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Insurance examiner vs claims adjuster

The differences between insurance examiners and claims adjusters can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both an insurance examiner and a claims adjuster. Additionally, a claims adjuster has an average salary of $51,116, which is higher than the $50,967 average annual salary of an insurance examiner.

The top three skills for an insurance examiner include EKG, financial statements and blood pressure. The most important skills for a claims adjuster are insurance carriers, auto claims, and customer service.

Insurance examiner vs claims adjuster overview

Insurance ExaminerClaims Adjuster
Yearly salary$50,967$51,116
Hourly rate$24.50$24.57
Growth rate-6%-6%
Number of jobs39,60113,221
Job satisfaction--
Most common degreeBachelor's Degree, 46%Bachelor's Degree, 66%
Average age4444
Years of experience44

What does an insurance examiner do?

A claims examiner is responsible for conducting a claim review of a client against a particular insurance company--usually a health and life insurance company. An examiner must review claims and then approve them, reject them, or develop a possible settlement. They need to communicate with policyholders and insurance agents to assess if all the information under the company's claims guidelines and policies are correct and accurate.

What does a claims adjuster do?

A claim's adjuster is responsible for the handling of the insurance claims and investigating the extent of property damage and processing the business or a person's liability. Claims adjusters have a broad range of duties such as damage inspection to evaluate incident reports, communicating with property owners and spectators as well as referring to legal documents. They must also have excellent analytical and critical-thinking skills to calculate payments and analyze the complexities of multiple sources. Claims adjusters should also provide timely reports for reference and possible disputes.

Insurance examiner vs claims adjuster salary

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

Insurance ExaminerClaims Adjuster
Average salary$50,967$51,116
Salary rangeBetween $34,000 And $76,000Between $40,000 And $64,000
Highest paying CityFarmington, CTLos Angeles, CA
Highest paying stateRhode IslandNew Jersey
Best paying companyRSM USMerchants Insurance Group
Best paying industryHealth CareInsurance

Differences between insurance examiner and claims adjuster education

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

Insurance ExaminerClaims Adjuster
Most common degreeBachelor's Degree, 46%Bachelor's Degree, 66%
Most common majorBusinessBusiness
Most common collegeUniversity of PennsylvaniaStanford University

Insurance examiner vs claims adjuster demographics

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

Insurance ExaminerClaims Adjuster
Average age4444
Gender ratioMale, 24.1% Female, 75.9%Male, 45.1% Female, 54.9%
Race ratioBlack or African American, 12.3% Unknown, 4.5% Hispanic or Latino, 15.7% Asian, 6.0% White, 61.0% American Indian and Alaska Native, 0.5%Black or African American, 11.8% Unknown, 4.4% Hispanic or Latino, 16.8% Asian, 5.2% White, 61.2% American Indian and Alaska Native, 0.5%
LGBT Percentage10%10%

Differences between insurance examiner and claims adjuster duties and responsibilities

Insurance examiner example responsibilities.

  • Manage operating procedure and accounting systems for payroll, operating expenses, supplies and inventory management and commercial accounts.
  • Court / arbitration / litigation appearances.
  • Review the subpoenas records in court house.
  • Used audit software utilize at insure's site, with PAAS and GAAP.
  • Draw blood from veins by vacuum tube, syringe, or butterfly venipuncture methods.
  • Perform insurance exams in client's homes which including history and physicals and phlebotomy.
  • Show more

Claims adjuster example responsibilities.

  • Achieve targeted performance goals to manage costs and support Allstate's industry-leading operational standards.
  • Maintain a full caseload of WC files for a Louisiana customer, for six months, while managing this team.
  • Manage California branch operations including supervision of 5 WC adjusting and support staff
  • Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
  • Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
  • Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
  • Show more

Insurance examiner vs claims adjuster skills

Common insurance examiner skills
  • EKG, 14%
  • Financial Statements, 7%
  • Blood Pressure, 6%
  • Health History, 6%
  • Vital Signs, 6%
  • Naic, 6%
Common claims adjuster skills
  • Insurance Carriers, 13%
  • Auto Claims, 8%
  • Customer Service, 8%
  • Litigation, 7%
  • Xactimate, 6%
  • Claims Handling, 5%

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