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Claims assistant vs claims administrator

The differences between claims assistants and claims administrators 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 assistant and a claims administrator. Additionally, a claims assistant has an average salary of $36,487, which is higher than the $36,432 average annual salary of a claims administrator.

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

Claims assistant vs claims administrator overview

Claims AssistantClaims Administrator
Yearly salary$36,487$36,432
Hourly rate$17.54$17.52
Growth rate-3%-3%
Number of jobs8,97159,006
Job satisfaction-4
Most common degreeBachelor's Degree, 43%Bachelor's Degree, 53%
Average age4444
Years of experience44

What does a claims assistant do?

A claims assistant takes tasks to support staff in processing insurance claims. Claims assistants manage correspondence, take phone calls, do paperwork, and type documents. Also called insurance claim clerks, the assistants do clerical and administrative tasks. They assist professionals working for financial services enterprises, medical providers, and insurance enterprises. Among the skills they need are strong communication skills, data entry, customer service, attention to detail, and knowledge about insurance. They are also expected to have management skills.

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.

Claims assistant vs claims administrator salary

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

Claims AssistantClaims Administrator
Average salary$36,487$36,432
Salary rangeBetween $30,000 And $44,000Between $29,000 And $44,000
Highest paying CityHartford, CTReno, NV
Highest paying stateConnecticutConnecticut
Best paying companyNational General InsuranceABB
Best paying industryGovernmentHospitality

Differences between claims assistant and claims administrator education

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

Claims AssistantClaims Administrator
Most common degreeBachelor's Degree, 43%Bachelor's Degree, 53%
Most common majorBusinessBusiness
Most common college--

Claims assistant vs claims administrator demographics

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

Claims AssistantClaims Administrator
Average age4444
Gender ratioMale, 19.5% Female, 80.5%Male, 28.9% Female, 71.1%
Race ratioBlack 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 Percentage11%11%

Differences between claims assistant and claims administrator duties and responsibilities

Claims assistant example responsibilities.

  • Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
  • Process all HMO member reimbursements.
  • Create and provide weekly/monthly reports and PowerPoint presentations.
  • Coordinate daily operations such as updating litigation calendars and client data files.
  • Maintain a diary of complex, high dollar exposure, politically sensitive and high-visibility litigation claims.
  • Process various compensation benefits applications for veterans in compliance with organizational laws, federal laws, rules and regulations.
  • Show more

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.
  • Show more

Claims assistant vs claims administrator skills

Common claims assistant skills
  • Customer Service, 23%
  • Data Entry, 12%
  • Photocopying, 6%
  • Insurance Claims, 5%
  • Insurance Adjusters, 5%
  • Veterans, 4%
Common claims administrator skills
  • Data Entry, 12%
  • Customer Service, 9%
  • Process Claims, 8%
  • Phone Calls, 7%
  • HR, 5%
  • Insurance Claims, 5%

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