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Claims assistant vs insurance claims processor

The differences between claims assistants and insurance claims processors 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 an insurance claims processor. Additionally, an insurance claims processor has an average salary of $37,151, 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 an insurance claims processor are data entry, customer service, and medicaid.

Claims assistant vs insurance claims processor overview

Claims AssistantInsurance Claims Processor
Yearly salary$36,487$37,151
Hourly rate$17.54$17.86
Growth rate-3%-3%
Number of jobs8,97148,777
Job satisfaction--
Most common degreeBachelor's Degree, 43%Bachelor's Degree, 30%
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 an insurance claims processor do?

A claims processor usually works in health or property insurance claims. They are responsible for processing and evaluating the claim forms, monitoring and verifying information, and closely communicating with the company's clients, beneficiaries, and agents. Also, they handle queries and comments, calculate possible claims, and process of various payments. They also need to ensure all insurance company guidelines and policies are adhered to in order to avoid discrepancies, issues, and other problems regarding a client's claims.

Claims assistant vs insurance claims processor salary

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

Claims AssistantInsurance Claims Processor
Average salary$36,487$37,151
Salary rangeBetween $30,000 And $44,000Between $30,000 And $45,000
Highest paying CityHartford, CTEden Prairie, MN
Highest paying stateConnecticutConnecticut
Best paying companyNational General InsuranceAccenture
Best paying industryGovernmentInsurance

Differences between claims assistant and insurance claims processor education

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

Claims AssistantInsurance Claims Processor
Most common degreeBachelor's Degree, 43%Bachelor's Degree, 30%
Most common majorBusinessBusiness
Most common college--

Claims assistant vs insurance claims processor demographics

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

Claims AssistantInsurance Claims Processor
Average age4444
Gender ratioMale, 19.5% Female, 80.5%Male, 20.3% Female, 79.7%
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 insurance claims processor 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

Insurance claims processor example responsibilities.

  • Manage cases by aggressively directing the litigation process.
  • Maintain confidentiality in accordance with HIPAA laws.
  • Process ICD-9 codes, diagnostic and procedure codes.
  • Handle confidential information according to HIPPA and JAACHO standards.
  • Follow and comply with HIPPA rules and regulations to ensure patient privacy.
  • Process medical and dental claims using appropriate CPT, ICD-9, and ADA coding.
  • Show more

Claims assistant vs insurance claims processor skills

Common claims assistant skills
  • Customer Service, 23%
  • Data Entry, 12%
  • Photocopying, 6%
  • Insurance Claims, 5%
  • Insurance Adjusters, 5%
  • Veterans, 4%
Common insurance claims processor skills
  • Data Entry, 18%
  • Customer Service, 11%
  • Medicaid, 8%
  • Medical Terminology, 6%
  • Insurance Coverage, 5%
  • ICD-9, 4%

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