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Claims assistant vs claims coordinator

The differences between claims assistants and claims coordinators 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 assistant, becoming a claims coordinator takes usually requires 4-6 years. Additionally, a claims coordinator has an average salary of $38,620, which is higher than the $36,487 average annual salary of a claims assistant.

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

Claims assistant vs claims coordinator overview

Claims AssistantClaims Coordinator
Yearly salary$36,487$38,620
Hourly rate$17.54$18.57
Growth rate-3%-6%
Number of jobs8,97127,332
Job satisfaction--
Most common degreeBachelor's Degree, 43%Bachelor's Degree, 48%
Average age4444
Years of experience46

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 coordinator do?

Claims coordinators are professionals who are responsible for coordinating activities that are related to handling and processing insurance claims for an organization. These coordinators must serve as liaison officer between the organization, insurance provider, and policyholders to communicate the status and eligibility for coverage for all relevant claims. They need to ensure that billing requirements are met by reviewing insurance claims. Claims coordinators must also answer all the inquiries of their clients while making recommendations to resolve any claim issues.

Claims assistant vs claims coordinator salary

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

Claims AssistantClaims Coordinator
Average salary$36,487$38,620
Salary rangeBetween $30,000 And $44,000Between $31,000 And $47,000
Highest paying CityHartford, CTFederal Way, WA
Highest paying stateConnecticutNew Jersey
Best paying companyNational General InsuranceXcel Energy
Best paying industryGovernmentFinance

Differences between claims assistant and claims coordinator education

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

Claims AssistantClaims Coordinator
Most common degreeBachelor's Degree, 43%Bachelor's Degree, 48%
Most common majorBusinessBusiness
Most common college--

Claims assistant vs claims coordinator demographics

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

Claims AssistantClaims Coordinator
Average age4444
Gender ratioMale, 19.5% Female, 80.5%Male, 24.6% Female, 75.4%
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, 11.2% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage11%10%

Differences between claims assistant and claims coordinator 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 coordinator example responsibilities.

  • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
  • Process and adjust Medicare claims, provide feedback to providers on proper CPT, ICD-9 coding for billing purposes.
  • Serve as point of contact for all legal issues relate to HIPAA.
  • Streamline audit procedures of TPA and maintain extremely high production rate which help in keeping staffing requirements lower.
  • Review and audit claims -Using correct CPT and DX codes -Denial reports -correct billing error, resubmitted claims for proper payment
  • Communicate with company management, injure workers/customers, medical providers and TPA, as necessary, regarding claim relate matters.
  • Show more

Claims assistant vs claims coordinator skills

Common claims assistant skills
  • Customer Service, 23%
  • Data Entry, 12%
  • Photocopying, 6%
  • Insurance Claims, 5%
  • Insurance Adjusters, 5%
  • Veterans, 4%
Common claims coordinator skills
  • Customer Service, 23%
  • Patients, 9%
  • Data Entry, 8%
  • Phone Calls, 6%
  • Insurance Claims, 5%
  • Quality Standards, 4%

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