Explore jobs
Find specific jobs
Explore careers
Explore professions
Best companies
Explore companies
The differences between certification specialists and claim specialists can be seen in a few details. Each job has different responsibilities and duties. Additionally, a certification specialist has an average salary of $45,265, which is higher than the $43,164 average annual salary of a claim specialist.
The top three skills for a certification specialist include patients, medical terminology and surgical procedures. The most important skills for a claim specialist are customer service, litigation, and patients.
| Certification Specialist | Claim Specialist | |
| Yearly salary | $45,265 | $43,164 |
| Hourly rate | $21.76 | $20.75 |
| Growth rate | 11% | -6% |
| Number of jobs | 43,565 | 29,505 |
| Job satisfaction | - | - |
| Most common degree | Bachelor's Degree, 58% | Bachelor's Degree, 54% |
| Average age | 44 | 44 |
| Years of experience | - | 6 |
A certification specialist is primarily in charge of conducting inspections and assessments, ensuring operations and procedures comply with certification guidelines and requirements. Although their responsibilities may vary upon their industry or organization of employment, it usually entails reviewing certification applications and system plans, arranging schedules and tests, organizing orientations, providing advice or guidance to new members of the workforce, and implementing strategies. Moreover, they also perform administrative support tasks such as processing the necessary documents, facilitating activities, and coordinating with internal and external parties.
A claims specialist is responsible for processing insurance claims, reviewing insurance coverage, and analyzing claims cases. Claims specialists' duties include negotiating claims settlements, validating claims to prevent fraud, creating court testimonies as needed, developing claim review plans, and checking necessary documents and related resolve claims. A claims specialist must have strong analytical and critical-thinking skills to authorize claim payment and investigate complex and unusual claims. Claims specialists should also have extensive knowledge of the insurance processes to handle various cases, following legal policies and regulatory procedures.
Certification specialists and claim specialists have different pay scales, as shown below.
| Certification Specialist | Claim Specialist | |
| Average salary | $45,265 | $43,164 |
| Salary range | Between $25,000 And $81,000 | Between $27,000 And $67,000 |
| Highest paying City | New York, NY | Newark, NJ |
| Highest paying state | New York | New Jersey |
| Best paying company | Apple | W. R. Berkley |
| Best paying industry | Insurance | Insurance |
There are a few differences between a certification specialist and a claim specialist in terms of educational background:
| Certification Specialist | Claim Specialist | |
| Most common degree | Bachelor's Degree, 58% | Bachelor's Degree, 54% |
| Most common major | Business | Business |
| Most common college | Western Carolina University | Stanford University |
Here are the differences between certification specialists' and claim specialists' demographics:
| Certification Specialist | Claim Specialist | |
| Average age | 44 | 44 |
| Gender ratio | Male, 26.3% Female, 73.7% | Male, 31.0% Female, 69.0% |
| Race ratio | Black or African American, 6.4% Unknown, 4.6% Hispanic or Latino, 9.4% Asian, 8.8% White, 70.4% American Indian and Alaska Native, 0.4% | Black or African American, 11.4% Unknown, 4.4% Hispanic or Latino, 16.5% Asian, 5.1% White, 62.1% American Indian and Alaska Native, 0.5% |
| LGBT Percentage | 11% | 10% |