Claims adjudicator vs claims supervisor

The differences between claims adjudicators and claims supervisors can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a claims adjudicator and a claims supervisor. Additionally, a claims supervisor has an average salary of $75,263, which is higher than the $44,556 average annual salary of a claims adjudicator.

The top three skills for a claims adjudicator include medical terminology, CPT and disability claims. The most important skills for a claims supervisor are customer service, corrective action, and claims adjusters.

Claims adjudicator vs claims supervisor overview

	Claims Adjudicator	Claims Supervisor
Yearly salary	$44,556	$75,263
Hourly rate	$21.42	$36.18
Growth rate	-6%	-6%
Number of jobs	12,413	13,197
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 57%	Bachelor's Degree, 64%
Average age	44	44
Years of experience	6	6

What does a claims adjudicator do?

Claims adjudicators determine the amount of money an insurance policy owner is entitled to receive. Other names they are known for are claims adjusters and medical bill advocates. They investigate the claims filed and decide to deny, pay, or negotiate a settlement with the policyholder themselves or their representatives. The insurance companies that hire them provide insurances for property, casualty, and liability. To do their job well, they should be organized and understand how the insurance industry works.

What does a claims supervisor do?

A claims supervisor is in charge of overseeing the workflow and the workforce involved in processing insurance claims, ensuring accuracy and smooth progress. Their responsibilities typically revolve around liaising with key clients and third party agencies, assisting staff in negotiating terms, verifying the authenticity and completeness of all applications, monitoring the finances, and resolving complex issues. Furthermore, as a claims supervisor, it is essential to lead and encourage the team to reach goals, all while making sure that they adhere to the company's policies and regulations.

Claims adjudicator vs claims supervisor salary

Claims adjudicators and claims supervisors have different pay scales, as shown below.

	Claims Adjudicator	Claims Supervisor
Average salary	$44,556	$75,263
Salary range	Between $31,000 And $63,000	Between $48,000 And $117,000
Highest paying City	Madison, WI	San Francisco, CA
Highest paying state	New Jersey	California
Best paying company	Evolent Health	W. R. Berkley
Best paying industry	Insurance	Retail

Differences between claims adjudicator and claims supervisor education

There are a few differences between a claims adjudicator and a claims supervisor in terms of educational background:

	Claims Adjudicator	Claims Supervisor
Most common degree	Bachelor's Degree, 57%	Bachelor's Degree, 64%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Claims adjudicator vs claims supervisor demographics

Here are the differences between claims adjudicators' and claims supervisors' demographics:

	Claims Adjudicator	Claims Supervisor
Average age	44	44
Gender ratio	Male, 23.1% Female, 76.9%	Male, 40.8% Female, 59.2%
Race ratio	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%	Black or African American, 10.7% Unknown, 4.4% Hispanic or Latino, 17.1% Asian, 5.3% White, 62.1% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between claims adjudicator and claims supervisor duties and responsibilities

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.

Claims supervisor example responsibilities.

Manage, train and continuously develop a team consisting of both inside SIU investigators and field investigators.
Apply fundamentals of insurance investigation and resolution to an introductory leadership role managing complex claim files and tort litigation files.
Make determinations to authorize payments via XACTIMATE software.
Assist TPA in obtaining company documentation and scheduling employee interviews in investigation of claims.
Advise physician on any changes with CPT and ICD-9 coding to maximize reimbursements and minimize denials.
Provide oversight and direction for highly complicate claim reviews base on policy, procedure and CMS guidelines.

Claims adjudicator vs claims supervisor skills

Common claims adjudicator skills

Medical Terminology, 9%
CPT, 8%
Disability Claims, 7%
Adjudicate Claims, 6%
Quality Standards, 6%
Medicaid, 5%

Common claims supervisor skills

Customer Service, 25%
Corrective Action, 7%
Claims Adjusters, 6%
Litigation, 6%
Claims Handling, 5%
Performance Reviews, 4%

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Claims Adjudicator
Claims Adjudicator vs Claims Supervisor

Updated January 8, 2025

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