Nurse case manager vs adjuster

The differences between nurse case managers and adjusters can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 1-2 years to become a nurse case manager, becoming an adjuster takes usually requires 2-4 years. Additionally, a nurse case manager has an average salary of $68,461, which is higher than the $49,396 average annual salary of an adjuster.

The top three skills for a nurse case manager include care management, discharge planning and patients. The most important skills for an adjuster are customer service, strong customer service, and litigation.

Nurse case manager vs adjuster overview

	Nurse Case Manager	Adjuster
Yearly salary	$68,461	$49,396
Hourly rate	$32.91	$23.75
Growth rate	6%	-6%
Number of jobs	83,480	7,936
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 46%	Bachelor's Degree, 62%
Average age	44	44
Years of experience	2	4

What does a nurse case manager do?

A nurse case manager's role focuses on providing advice and medication to patients in an outpatient clinic or hospital. Typically, their responsibilities revolve around conducting extensive assessments, discussing essential matters to patients and families, devising efficient health care plans, coordinating with health care experts to share patients' progress, determining the needed care, and performing follow-up services. There are also instances when a nurse case manager must adjust medication or treatment as needed, refer patients to programs that will support them on their financial and other needs, and implement policies and regulations.

What does an adjuster do?

An adjuster is responsible for evaluating the extent of loss in the company by calculating the damage costs, determining the settlement payment to the client, and managing the reputation of the company for claims accountability. Adjusters must have extensive knowledge of the insurance principles and processes, following the state and federal regulations to protect clients and the business from insurance fraud. They collect documents from different organizations, perform field research, and interview witnesses to verify the accuracy of claims statement.

Nurse case manager vs adjuster salary

Nurse case managers and adjusters have different pay scales, as shown below.

	Nurse Case Manager	Adjuster
Average salary	$68,461	$49,396
Salary range	Between $48,000 And $97,000	Between $35,000 And $68,000
Highest paying City	San Mateo, CA	Parsippany-Troy Hills, NJ
Highest paying state	Hawaii	New Jersey
Best paying company	CNA Insurance	FCCI
Best paying industry	Government	Insurance

Differences between nurse case manager and adjuster education

There are a few differences between a nurse case manager and an adjuster in terms of educational background:

	Nurse Case Manager	Adjuster
Most common degree	Bachelor's Degree, 46%	Bachelor's Degree, 62%
Most common major	Nursing	Business
Most common college	Duke University	Stanford University

Nurse case manager vs adjuster demographics

Here are the differences between nurse case managers' and adjusters' demographics:

	Nurse Case Manager	Adjuster
Average age	44	44
Gender ratio	Male, 9.6% Female, 90.4%	Male, 56.9% Female, 43.1%
Race ratio	Black or African American, 11.7% Unknown, 4.3% Hispanic or Latino, 9.1% Asian, 8.9% White, 65.6% American Indian and Alaska Native, 0.4%	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	9%	10%

Differences between nurse case manager and adjuster duties and responsibilities

Nurse case manager example responsibilities.

Develop and manage plan of care for symptom management for patients/families in home, ALF, and SNF arena.
Maintain communication with commercial insurance payers, manage Medicare and Medicaid sources and conduct daily clinical updates to insurance companies.
Coordinate surgery schedules with doctor, hospital, medical equipment representative and patients.
General assessment and care/case management of Medicare patients including wind care, diabetes, cardiac complications, respiratory treatments.
Deliver independent private duty nursing to pediatric patients in need of holistic care, including oxygen-dependent, ventilator-dependent, tracheostomy patients.
Interview and assess patients, documenting findings and input into EMR system.

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.

Nurse case manager vs adjuster skills

Common nurse case manager skills

Care Management, 25%
Discharge Planning, 17%
Patients, 11%
Home Health, 8%
Rehabilitation, 3%
Medical Care, 3%

Common adjuster skills

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

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Healthcare Practitioner and Technical Industry
Nurse Case Manager
Nurse Case Manager vs Adjuster

Updated January 8, 2025

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