How To Become A Claims Account Specialist: What It Is and Career Path

What is a claims account specialist and how to become one

Updated January 8, 2025

3 min read

There is more than meets the eye when it comes to being a claims account specialist. For example, did you know that they make an average of $17.81 an hour? That's $37,054 a year! Between 2018 and 2028, the career is expected to grow -8% and produce -17,500 job opportunities across the U.S.

ScoreClaims Account SpecialistUS Average

Salary

2.9

Avg. Salary $37,054

Avg. Salary $59,228

Stability level

7.9

Growth rate -8%

Growth rate 0.3%

Diversity

5.9

Race

American Indian and Alaska Native 0.48%

Asian 3.56%

Black or African American 14.60%

Hispanic or Latino 16.56%

Unknown 4.02%

White 60.77%

Gender

female 74.05%

male 25.95%

Age - 46

Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 46

Stress level

7.9

Stress level is high

7.1 - high

Complexity level

4.9

Complexity level is intermediate

7 - challenging

Work life balance

7.6

Work life balance is good

6.4 - fair

Key steps to become a claims account specialist

Explore claims account specialist education requirements

Most common claims account specialist degrees

Bachelor's

48.5 %

Associate

20.6 %

Certificate

9.3 %

Start to develop specific claims account specialist skills

Skills	Percentages
Customer Service	28.07%
Medical Terminology	12.58%
Patient Accounts	9.50%
Medical Treatment	7.29%
Process Payments	6.84%

Complete relevant claims account specialist training and internships

Accountants spend an average of 1-3 months on post-employment, on-the-job training. New claims account specialists learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a claims account specialist based on U.S. Bureau of Labor Statistics data and data from real claims account specialist resumes.

Research claims account specialist duties and responsibilities

Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and biographical information with insurance and financial information
Review HMO insurance vouchers and resubmitted if necessary.
Utilize excellent communication and negotiation skills to resolve credit card delinquency favorable to company and card member.

Prepare your claims account specialist resume

When your background is strong enough, you can start writing your claims account specialist resume.

You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a claims account specialist resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

Choose from 10+ customizable claims account specialist resume templates

Build a professional claims account specialist resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your claims account specialist resume.