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Adjuster vs senior claims representative

The differences between adjusters and senior claims representatives can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become an adjuster, becoming a senior claims representative takes usually requires 4-6 years. Additionally, a senior claims representative has an average salary of $54,592, which is higher than the $49,396 average annual salary of an adjuster.

The top three skills for an adjuster include customer service, strong customer service and litigation. The most important skills for a senior claims representative are customer service, claims handling, and litigation.

Adjuster vs senior claims representative overview

AdjusterSenior Claims Representative
Yearly salary$49,396$54,592
Hourly rate$23.75$26.25
Growth rate-6%-6%
Number of jobs7,93610,995
Job satisfaction--
Most common degreeBachelor's Degree, 62%Bachelor's Degree, 75%
Average age4444
Years of experience46

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.

What does a senior claims representative do?

A senior claims representative serves as a client's primary point of contact when processing insurance claims. Their responsibilities include meeting with clients to identify their needs, gathering and verifying documentation, conducting investigations to determine the validity of insurance claims, liaising with external parties, and negotiating the amount of compensation. Furthermore, as a senior claims representative, it is essential to lead and serve as a mentor to junior claims representatives, all while implementing the company's policies and regulations, including its vision and mission.

Adjuster vs senior claims representative salary

Adjusters and senior claims representatives have different pay scales, as shown below.

AdjusterSenior Claims Representative
Average salary$49,396$54,592
Salary rangeBetween $35,000 And $68,000Between $31,000 And $94,000
Highest paying CityParsippany-Troy Hills, NJ-
Highest paying stateNew Jersey-
Best paying companyFCCI-
Best paying industryInsurance-

Differences between adjuster and senior claims representative education

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

AdjusterSenior Claims Representative
Most common degreeBachelor's Degree, 62%Bachelor's Degree, 75%
Most common majorBusinessBusiness
Most common collegeStanford UniversityStanford University

Adjuster vs senior claims representative demographics

Here are the differences between adjusters' and senior claims representatives' demographics:

AdjusterSenior Claims Representative
Average age4444
Gender ratioMale, 56.9% Female, 43.1%Male, 47.3% Female, 52.7%
Race ratioBlack 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%Black or African American, 11.2% Unknown, 4.4% Hispanic or Latino, 16.5% Asian, 5.1% White, 62.3% American Indian and Alaska Native, 0.5%
LGBT Percentage10%10%

Differences between adjuster and senior claims representative duties and responsibilities

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.
  • Show more

Senior claims representative example responsibilities.

  • Conduct detailed interviews with physicians, prepare comprehensive written reports, retain defense counsel, and effectively manage the litigation process.
  • Utilize Xactimate estimating system during field inspection to properly evaluate commercial property damages.
  • Update computer generate claim file (s) with medical diagnoses, current CPT and ICD codes.
  • Analyze claims using IDC and CPT coding and negotiate settlements with attorneys, claimants, medical providers, and insureds.
  • Set up independent medical examinations, issue denials, attend arbitration hearings.
  • Coordinate and attend various mediation and arbitration hearings as well as numerous settlement hearings and conferences.
  • Show more

Adjuster vs senior claims representative skills

Common adjuster skills
  • Customer Service, 19%
  • Strong Customer Service, 7%
  • Litigation, 7%
  • Liability Claims, 6%
  • Policy Coverage, 6%
  • Insurance Claims, 4%
Common senior claims representative skills
  • Customer Service, 26%
  • Claims Handling, 14%
  • Litigation, 9%
  • Insurance Claims, 3%
  • Bodily Injury Claims, 3%
  • Automobile Claims, 3%

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