Adjustment examiner vs claims benefit specialist

The differences between adjustment examiners and claims benefit specialists 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 benefit specialist takes usually requires 4-6 years. Additionally, a claims benefit specialist has an average salary of $47,292, which is higher than the $45,381 average annual salary of an adjustment examiner.

The top three skills for an adjustment examiner include customer service, medical terminology and medical claims. The most important skills for a claims benefit specialist are customer inquiries, appeals, and medical terminology.

Adjustment examiner vs claims benefit specialist overview

	Adjustment Examiner	Claims Benefit Specialist
Yearly salary	$45,381	$47,292
Hourly rate	$21.82	$22.74
Growth rate	-6%	-6%
Number of jobs	2,114	32,208
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 40%
Average age	46	44
Years of experience	12	6

Adjustment examiner vs claims benefit specialist salary

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

	Adjustment Examiner	Claims Benefit Specialist
Average salary	$45,381	$47,292
Salary range	Between $30,000 And $66,000	Between $32,000 And $68,000
Highest paying City	-	-
Highest paying state	-	-
Best paying company	-	-
Best paying industry	-	-

Differences between adjustment examiner and claims benefit specialist education

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

	Adjustment Examiner	Claims Benefit Specialist
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 40%
Most common major	Business	Business
Most common college	Boston University	Stanford University

Adjustment examiner vs claims benefit specialist demographics

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

	Adjustment Examiner	Claims Benefit Specialist
Average age	46	44
Gender ratio	Male, 46.1% Female, 53.9%	Male, 19.6% Female, 80.4%
Race ratio	Black 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, 11.4% Unknown, 4.4% Hispanic or Latino, 16.9% Asian, 5.2% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage	12%	10%

Differences between adjustment examiner and claims benefit specialist 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 benefit specialist example responsibilities.

Analyze, process and manage FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
Establish a working knowledge of CPT, ICD-9, HCPCS codes, terminology, member benefits and claim flow.
Process claims utilizing appropriate ICD-9, DSM-IV and HCPCS codes.
Analyze each claim and calculate percentages for both PPO and NON-PPO providers.
Understand CPT, HCPCS, ICD-9-CM and ICD-10-CM medical claims coding regulations and guidelines
Process Non-HMO and PPO paper and electronic claims in an accurate and time manner.

Adjustment examiner vs claims benefit specialist skills

Common adjustment examiner skills

Customer Service, 42%
Medical Terminology, 13%
Medical Claims, 12%
Property Damage, 12%
Claims Process, 10%
Medicaid, 10%

Common claims benefit specialist skills

Customer Inquiries, 11%
Appeals, 7%
Medical Terminology, 6%
Routine Claims, 5%
CPT, 4%
Processing Issues, 4%

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Adjustment Examiner
Adjustment Examiner vs Claims Benefit Specialist

Updated January 8, 2025

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