Claim processing specialist vs service specialist

The differences between claim processing specialists and service 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 service specialist. Additionally, a service specialist has an average salary of $44,150, 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 service specialist are patients, social work, and criminal justice.

Claim processing specialist vs service specialist overview

	Claim Processing Specialist	Service Specialist
Yearly salary	$34,436	$44,150
Hourly rate	$16.56	$21.23
Growth rate	-4%	-4%
Number of jobs	55,392	207,020
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 40%	Bachelor's Degree, 53%
Average age	40	40
Years of experience	12	12

Claim processing specialist vs service specialist salary

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

	Claim Processing Specialist	Service Specialist
Average salary	$34,436	$44,150
Salary range	Between $27,000 And $43,000	Between $27,000 And $71,000
Highest paying City	-	Boston, MA
Highest paying state	-	Massachusetts
Best paying company	-	Ropes & Gray
Best paying industry	-	Technology

Differences between claim processing specialist and service specialist education

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

	Claim Processing Specialist	Service Specialist
Most common degree	Bachelor's Degree, 40%	Bachelor's Degree, 53%
Most common major	Business	Business
Most common college	-	-

Claim processing specialist vs service specialist demographics

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

	Claim Processing Specialist	Service Specialist
Average age	40	40
Gender ratio	Male, 20.3% Female, 79.7%	Male, 40.1% Female, 59.9%
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, 11.2% Unknown, 5.4% Hispanic or Latino, 20.9% Asian, 7.5% White, 54.2% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between claim processing specialist and service 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.

Service specialist example responsibilities.

Achieve personal sales and referral goals by identifying, marketing and cross-selling banking products and services beneficial to customer needs.
Educate veterans and the college community on veteran's benefits and academic requirements need to accomplish academic goals.
Provide notary service as requested.
Respond to medical emergencies, including first aid and CPR.
Organize the transition of file transfers of major TRS/NAS clients from FTP to MessageWay.
Follow all rules set by FDCPA and state agencies - pass all annual tests.

Claim processing specialist vs service specialist skills

Common claim processing specialist skills

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

Common service specialist skills

Patients, 12%
Social Work, 10%
Criminal Justice, 4%
Rehabilitation, 4%
Excellent Interpersonal, 4%
Product Knowledge, 3%

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Claim Processing Specialist
Claim Processing Specialist vs Service Specialist

Updated January 8, 2025

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