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Claims associate vs claims assistant

The differences between claims associates and claims 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 associate and a claims assistant. Additionally, a claims associate has an average salary of $36,558, which is higher than the $36,487 average annual salary of a claims assistant.

The top three skills for a claims associate include customer service, medical claims and phone calls. The most important skills for a claims assistant are customer service, data entry, and photocopying.

Claims associate vs claims assistant overview

Claims AssociateClaims Assistant
Yearly salary$36,558$36,487
Hourly rate$17.58$17.54
Growth rate-3%-3%
Number of jobs9,1458,971
Job satisfaction--
Most common degreeBachelor's Degree, 48%Bachelor's Degree, 43%
Average age4444
Years of experience44

What does a claims associate do?

Claims associates control claims for insurance companies. Their job duties include determining a customer's insurance coverage and evaluating those who have filed a claim. Also, they must make sure that a claim is analyzed correctly for the clients to receive their entitled financial settlement. The work may require the agent to travel to generate information about the claim and may vary from a different position in the insurance industry. Qualifications for the job include an associate degree, excellent interpersonal and research skills as well as relevant experience in customer service.

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.

Claims associate vs claims assistant salary

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

Claims AssociateClaims Assistant
Average salary$36,558$36,487
Salary rangeBetween $30,000 And $44,000Between $30,000 And $44,000
Highest paying CityHartford, CTHartford, CT
Highest paying stateConnecticutConnecticut
Best paying companyAccentureNational General Insurance
Best paying industryInsuranceGovernment

Differences between claims associate and claims assistant education

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

Claims AssociateClaims Assistant
Most common degreeBachelor's Degree, 48%Bachelor's Degree, 43%
Most common majorBusinessBusiness
Most common college--

Claims associate vs claims assistant demographics

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

Claims AssociateClaims Assistant
Average age4444
Gender ratioMale, 30.3% Female, 69.7%Male, 19.5% Female, 80.5%
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 associate and claims assistant duties and responsibilities

Claims associate example responsibilities.

  • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
  • Obtain vehicle information from the DMV.
  • Follow HIPAA policy on each and every call.
  • Abided by the laws and regulations associate under HIPAA and patient confidentiality.
  • Receive recognition for creating a workflow and database for all incoming subpoenas.
  • Assist in training new CSA s on job responsibilities, which increase office productivity.
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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.
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Claims associate vs claims assistant skills

Common claims associate skills
  • Customer Service, 14%
  • Medical Claims, 8%
  • Phone Calls, 8%
  • Claims Handling, 7%
  • Insurance Claims, 6%
  • Medical Terminology, 5%
Common claims assistant skills
  • Customer Service, 23%
  • Data Entry, 12%
  • Photocopying, 6%
  • Insurance Claims, 5%
  • Insurance Adjusters, 5%
  • Veterans, 4%

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