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Adjustment Rep Jobs (NOW HIRING)

Bank of America

Research & Adjustments Rep II

Saint Louis, MO · On-site

$35K - $40K/yr

The Research and Adjustments Representative II role is responsible for processing payments, extensive account research and completing maintenance on delinquent and/or charged off Business Lending ...

Humana

Records Retrieval Representative

Montgomery, AL

$40K - $52K/yr

The Medical Records Retrieval Representative performs moderately complex administrative and ... You will report to the Supervisor, Risk Adjustment Administration. Work Schedule: * The normal ...

New

Humana

Records Retrieval Representative

$40K - $52K/yr

The Medical Records Retrieval Representative performs moderately complex administrative and ... You will report to the Supervisor, Risk Adjustment Administration. Work Schedule: * The normal ...

New

Humana

Records Retrieval Representative

Montgomery, AL

$40K - $52K/yr

The Medical Records Retrieval Representative performs moderately complex administrative and ... You will report to the Supervisor, Risk Adjustment Administration. Work Schedule: * The normal ...

New

Humana

Records Retrieval Representative

$40K - $52K/yr

The Medical Records Retrieval Representative performs moderately complex administrative and ... You will report to the Supervisor, Risk Adjustment Administration. Work Schedule: * The normal ...

New

Humana

Records Retrieval Representative

Montgomery, AL

$40K - $52K/yr

The Medical Records Retrieval Representative performs moderately complex administrative and ... You will report to the Supervisor, Risk Adjustment Administration. Work Schedule: * The normal ...

New

Humana

Records Retrieval Representative

$40K - $52K/yr

The Medical Records Retrieval Representative performs moderately complex administrative and ... You will report to the Supervisor, Risk Adjustment Administration. Work Schedule: * The normal ...

New

Easy Recruiter

Urgently Medical Record Clerk

$16.50 - $20.25/hr

... Adjustment Representative 2 conducts quality assurance review of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ...

Easy Recruiter

Urgently Medical Record Clerk

Portland, OR · On-site

$17 - $21/hr

Urgently Medical Record Clerk Portland, Oregon, United States About the Job The Medical Records Retrieval Specialist/Risk Adjustment Representative 2 conducts quality assurance review of medical ...

Molina Healthcare

Auditor, Risk Adjustment (Remote)

$49K - $107K/yr

... Represents as a risk adjustment audit liaison with functional departments, health plans, and external vendors. • Evaluates results from audit activities to address barriers, gaps, opportunities for ...

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Adjustment Rep information

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How much do adjustment rep jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for adjustment rep in the United States is $20.39, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $20.19 per hour, depending on experience, location, and employer.

What is an adjustment rep?

An Adjustment Rep, or Adjustment Representative, is a professional who reviews and processes claims, typically in insurance or finance industries. They investigate discrepancies, verify documentation, and determine if adjustments are needed to correct billing errors or resolve disputes. Their role often involves communicating with customers, analyzing data, and ensuring compliance with company policies and regulations. Adjustment Reps play a crucial part in maintaining customer satisfaction by addressing and resolving issues efficiently.

What are the key skills and qualifications needed to thrive as an adjustment rep, and why are they important?

To thrive as an Adjustment Representative, you need strong analytical skills, attention to detail, and a solid understanding of insurance or billing processes, typically supported by a high school diploma or relevant experience. Familiarity with claims management software, spreadsheets, and customer relationship management (CRM) systems is commonly required. Excellent communication, problem-solving, and negotiation skills help you resolve discrepancies and build positive client relationships. These abilities ensure accurate claim adjustments, regulatory compliance, and high levels of customer satisfaction.

What are some common challenges adjustment reps face when handling complex claims, and how can they effectively manage them?

Adjustment Representatives often encounter challenges such as ambiguous documentation, tight deadlines, and navigating conflicting information from clients and providers. To manage these effectively, it's important to maintain strong organizational skills, communicate clearly with all parties involved, and stay current on company policies and industry regulations. Collaborating closely with team members and leveraging available resources, such as claim management software, can also help streamline the resolution process and ensure accuracy.

What is the difference between Adjustment Rep vs Claims Processor?

AspectAdjustment RepClaims Processor
Required CredentialsHigh school diploma; insurance knowledgeHigh school diploma; insurance knowledge
Work EnvironmentOffice-based, insurance companiesOffice-based, insurance companies
Employer & IndustryInsurance providers, healthcareInsurance providers, healthcare
Common Search & ComparisonAdjustment Rep vs Claims Processor

Adjustment Representatives and Claims Processors both work within the insurance industry, often in similar office environments. They typically require comparable credentials, such as a high school diploma and insurance knowledge. The main difference lies in their specific roles: Adjustment Reps focus on reviewing and adjusting claims, while Claims Processors handle the initial processing of claims. Understanding these distinctions can help job seekers identify the right career path within insurance roles.

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What job categories do people searching Adjustment Rep jobs look for?

The top searched job categories for Adjustment Rep jobs are:

Adjustment Rep jobs near you
Infographic showing various Adjustment Rep job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 15% Part Time, 7% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $42,416 per year, or $20.4 per hour.

Credit and Adjustment Representative

Saint-Gobain

Stephenville, TX • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Saint-Gobain rating

7.8

Company rating: 7.8 out of 10

Based on 83 frontline employees who took The Breakroom Quiz

161st of 540 rated manufacturers

Job description

As a Credit and Adjustment Representative, you will play a critical role in delivering an exceptional customer experience by investigating and resolving customer claims, credits, debits, and returns.

You'll partner with cross-functional teams to identify root causes, develop effective solutions, and ensure claims are resolved accurately and in compliance with company policies.

This position is ideal for a detail-oriented problem solver who enjoys analyzing issues, collaborating with multiple stakeholders, and serving as a trusted liaison to customers.

Required

  • High school diploma or equivalent

  • 2+ years of experience in customer service, with a focus on dispute resolution, or 2+ years of experience working in a finance role

  • Knowledge of distribution networks, sales channels, or customer markets

  • Proficiency with Microsoft Office applications, including Excel and Word

  • Ability to work and communicate effectively with all professional levels

  • Proven analytical, organizational, problem-solving, and root cause analysis skills

  • Proactive approach to work, with the ability to manage multiple priorities and follow established procedures

Preferred

  • Bachelor's degree in Marketing, Business, Communications, or a related field

  • Previous experience with SAP

#LI-ME1

Saint-Gobain Abrasives offers powerful, precise, user-friendly solutions, which enable customers to cut, shape, and finish all materials in the most complex and challenging applications. By working closely with end-users and grinding expert partners, Saint-Gobain Abrasives designs and provides customized solutions to secure the best option for performance, cost, and safety. Leveraging its global manufacturing presence, Saint-Gobain Abrasives serves its customers locally through its structured sales operations in more than 27 countries while employing more than 10,000 people.

Our employees have pride in belonging to an organization whose culture is made up of these core values: Trust, Empowerment, and Collaboration. Our company encourages diversity and inclusion in all its forms while our products make the world a more beautiful, safer, and sustainable home.

Saint-Gobain provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Saint-Gobain is an equal opportunity employer of individuals with disabilities and supports the hiring of veterans.

Applicants for roles based in Washington state or remote roles that would be worked from Washington state are encouraged to direct any concerns regarding the state's Pay Transparency laws to the SGNA HR Compliance team at SGNA_HR_Compliance@saint-gobain.com .

Employees have the flexibility to choose the benefits that best fit their individual needs:

Health and Wellbeing - Supporting your wellbeing, to thrive in life and work

  • Medical, Prescription Drug, Vision, and Dental Insurance

  • Healthcare Savings Account and Flexible Spending Account options

  • LiveWell Wellness Program

  • Employee Assistance Program (EAP)

  • Paid Time Off and Paid Parental Leave

Retirement and Protection - Helping to make the future life you want a reality

  • 401(k) with Company Match, Retirement Accumulation Plan (RAP), Cash Balance Pension Plan

  • Company-provided Life Insurance, AD&D, Short-Term Disability

  • Voluntary employee and dependent life insurance, Long-Term Disability, Critical Illness, and Accident Insurance

Additional Benefits - Helping shape the experience and impact you want

  • Group Legal

  • Identity Theft Protection

  • Auto and Home Insurance

  • Pet Insurance and Discounts

  • Back-up Child & Elder Care

  • PerkSpot Employee Discount Program

What Saint-Gobain employees say

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Benefits

Hours and flexibility

Workplace

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About Saint-Gobain

Sourced by ZipRecruiter

Saint-Gobain, headquartered in Malvern, PA, US, is a global leader in the habitation and construction markets, providing innovative solutions to meet today's challenges of growth, energy efficiency, and environmental protection. The company operates in the Building & Construction industry, offering a broad range of products and services including building materials, innovative materials, and glass production. Saint-Gobain was founded in 1665 by Colbert, the finance minister to Louis XIV of France, when it was commissioned to produce mirrors for the Hall of Mirrors at the Palace of Versailles. The mission of Saint-Gobain is to design, produce, and distribute materials that improve the comfort of each and every one of us while also contributing to the protection of the planet.

Industry

Construction materials wholesalers

Company size

10,000+ Employees

Headquarters location

Malvern, PA, US

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