Adjustment examiner skills for your resume and career

Updated January 8, 2025

1 min read

Below we've compiled a list of the most critical adjustment examiner skills. We ranked the top skills for adjustment examiners based on the percentage of resumes they appeared on. For example, 42.4% of adjustment examiner resumes contained customer service as a skill. Continue reading to find out what skills an adjustment examiner needs to be successful in the workplace.

6 adjustment examiner skills for your resume and career

1. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how adjustment examiners use customer service:

Processed adjustments and reopens for members and providers initiated by customer service advocates.
Promoted and provided excellent customer service.

2. Medical Terminology

Here's how adjustment examiners use medical terminology:

Use medical terminology in analyzing medical records.
Utilized creative writing background to dissect medical terminology and produce colloquial news articles targeted at the average patient.

3. Medical Claims

Here's how adjustment examiners use medical claims:

Review and apply adjudication decisions on multiple claim types which include medical claims, inpatient/outpatient claims and pharmacy.
Benefit Claims Examiner Prior to 1992 Claims Operation Department Responsible for reviewing and processing medical claims.

4. Property Damage

Property damage is the destruction or damage of tangible personal property. Property damage can be caused by negligence, irresponsible handling of the property, willful destruction, or any other destructure act of nature.

Here's how adjustment examiners use property damage:

Investigated and evaluated automobile, property damage, bodily injury claims and litigation matters nationwide.
Determined liability and handled settlements of bodily injury and property damage claims as well as investigation of fraudulent cases.

5. Claims Process

Here's how adjustment examiners use claims process:

Create job aides and desk top procedures for claims coding to ensure consistency for claims processing and reduce payment errors.
Identify issues related to payment policy, QNXT system, and claims processing that resulted in payment errors.

6. Medicaid

Here's how adjustment examiners use medicaid:

Interviewed clients/completed Medicaid applications, verified statements & determined initial or continuing in/eligibility for 9 programs within deadlines; documented all.
Executed background checks regarding Medical Malpractice, Medicare and Medicaid Sanctions against providers and practitioners; reported findings to weekly committee.

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List of adjustment examiner skills to add to your resume

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

Customer Service
Medical Terminology

Medical Claims
Property Damage

Claims Process
Medicaid

Updated January 8, 2025

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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