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Analyst vs claims analyst

The differences between analysts and claims analysts can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become an analyst, becoming a claims analyst takes usually requires 4-6 years. Additionally, an analyst has an average salary of $73,007, which is higher than the $48,398 average annual salary of a claims analyst.

The top three skills for an analyst include customer service, troubleshoot and data analysis. The most important skills for a claims analyst are customer service, medical terminology, and CPT.

Analyst vs claims analyst overview

AnalystClaims Analyst
Yearly salary$73,007$48,398
Hourly rate$35.10$23.27
Growth rate11%-6%
Number of jobs253,13822,062
Job satisfaction--
Most common degreeBachelor's Degree, 67%Bachelor's Degree, 52%
Average age4444
Years of experience46

What does an analyst do?

Analysts are employees or individual contributors with a vast experience in a particular field that help the organization address challenges. They help the organization improve processes, policies, and other operations protocol by studying the current processes in place and determining the effectiveness of those processes. They also research industry trends and data to make sound inferences and recommendations on what the company should do to improve their numbers. Analysts recommend business solutions and often help the organization roll out these solutions. They ensure that the proposed action plans are effective and produce the desired results.

What does a claims analyst do?

A claims analyst specializes in processing medical insurance claims. They are primarily responsible for verifying the authenticity and eligibility of claims, analyzing the billing, communicating with policyholders, and ensuring adherence to all the policies and regulations during the entire procedure. Furthermore, a claims analyst is also in charge of administrative tasks such as keeping and updating records, reaching out and sending reports to creditors, setting appointments and schedules, processing paperwork, coordinating with key personnel, and discussing terms and necessary information to clients.

Analyst vs claims analyst salary

Analysts and claims analysts have different pay scales, as shown below.

AnalystClaims Analyst
Average salary$73,007$48,398
Salary rangeBetween $53,000 And $99,000Between $29,000 And $78,000
Highest paying CityJersey City, NJTrenton, NJ
Highest paying stateNew JerseyNew Jersey
Best paying companyThe CitadelGoogle
Best paying industryTechnology-

Differences between analyst and claims analyst education

There are a few differences between an analyst and a claims analyst in terms of educational background:

AnalystClaims Analyst
Most common degreeBachelor's Degree, 67%Bachelor's Degree, 52%
Most common majorBusinessBusiness
Most common collegeNorthwestern UniversityStanford University

Analyst vs claims analyst demographics

Here are the differences between analysts' and claims analysts' demographics:

AnalystClaims Analyst
Average age4444
Gender ratioMale, 52.4% Female, 47.6%Male, 27.6% Female, 72.4%
Race ratioBlack or African American, 7.4% Unknown, 4.4% Hispanic or Latino, 8.5% Asian, 14.3% White, 65.2% American Indian and Alaska Native, 0.2%Black or African American, 11.3% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.3% American Indian and Alaska Native, 0.5%
LGBT Percentage12%10%

Differences between analyst and claims analyst duties and responsibilities

Analyst example responsibilities.

  • Manage support incidents and mitigate customer issues meeting or exceeding establish SLA's.
  • Manage database including all ETL procedures, optimize SQL query to build an online sales platform.
  • Lead the requirement gathering effort from key customers for development of new JAVA applications and for troubleshooting customer issues.
  • Provide hands-on technical support and managing custom software, windows base systems, networking solutions, and database systems.
  • Initiate and lead quality improvement projects to address KPIs such as production, error rate, and turnaround time.
  • Help develop and handle both on and offsite SEO solutions as well as managing local campaigns and international SEO efforts.
  • Show more

Claims analyst example responsibilities.

  • Help managed meetings regarding decision making on CMS regulations.
  • Process UB's and HCFA's according to guidelines.
  • Analyze and investigate medical claims utilizing ICD-9 and CPT-4 coding.
  • Review claims (HCFA and UB) for accurate billing submission.
  • Interpret medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes for member submit claims.
  • Acquire biometrics and perform phlebotomy.
  • Show more

Analyst vs claims analyst skills

Common analyst skills
  • Customer Service, 13%
  • Troubleshoot, 6%
  • Data Analysis, 6%
  • Management System, 5%
  • Project Management, 5%
  • Strong Analytical, 4%
Common claims analyst skills
  • Customer Service, 14%
  • Medical Terminology, 5%
  • CPT, 5%
  • Process Claims, 5%
  • Medicaid, 5%
  • Data Entry, 5%

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