Claims associate vs claims coordinator

The differences between claims associates 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 associate, 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 $36,558 average annual salary of a claims associate.

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

Claims associate vs claims coordinator overview

	Claims Associate	Claims Coordinator
Yearly salary	$36,558	$38,620
Hourly rate	$17.58	$18.57
Growth rate	-3%	-6%
Number of jobs	9,145	27,332
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 48%	Bachelor's Degree, 48%
Average age	44	44
Years of experience	4	6

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 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 associate vs claims coordinator salary

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

	Claims Associate	Claims Coordinator
Average salary	$36,558	$38,620
Salary range	Between $30,000 And $44,000	Between $31,000 And $47,000
Highest paying City	Hartford, CT	Federal Way, WA
Highest paying state	Connecticut	New Jersey
Best paying company	Accenture	Xcel Energy
Best paying industry	Insurance	Finance

Differences between claims associate and claims coordinator education

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

	Claims Associate	Claims Coordinator
Most common degree	Bachelor's Degree, 48%	Bachelor's Degree, 48%
Most common major	Business	Business
Most common college	-	-

Claims associate vs claims coordinator demographics

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

	Claims Associate	Claims Coordinator
Average age	44	44
Gender ratio	Male, 30.3% Female, 69.7%	Male, 24.6% Female, 75.4%
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, 11.2% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	10%

Differences between claims associate and claims coordinator 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 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.

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Claims associate vs claims coordinator 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 coordinator skills

Customer Service, 23%
Patients, 9%
Data Entry, 8%
Phone Calls, 6%
Insurance Claims, 5%
Quality Standards, 4%

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Updated January 8, 2025

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