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Claim specialist vs claims supervisor

The differences between claim specialists and claims supervisors 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 specialist and a claims supervisor. Additionally, a claims supervisor has an average salary of $75,263, which is higher than the $43,164 average annual salary of a claim specialist.

The top three skills for a claim specialist include customer service, litigation and patients. The most important skills for a claims supervisor are customer service, corrective action, and claims adjusters.

Claim specialist vs claims supervisor overview

Claim SpecialistClaims Supervisor
Yearly salary$43,164$75,263
Hourly rate$20.75$36.18
Growth rate-6%-6%
Number of jobs29,50513,197
Job satisfaction--
Most common degreeBachelor's Degree, 54%Bachelor's Degree, 64%
Average age4444
Years of experience66

What does a claim specialist do?

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.

What does a claims supervisor do?

A claims supervisor is in charge of overseeing the workflow and the workforce involved in processing insurance claims, ensuring accuracy and smooth progress. Their responsibilities typically revolve around liaising with key clients and third party agencies, assisting staff in negotiating terms, verifying the authenticity and completeness of all applications, monitoring the finances, and resolving complex issues. Furthermore, as a claims supervisor, it is essential to lead and encourage the team to reach goals, all while making sure that they adhere to the company's policies and regulations.

Claim specialist vs claims supervisor salary

Claim specialists and claims supervisors have different pay scales, as shown below.

Claim SpecialistClaims Supervisor
Average salary$43,164$75,263
Salary rangeBetween $27,000 And $67,000Between $48,000 And $117,000
Highest paying CityNewark, NJSan Francisco, CA
Highest paying stateNew JerseyCalifornia
Best paying companyW. R. BerkleyW. R. Berkley
Best paying industryInsuranceRetail

Differences between claim specialist and claims supervisor education

There are a few differences between a claim specialist and a claims supervisor in terms of educational background:

Claim SpecialistClaims Supervisor
Most common degreeBachelor's Degree, 54%Bachelor's Degree, 64%
Most common majorBusinessBusiness
Most common collegeStanford UniversityStanford University

Claim specialist vs claims supervisor demographics

Here are the differences between claim specialists' and claims supervisors' demographics:

Claim SpecialistClaims Supervisor
Average age4444
Gender ratioMale, 31.0% Female, 69.0%Male, 40.8% Female, 59.2%
Race ratioBlack 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%Black or African American, 10.7% Unknown, 4.4% Hispanic or Latino, 17.1% Asian, 5.3% White, 62.1% American Indian and Alaska Native, 0.5%
LGBT Percentage10%10%

Differences between claim specialist and claims supervisor duties and responsibilities

Claim specialist example responsibilities.

  • Assist in the streamlining of EDI process to manage workflow of EDI claims.
  • Manage claims on desk, route/queues, and ECHS within specify turn-around-time parameters.
  • Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
  • Investigate, manage, negotiate and resolve claims arising out of accidents involving automobile and homeowner policies.
  • Upgrade CPT-4 and ICD-9 coding procedures, staying in step with many manage care plans changing reimbursement schedules.
  • Manage expedition of appeals via problem solving and collaboration with other departments.
    • Show more

Claims supervisor example responsibilities.

  • Manage, train and continuously develop a team consisting of both inside SIU investigators and field investigators.
  • Apply fundamentals of insurance investigation and resolution to an introductory leadership role managing complex claim files and tort litigation files.
  • Make determinations to authorize payments via XACTIMATE software.
  • Assist TPA in obtaining company documentation and scheduling employee interviews in investigation of claims.
  • Advise physician on any changes with CPT and ICD-9 coding to maximize reimbursements and minimize denials.
  • Provide oversight and direction for highly complicate claim reviews base on policy, procedure and CMS guidelines.
    • Show more

Claim specialist vs claims supervisor skills

Common claim specialist skills
  • Customer Service, 19%
  • Litigation, 7%
  • Patients, 5%
  • Claims Handling, 4%
  • Quality Standards, 4%
  • Excellent Organizational, 4%
Common claims supervisor skills
  • Customer Service, 25%
  • Corrective Action, 7%
  • Claims Adjusters, 6%
  • Litigation, 6%
  • Claims Handling, 5%
  • Performance Reviews, 4%

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Updated January 8, 2025

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