Claims administrator vs insurance assistant

The differences between claims administrators and insurance assistants can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a claims administrator and an insurance assistant. Additionally, a claims administrator has an average salary of $36,432, which is higher than the $35,308 average annual salary of an insurance assistant.

The top three skills for a claims administrator include data entry, customer service and process claims. The most important skills for an insurance assistant are endorsements, data entry, and customer service.

Claims administrator vs insurance assistant overview

	Claims Administrator	Insurance Assistant
Yearly salary	$36,432	$35,308
Hourly rate	$17.52	$16.98
Growth rate	-3%	-3%
Number of jobs	59,006	34,579
Job satisfaction	4	-
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 45%
Average age	44	44
Years of experience	4	4

What does a claims administrator do?

Claims administrators are professionals who are responsible for performing administrative duties related to insurance claims. These administrators must collaborate with insurance companies so that they can analyze claims and determine the extent of the company's liability. They must review billing and process claims correctly by identifying provider information and other documentation to ensure a prompt payout. Claims administrators must also maintain and manage the compensation files of all workers in order to conduct preliminary investigations on work-related injuries for worker's compensation claims.

What does an insurance assistant do?

Insurance assistants work alongside insurance agents to gather information from clients, maintain insurance records, prepare documentation, handle mail and correspondence, calculate insurance premiums and awards, and recommend claim actions. Qualifications like good communication and negotiation skills, customer service orientation, research skills, and attention to detail are required for this position.

Claims administrator vs insurance assistant salary

Claims administrators and insurance assistants have different pay scales, as shown below.

	Claims Administrator	Insurance Assistant
Average salary	$36,432	$35,308
Salary range	Between $29,000 And $44,000	Between $29,000 And $42,000
Highest paying City	Reno, NV	-
Highest paying state	Connecticut	-
Best paying company	ABB	-
Best paying industry	Hospitality	-

Differences between claims administrator and insurance assistant education

There are a few differences between a claims administrator and an insurance assistant in terms of educational background:

	Claims Administrator	Insurance Assistant
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 45%
Most common major	Business	Business
Most common college	-	-

Claims administrator vs insurance assistant demographics

Here are the differences between claims administrators' and insurance assistants' demographics:

	Claims Administrator	Insurance Assistant
Average age	44	44
Gender ratio	Male, 28.9% Female, 71.1%	Male, 18.8% Female, 81.2%
Race ratio	Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%	Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	11%

Differences between claims administrator and insurance assistant duties and responsibilities

Claims administrator example responsibilities.

Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
Implement HIPAA regulations to protect patient privacy.
Adjudicate medical, commercial and Medicaid, claims.
Code medical records by following current ICD-9/ICD-10, CPT, and HCPCS standards.
Work with doctors, TPA, adjusters, attorneys, to maintain claim cost effectively.
Process various compensation benefits applications for veterans in compliance with organizational laws, federal laws, rules and regulations.

Insurance assistant example responsibilities.

Cold-Cal to generate leads for individual life and disability insurance and annuities.
Analyze Medicaid models, Medicare and HIPAA transaction documents.
Assign ICD-9 and CPT codes to office visit and inpatient and outpatient procedures.
Process electronic claims, pre-existing and subrogation investigation, point of service, and PPO and HMO processing.
Train staff on billing software in regards to CPT codes and pricing, submission procedures, and industry regulations.
Perform verification of Medicare and Medicaid coverage and limits.

Claims administrator vs insurance assistant skills

Common claims administrator skills

Data Entry, 12%
Customer Service, 9%
Process Claims, 8%
Phone Calls, 7%
HR, 5%
Insurance Claims, 5%

Common insurance assistant skills

Endorsements, 13%
Data Entry, 10%
Customer Service, 9%
Insurance Policies, 8%
Photocopying, 5%
Loss Runs, 4%

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Claims Administrator
Claims Administrator vs Insurance Assistant

Updated January 8, 2025

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