Health claims examiner vs adjuster

The differences between health claims examiners and adjusters can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 4-6 years to become a health claims examiner, becoming an adjuster takes usually requires 2-4 years. Additionally, an adjuster has an average salary of $49,396, which is higher than the $45,220 average annual salary of a health claims examiner.

The top three skills for a health claims examiner include medical terminology, medicaid and HMO. The most important skills for an adjuster are customer service, strong customer service, and litigation.

Health claims examiner vs adjuster overview

	Health Claims Examiner	Adjuster
Yearly salary	$45,220	$49,396
Hourly rate	$21.74	$23.75
Growth rate	-6%	-6%
Number of jobs	59,641	7,936
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 43%	Bachelor's Degree, 62%
Average age	44	44
Years of experience	6	4

Health claims examiner vs adjuster salary

Health claims examiners and adjusters have different pay scales, as shown below.

	Health Claims Examiner	Adjuster
Average salary	$45,220	$49,396
Salary range	Between $30,000 And $67,000	Between $35,000 And $68,000
Highest paying City	-	Parsippany-Troy Hills, NJ
Highest paying state	-	New Jersey
Best paying company	-	FCCI
Best paying industry	-	Insurance

Differences between health claims examiner and adjuster education

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

	Health Claims Examiner	Adjuster
Most common degree	Bachelor's Degree, 43%	Bachelor's Degree, 62%
Most common major	Business	Business
Most common college	University of Pennsylvania	Stanford University

Health claims examiner vs adjuster demographics

Here are the differences between health claims examiners' and adjusters' demographics:

	Health Claims Examiner	Adjuster
Average age	44	44
Gender ratio	Male, 17.1% Female, 82.9%	Male, 56.9% Female, 43.1%
Race ratio	Black or African American, 10.5% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.8% American Indian and Alaska Native, 0.5%	Black or African American, 12.2% Unknown, 4.4% Hispanic or Latino, 16.3% Asian, 5.1% White, 61.4% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between health claims examiner and adjuster duties and responsibilities

Health claims examiner example responsibilities.

Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
Review and analyze medical claims to finalize payments according to Medicaid benefits.
Analyze and process Medicare and Medicaid claims (Primary/Secondary).
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

Adjuster example responsibilities.

Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
Review evidence obtain in liability investigations to evaluate a claim for success in recovery through litigation or arbitration.
Document measurements and relevant data to author estimates and appraisals utilizing Xactimate 28software.
Charge with answering and defending policy holders and company interests through independent and binding third-party arbitration proceedings.
Review departmental reports and financial data; prepare reports of findings, negotiating settlement demands or recommending litigation.
Prepare computerize estimates utilizing Xactimate and document all activity associate with the claim in clients web base claims management system.

Health claims examiner vs adjuster skills

Common health claims examiner skills

Medical Terminology, 13%
Medicaid, 11%
HMO, 10%
Data Entry, 9%
Blood Pressure, 6%
Medical Claims, 5%

Common adjuster skills

Customer Service, 19%
Strong Customer Service, 7%
Litigation, 7%
Liability Claims, 6%
Policy Coverage, 6%
Insurance Claims, 4%