Claim processing specialist vs customer relations specialist

The differences between claim processing specialists and customer relations specialists can be seen in a few details. Each job has different responsibilities and duties. It typically takes 6-12 months to become both a claim processing specialist and a customer relations specialist. Additionally, a customer relations specialist has an average salary of $37,827, which is higher than the $34,436 average annual salary of a claim processing specialist.

The top three skills for a claim processing specialist include data entry, process claims and insurance claims. The most important skills for a customer relations specialist are customer relations, data entry, and work ethic.

Claim processing specialist vs customer relations specialist overview

	Claim Processing Specialist	Customer Relations Specialist
Yearly salary	$34,436	$37,827
Hourly rate	$16.56	$18.19
Growth rate	-4%	-4%
Number of jobs	55,392	215,862
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 40%	Bachelor's Degree, 52%
Average age	40	40
Years of experience	12	12

Claim processing specialist vs customer relations specialist salary

Claim processing specialists and customer relations specialists have different pay scales, as shown below.

	Claim Processing Specialist	Customer Relations Specialist
Average salary	$34,436	$37,827
Salary range	Between $27,000 And $43,000	Between $27,000 And $52,000
Highest paying City	-	Columbia, MD
Highest paying state	-	Massachusetts
Best paying company	-	Deloitte
Best paying industry	-	Automotive

Differences between claim processing specialist and customer relations specialist education

There are a few differences between a claim processing specialist and a customer relations specialist in terms of educational background:

	Claim Processing Specialist	Customer Relations Specialist
Most common degree	Bachelor's Degree, 40%	Bachelor's Degree, 52%
Most common major	Business	Business
Most common college	-	-

Claim processing specialist vs customer relations specialist demographics

Here are the differences between claim processing specialists' and customer relations specialists' demographics:

	Claim Processing Specialist	Customer Relations Specialist
Average age	40	40
Gender ratio	Male, 20.3% Female, 79.7%	Male, 31.8% Female, 68.2%
Race ratio	Black or African American, 11.5% Unknown, 5.0% Hispanic or Latino, 17.6% Asian, 7.5% White, 57.9% American Indian and Alaska Native, 0.6%	Black or African American, 11.7% Unknown, 5.3% Hispanic or Latino, 19.5% Asian, 7.5% White, 55.5% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between claim processing specialist and customer relations specialist duties and responsibilities

Claim processing specialist example responsibilities.

Manage expedition of appeals via problem solving and collaboration with other departments.
Provide consumer-oriented health benefit plans, process all types of health claims knowledgeable of ICD-9 and CPT codes.
Process medical claims for Medicaid recipients via a state-fund Medicaid insurance carrier per plan guidelines and department procedures.
Ensure all work processes are compliant with various HIPAA regulations.
Train on how to utilize reference materials to determine diagnosis, CPT, or appropriate HCPCS codes for claims processing.
Provide speeches, educational information to various veterans organizations.

Customer relations specialist example responsibilities.

Manage software maintenance renewal partner and assist with upselling additional and higher functionality licenses to increase revenue.
Verify insurance eligibility and benefits of patients that are being provide oxygen home and travel units and durable medical equipment.
Create Powerpoint company informational videos.
Communicate with customers and FedEx to facilitate resolutions of any shipping or delivery issues.

Claim processing specialist vs customer relations specialist skills

Common claim processing specialist skills

Data Entry, 12%
Process Claims, 10%
Insurance Claims, 7%
Inbound Calls, 6%
CPT, 5%
Medicaid, 5%

Common customer relations specialist skills

Customer Relations, 37%
Data Entry, 10%
Work Ethic, 9%
Customer Retention, 5%
Outbound Calls, 5%
Schedule Appointments, 4%

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Office and Administrative Industry
Claim Processing Specialist
Claim Processing Specialist vs Customer Relations Specialist

Updated January 8, 2025

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