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Adjustment examiner vs claims adjudicator

The differences between adjustment examiners and claims adjudicators 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 claims adjudicator takes usually requires 4-6 years. Additionally, an adjustment examiner has an average salary of $45,381, which is higher than the $44,556 average annual salary of a claims adjudicator.

The top three skills for an adjustment examiner include customer service, medical terminology and medical claims. The most important skills for a claims adjudicator are medical terminology, CPT, and disability claims.

Adjustment examiner vs claims adjudicator overview

Adjustment ExaminerClaims Adjudicator
Yearly salary$45,381$44,556
Hourly rate$21.82$21.42
Growth rate-6%-6%
Number of jobs2,11412,413
Job satisfaction--
Most common degreeBachelor's Degree, 37%Bachelor's Degree, 57%
Average age4644
Years of experience126

Adjustment examiner vs claims adjudicator salary

Adjustment examiners and claims adjudicators have different pay scales, as shown below.

Adjustment ExaminerClaims Adjudicator
Average salary$45,381$44,556
Salary rangeBetween $30,000 And $66,000Between $31,000 And $63,000
Highest paying City-Madison, WI
Highest paying state-New Jersey
Best paying company-Evolent Health
Best paying industry-Insurance

Differences between adjustment examiner and claims adjudicator education

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

Adjustment ExaminerClaims Adjudicator
Most common degreeBachelor's Degree, 37%Bachelor's Degree, 57%
Most common majorBusinessBusiness
Most common collegeBoston UniversityStanford University

Adjustment examiner vs claims adjudicator demographics

Here are the differences between adjustment examiners' and claims adjudicators' demographics:

Adjustment ExaminerClaims Adjudicator
Average age4644
Gender ratioMale, 46.1% Female, 53.9%Male, 23.1% Female, 76.9%
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, 10.5% Unknown, 4.5% Hispanic or Latino, 15.3% Asian, 6.1% White, 63.0% American Indian and Alaska Native, 0.5%
LGBT Percentage12%10%

Differences between adjustment examiner and claims adjudicator 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

Claims adjudicator example responsibilities.

  • Manage appeals and authorizations by examining information and performing necessary adjustments.
  • Handle claims processing utilizing knowledge of medical coding standards, including HCPCS, CPT, and ICD-9.
  • Calculate refunds or credit balances involving reprocessing for partial adjustments and correct the CPT and ICD-9 codes.
  • Maintain compliance with HIPAA guidelines and regulations
  • Adjudicate claims for Medicaid, Medicare, and ambulance billing.
  • Interpret and processes routine and complex claims per Medicaid industry standards.
    • Show more

Adjustment examiner vs claims adjudicator skills

Common adjustment examiner skills
  • Customer Service, 42%
  • Medical Terminology, 13%
  • Medical Claims, 12%
  • Property Damage, 12%
  • Claims Process, 10%
  • Medicaid, 10%
Common claims adjudicator skills
  • Medical Terminology, 9%
  • CPT, 8%
  • Disability Claims, 7%
  • Adjudicate Claims, 6%
  • Quality Standards, 6%
  • Medicaid, 5%

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Updated January 8, 2025

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