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Claim specialist vs senior claims adjuster

The differences between claim specialists and senior claims adjusters can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 4-6 years to become a claim specialist, becoming a senior claims adjuster takes usually requires 2-4 years. Additionally, a senior claims adjuster has an average salary of $58,688, 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 senior claims adjuster are customer service, litigation, and coverage issues.

Claim specialist vs senior claims adjuster overview

Claim SpecialistSenior Claims Adjuster
Yearly salary$43,164$58,688
Hourly rate$20.75$28.22
Growth rate-6%-6%
Number of jobs29,50511,495
Job satisfaction-2
Most common degreeBachelor's Degree, 54%Bachelor's Degree, 70%
Average age4444
Years of experience64

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 senior claims adjuster do?

A senior claims adjuster is in charge of inspecting and analyzing insurance claims to validate and adjust payments. Among their responsibilities include reviewing and verifying claims documents, visiting sites to investigate property damages and personal injuries, gathering evidence such as photos and videos, and conducting interviews with witnesses and clients. Moreover, as a senior claims adjuster, it is essential to lead and serve as a mentor to fellow claims adjusters while enforcing and promoting the company's policies and regulations.

Claim specialist vs senior claims adjuster salary

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

Claim SpecialistSenior Claims Adjuster
Average salary$43,164$58,688
Salary rangeBetween $27,000 And $67,000Between $37,000 And $91,000
Highest paying CityNewark, NJRoseville, CA
Highest paying stateNew JerseyNew Jersey
Best paying companyW. R. BerkleyEMC Insurance
Best paying industryInsuranceInsurance

Differences between claim specialist and senior claims adjuster education

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

Claim SpecialistSenior Claims Adjuster
Most common degreeBachelor's Degree, 54%Bachelor's Degree, 70%
Most common majorBusinessBusiness
Most common collegeStanford UniversityStanford University

Claim specialist vs senior claims adjuster demographics

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

Claim SpecialistSenior Claims Adjuster
Average age4444
Gender ratioMale, 31.0% Female, 69.0%Male, 48.2% Female, 51.8%
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, 11.7% Unknown, 4.4% Hispanic or Latino, 16.9% Asian, 5.2% White, 61.3% American Indian and Alaska Native, 0.5%
LGBT Percentage10%10%

Differences between claim specialist and senior claims adjuster 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

Senior claims adjuster example responsibilities.

  • Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
  • Experience litigation adjuster proactively investigating, evaluating, and negotiating commercial and homeowner general liability casualty and property damage liability claims.
  • Prepare and calculate consumer pensions as well as variable & fix annuities.
  • Develop relationships with other departments such as sales, underwriting, and SIU in order to meet business goals.
  • Prepare property repair estimates utilizing Xactimate estimating software.
  • Structure settlement options with annuities and Medicare set-aside programs.
  • Show more

Claim specialist vs senior claims adjuster skills

Common claim specialist skills
  • Customer Service, 19%
  • Litigation, 7%
  • Patients, 5%
  • Claims Handling, 4%
  • Quality Standards, 4%
  • Excellent Organizational, 4%
Common senior claims adjuster skills
  • Customer Service, 25%
  • Litigation, 9%
  • Coverage Issues, 6%
  • Strong Customer Service, 5%
  • Settlement Authority, 5%
  • Claims Handling, 3%

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