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Adjustment examiner vs claim processor

The differences between adjustment examiners and claim processors can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 6-12 months to become an adjustment examiner, becoming a claim processor takes usually requires 4-6 years. Additionally, an adjustment examiner has an average salary of $45,381, which is higher than the $41,201 average annual salary of a claim processor.

The top three skills for an adjustment examiner include customer service, medical terminology and medical claims. The most important skills for a claim processor are customer service, data entry, and medical terminology.

Adjustment examiner vs claim processor overview

Adjustment ExaminerClaim Processor
Yearly salary$45,381$41,201
Hourly rate$21.82$19.81
Growth rate-6%-6%
Number of jobs2,11411,542
Job satisfaction--
Most common degreeBachelor's Degree, 37%Bachelor's Degree, 43%
Average age4644
Years of experience126

Adjustment examiner vs claim processor salary

Adjustment examiners and claim processors have different pay scales, as shown below.

Adjustment ExaminerClaim Processor
Average salary$45,381$41,201
Salary rangeBetween $30,000 And $66,000Between $26,000 And $62,000
Highest paying City-Columbia, MD
Highest paying state-Connecticut
Best paying company-NTT Data International L.L.C.
Best paying industry-Insurance

Differences between adjustment examiner and claim processor education

There are a few differences between an adjustment examiner and a claim processor in terms of educational background:

Adjustment ExaminerClaim Processor
Most common degreeBachelor's Degree, 37%Bachelor's Degree, 43%
Most common majorBusinessBusiness
Most common collegeBoston UniversityStanford University

Adjustment examiner vs claim processor demographics

Here are the differences between adjustment examiners' and claim processors' demographics:

Adjustment ExaminerClaim Processor
Average age4644
Gender ratioMale, 46.1% Female, 53.9%Male, 22.9% Female, 77.1%
Race ratioBlack or African American, 12.7% Unknown, 4.5% Hispanic or Latino, 13.3% Asian, 8.4% White, 60.3% American Indian and Alaska Native, 0.8%Black or African American, 11.2% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.0% American Indian and Alaska Native, 0.5%
LGBT Percentage12%10%

Differences between adjustment examiner and claim processor duties and responsibilities

Adjustment examiner example responsibilities.

  • Manage Kemper's internal loss control and claims for all Kemper employees and offices.
  • Blood collection by venipuncture and capillary technique ensure all specimens are collect accurately, on time and according to establish procedures.
  • Coordinate vendor referrals for additional investigation and/or litigation management

Claim processor example responsibilities.

  • Experience in many facets of the managed healthcare insurance business.
  • Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
  • Use ICD-9, CPT-4 and other medical manuals to adjudicate claims.
  • Analyze claims submit by providers and facilities for appropriate ICD-9, CPT and HCPCS codes against charges that are being bill.
  • Call DME and HME companies to correct invoices.
  • Coach and assist in the training of new EMR databases.
  • Show more

Adjustment examiner vs claim processor skills

Common adjustment examiner skills
  • Customer Service, 42%
  • Medical Terminology, 13%
  • Medical Claims, 12%
  • Property Damage, 12%
  • Claims Process, 10%
  • Medicaid, 10%
Common claim processor skills
  • Customer Service, 20%
  • Data Entry, 8%
  • Medical Terminology, 5%
  • CPT, 5%
  • Claims Processing, 4%
  • Medical Insurance Claims, 4%

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