Claims associate vs insurance assistant

The differences between claims associates and insurance 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 an insurance assistant. Additionally, a claims associate has an average salary of $36,558, which is higher than the $35,308 average annual salary of an insurance assistant.

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

Claims associate vs insurance assistant overview

	Claims Associate	Insurance Assistant
Yearly salary	$36,558	$35,308
Hourly rate	$17.58	$16.98
Growth rate	-3%	-3%
Number of jobs	9,145	34,579
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 48%	Bachelor's Degree, 45%
Average age	44	44
Years of experience	4	4

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 an insurance assistant do?

Insurance assistants work alongside insurance agents to gather information from clients, maintain insurance records, prepare documentation, handle mail and correspondence, calculate insurance premiums and awards, and recommend claim actions. Qualifications like good communication and negotiation skills, customer service orientation, research skills, and attention to detail are required for this position.

Claims associate vs insurance assistant salary

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

	Claims Associate	Insurance Assistant
Average salary	$36,558	$35,308
Salary range	Between $30,000 And $44,000	Between $29,000 And $42,000
Highest paying City	Hartford, CT	-
Highest paying state	Connecticut	-
Best paying company	Accenture	-
Best paying industry	Insurance	-

Differences between claims associate and insurance assistant education

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

	Claims Associate	Insurance Assistant
Most common degree	Bachelor's Degree, 48%	Bachelor's Degree, 45%
Most common major	Business	Business
Most common college	-	-

Claims associate vs insurance assistant demographics

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

	Claims Associate	Insurance Assistant
Average age	44	44
Gender ratio	Male, 30.3% Female, 69.7%	Male, 18.8% Female, 81.2%
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, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	11%

Differences between claims associate and insurance 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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Insurance assistant example responsibilities.

Cold-Cal to generate leads for individual life and disability insurance and annuities.
Analyze Medicaid models, Medicare and HIPAA transaction documents.
Assign ICD-9 and CPT codes to office visit and inpatient and outpatient procedures.
Process electronic claims, pre-existing and subrogation investigation, point of service, and PPO and HMO processing.
Train staff on billing software in regards to CPT codes and pricing, submission procedures, and industry regulations.
Perform verification of Medicare and Medicaid coverage and limits.

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Claims associate vs insurance 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 insurance assistant skills

Endorsements, 13%
Data Entry, 10%
Customer Service, 9%
Insurance Policies, 8%
Photocopying, 5%
Loss Runs, 4%

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Updated January 8, 2025

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