those currently in access.

6. Disability Benefits

Here's how adjudicators use disability benefits:
  • Determined eligibility for Social Security Disability benefits.
  • Processed claims for individuals applying for Social Security Disability benefits by examining medical records and applying federal guidelines to each case.

7. Security Clearance

Here's how adjudicators use security clearance:
  • Summarize data; render security clearance eligibility recommendations; and update and maintain Department of Defense automated systems.
  • Prepare concise summary to determine eligibility for a security clearance.

8. Disability Determinations

Here's how adjudicators use disability determinations:
  • Prepared written decisions applying federal rules and regulations to the evidence of record to make well-reasoned disability determinations.
  • Prepared written documentation to explain the disability determination

9. Federal Regulations

Federal regulations refer to the set of rules, both general and permanent that are published in the Federal Register by the agencies of the federal government and the executive departments. Federal regulations are the large body of rules that govern federal practice. Examples of these laws include taxes and financial regulation, discrimination law, wages law, and so on.

Here's how adjudicators use federal regulations:
  • Compose and issue decisions in compliance with South Carolina Code of Laws, federal regulations, and statutes.
  • Investigated school compliance with US federal regulations by employing quantitative and procedural analysis methods.

10. OPM

OPM or The United States Office of Personnel Management is an autonomous agency operated by the US Government that oversees the US civilian service. The organization provides federal human resource policies, support, and oversight, along with healthcare (FEHB), retirement benefits (CSRS/FERS, but not TSP), and life insurance (FEGLI) for government employees, retirees, and their dependents.

Here's how adjudicators use opm:
  • Reviewed completed investigation, analyze and summarize the information, make adjudication recommendations for OPM Adjudicators.
  • Scheduled additional investigation to resolve issues and obtain documented evidence to support OPM's decision.

11. Medical Professionals

Here's how adjudicators use medical professionals:
  • Conducted telephone interviews with claimants, medical professionals, and family members in order to obtain additional information.
  • Identified sources of medical/non-medical information, conducted fact-finding interviews with medical professionals, lay sources, community services.

12. National Security

Here's how adjudicators use national security:
  • Conducted security inspections to access compliance with security regulations pertaining to national security.
  • Federated IT, supporting USDHS-TSA-TTAC I conducted National Security Threat Assessments of individuals, foreign & domestic.

13. Medical History

Here's how adjudicators use medical history:
  • Reviewed medical records, medical history and prior claim files to make determination decisions on claims.

14. Medicaid

Here's how adjudicators use medicaid:
  • Worked rejected Medicaid, Medicare Part D, Third Party and Hospice pharmacy claims, obtaining overrides wherever possible.
  • Identify and resolve denied claims prior to medication delivery, working with nursing facilities, insurance companies and Medicaid.

15. DOD

Definition of Done (DoD) is a set of deliverables that are needed to devise software. These deliverables are valuable to the system and can be exemplified by writing code, coding comments, unit testing, integration testing, design documents, release notes, and so on.

Here's how adjudicators use dod:
  • Protect DOD Army Division Community by integrating consolidated risk management into all aspects of our missions.
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List of adjudicator skills to add to your resume

Adjudicator skills

The most important skills for an adjudicator resume and required skills for an adjudicator to have include:

  • Disability Claims
  • State Laws
  • Personnel Security
  • Social Security Administration
  • Background Investigations
  • Disability Benefits
  • Security Clearance
  • Disability Determinations
  • Federal Regulations
  • OPM
  • Medical Professionals
  • National Security
  • Medical History
  • Medicaid
  • DOD
  • Computer System
  • Medical Evidence
  • Insurance Claims
  • Adjudicative Guidelines
  • Third-Party
  • SCI
  • Medical Claims
  • Unemployment Insurance
  • HIPAA
  • Unemployment Claims
  • Unemployment Benefits
  • Medical Terminology
  • Functional Capacity
  • Valid Claims
  • TSA
  • JPAS
  • Questionable Data
  • LTC
  • Death Certificates
  • Authorization Process
  • Medical Documentation
  • Credit Reports
  • AS400

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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