Claim approver vs claims analyst

The differences between claim approvers and claims analysts can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a claim approver and a claims analyst. Additionally, a claims analyst has an average salary of $48,398, which is higher than the $44,986 average annual salary of a claim approver.

The top three skills for a claim approver include process claims, medical terminology and disability claims. The most important skills for a claims analyst are customer service, medical terminology, and CPT.

Claim approver vs claims analyst overview

	Claim Approver	Claims Analyst
Yearly salary	$44,986	$48,398
Hourly rate	$21.63	$23.27
Growth rate	-6%	-6%
Number of jobs	2,918	22,062
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 44%	Bachelor's Degree, 52%
Average age	44	44
Years of experience	6	6

Claim approver vs claims analyst salary

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

	Claim Approver	Claims Analyst
Average salary	$44,986	$48,398
Salary range	Between $31,000 And $63,000	Between $29,000 And $78,000
Highest paying City	-	Trenton, NJ
Highest paying state	-	New Jersey
Best paying company	-	Google
Best paying industry	-	-

Differences between claim approver and claims analyst education

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

	Claim Approver	Claims Analyst
Most common degree	Bachelor's Degree, 44%	Bachelor's Degree, 52%
Most common major	Business	Business
Most common college	University of Pennsylvania	Stanford University

Claim approver vs claims analyst demographics

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

	Claim Approver	Claims Analyst
Average age	44	44
Gender ratio	Male, 25.6% Female, 74.4%	Male, 27.6% Female, 72.4%
Race ratio	Black or African American, 10.5% Unknown, 4.4% Hispanic or Latino, 16.3% Asian, 5.5% White, 62.8% American Indian and Alaska Native, 0.5%	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 Percentage	10%	10%

Differences between claim approver and claims analyst duties and responsibilities

Claim approver example responsibilities.

Manage confidential medical records and directs them to the appropriate practitioners while ensuring HIPPA regulations are maintain.
Train new hires on HMO claim processing.
Provide claim processing information for medical indemnity and PPO plans.
Present clinical management appeals for physician review and prepare provider resolution correspondence.
Submit appeals insurance follow-ups electronically, no fault, and workers compensation insurance.
Direct litigation in the areas of environmental liability, extra contractual claims, general liability, and medical malpractice.

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.

Claim approver vs claims analyst skills

Common claim approver skills

Process Claims, 24%
Medical Terminology, 23%
Disability Claims, 11%
Dental Claims, 9%
Data Entry, 5%
Insurance Claims, 4%

Common claims analyst skills

Customer Service, 14%
Medical Terminology, 5%
CPT, 5%
Process Claims, 5%
Medicaid, 5%
Data Entry, 5%