Claims adjuster vs claims analyst

The differences between claims adjusters and claims analysts can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a claims adjuster, becoming a claims analyst takes usually requires 4-6 years. Additionally, a claims adjuster has an average salary of $51,116, which is higher than the $48,398 average annual salary of a claims analyst.

The top three skills for a claims adjuster include insurance carriers, auto claims and customer service. The most important skills for a claims analyst are customer service, medical terminology, and CPT.

Claims adjuster vs claims analyst overview

	Claims Adjuster	Claims Analyst
Yearly salary	$51,116	$48,398
Hourly rate	$24.57	$23.27
Growth rate	-6%	-6%
Number of jobs	13,221	22,062
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 52%
Average age	44	44
Years of experience	4	6

What does a claims adjuster do?

A claim's adjuster is responsible for the handling of the insurance claims and investigating the extent of property damage and processing the business or a person's liability. Claims adjusters have a broad range of duties such as damage inspection to evaluate incident reports, communicating with property owners and spectators as well as referring to legal documents. They must also have excellent analytical and critical-thinking skills to calculate payments and analyze the complexities of multiple sources. Claims adjusters should also provide timely reports for reference and possible disputes.

What does a claims analyst do?

A claims analyst specializes in processing medical insurance claims. They are primarily responsible for verifying the authenticity and eligibility of claims, analyzing the billing, communicating with policyholders, and ensuring adherence to all the policies and regulations during the entire procedure. Furthermore, a claims analyst is also in charge of administrative tasks such as keeping and updating records, reaching out and sending reports to creditors, setting appointments and schedules, processing paperwork, coordinating with key personnel, and discussing terms and necessary information to clients.

Claims adjuster vs claims analyst salary

Claims adjusters and claims analysts have different pay scales, as shown below.

	Claims Adjuster	Claims Analyst
Average salary	$51,116	$48,398
Salary range	Between $40,000 And $64,000	Between $29,000 And $78,000
Highest paying City	Los Angeles, CA	Trenton, NJ
Highest paying state	New Jersey	New Jersey
Best paying company	Merchants Insurance Group	Google
Best paying industry	Insurance	-

Differences between claims adjuster and claims analyst education

There are a few differences between a claims adjuster and a claims analyst in terms of educational background:

	Claims Adjuster	Claims Analyst
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 52%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Claims adjuster vs claims analyst demographics

Here are the differences between claims adjusters' and claims analysts' demographics:

	Claims Adjuster	Claims Analyst
Average age	44	44
Gender ratio	Male, 45.1% Female, 54.9%	Male, 27.6% Female, 72.4%
Race ratio	Black or African American, 11.8% Unknown, 4.4% Hispanic or Latino, 16.8% Asian, 5.2% White, 61.2% American Indian and Alaska Native, 0.5%	Black or African American, 11.3% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.3% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between claims adjuster and claims analyst duties and responsibilities

Claims adjuster example responsibilities.

Achieve targeted performance goals to manage costs and support Allstate's industry-leading operational standards.
Maintain a full caseload of WC files for a Louisiana customer, for six months, while managing this team.
Manage California branch operations including supervision of 5 WC adjusting and support staff
Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures

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Claims analyst example responsibilities.

Help managed meetings regarding decision making on CMS regulations.
Process UB's and HCFA's according to guidelines.
Analyze and investigate medical claims utilizing ICD-9 and CPT-4 coding.
Review claims (HCFA and UB) for accurate billing submission.
Interpret medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes for member submit claims.
Acquire biometrics and perform phlebotomy.

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Claims adjuster vs claims analyst skills

Common claims adjuster skills

Insurance Carriers, 13%
Auto Claims, 8%
Customer Service, 8%
Litigation, 7%
Xactimate, 6%
Claims Handling, 5%

Common claims analyst skills

Customer Service, 14%
Medical Terminology, 5%
CPT, 5%
Process Claims, 5%
Medicaid, 5%
Data Entry, 5%

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Updated January 8, 2025

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