Claims assistant vs claims representative

The differences between claims assistants and claims representatives 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 representative takes usually requires 4-6 years. Additionally, a claims representative has an average salary of $38,796, 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 representative are customer service, quality standards, and policy coverage.

Claims assistant vs claims representative overview

	Claims Assistant	Claims Representative
Yearly salary	$36,487	$38,796
Hourly rate	$17.54	$18.65
Growth rate	-3%	-6%
Number of jobs	8,971	18,565
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 43%	Bachelor's Degree, 62%
Average age	44	44
Years of experience	4	6

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 representative do?

A Claims Representative is an agent who works for insurance companies in order to investigate and settle claims. The agent acts as an intermediary between customers and insurance companies by evaluating the customers' facts surrounding claims and determining whether the loss is covered or should be compensated. Such a role is important because an agent makes sure that no fraud claims are being paid out. It is also highlighted that an agent works in compliance with state regulations.

Claims assistant vs claims representative salary

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

	Claims Assistant	Claims Representative
Average salary	$36,487	$38,796
Salary range	Between $30,000 And $44,000	Between $28,000 And $53,000
Highest paying City	Hartford, CT	Dearborn, MI
Highest paying state	Connecticut	New Jersey
Best paying company	National General Insurance	W. R. Berkley
Best paying industry	Government	Government

Differences between claims assistant and claims representative education

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

	Claims Assistant	Claims Representative
Most common degree	Bachelor's Degree, 43%	Bachelor's Degree, 62%
Most common major	Business	Business
Most common college	-	Stanford University

Claims assistant vs claims representative demographics

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

	Claims Assistant	Claims Representative
Average age	44	44
Gender ratio	Male, 19.5% Female, 80.5%	Male, 37.5% Female, 62.5%
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, 11.0% Unknown, 4.4% Hispanic or Latino, 16.5% Asian, 5.1% White, 62.4% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	10%

Differences between claims assistant and claims representative 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.

Claims representative example responsibilities.

Perform initial set-up and continuously manage claims in the Juris claims management system.
Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
Prepare necessary state filings within statutory limits, manage litigation and vocational rehabilitation process, used appropriate cost containment techniques.
Assist the training department in developing CSR training in order to set expectations.
Create custom templates and guide sheets for new trainees in the CSR Internet division to ensure consistency and increase department efficiency.
Utilize proper SIU reporting procedures for extensive investigation as required.

Claims assistant vs claims representative skills

Common claims assistant skills

Customer Service, 23%
Data Entry, 12%
Photocopying, 6%
Insurance Claims, 5%
Insurance Adjusters, 5%
Veterans, 4%

Common claims representative skills

Customer Service, 26%
Quality Standards, 6%
Policy Coverage, 6%
Reservations, 5%
Claims Handling, 3%
Insurance Coverage, 3%

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Office and Administrative Industry
Claims Assistant
Claims Assistant vs Claims Representative

Updated January 8, 2025

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