Claims associate vs insurance coordinator

The differences between claims associates and insurance coordinators 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 coordinator. Additionally, a claims associate has an average salary of $36,558, which is higher than the $32,788 average annual salary of an insurance coordinator.

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

Claims associate vs insurance coordinator overview

	Claims Associate	Insurance Coordinator
Yearly salary	$36,558	$32,788
Hourly rate	$17.58	$15.76
Growth rate	-3%	-3%
Number of jobs	9,145	108,509
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 48%	Bachelor's Degree, 36%
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 coordinator do?

An insurance coordinator is responsible for evaluating and validating insurance information to verify claims and process the necessary claims resolutions for parties. Insurance coordinators submit claims statements timely to the insurance officers for review, coordinate with the clients for inquiries and updates, and reach out to medical institutions for accurate filing of payments. An insurance coordinator must have excellent communication and analytical skills to assess reports, resolve claims discrepancies, and escalate high-level complaints to the officers for immediate action.

Claims associate vs insurance coordinator salary

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

	Claims Associate	Insurance Coordinator
Average salary	$36,558	$32,788
Salary range	Between $30,000 And $44,000	Between $25,000 And $41,000
Highest paying City	Hartford, CT	Oakland, CA
Highest paying state	Connecticut	New Hampshire
Best paying company	Accenture	University of California, Berkeley
Best paying industry	Insurance	Pharmaceutical

Differences between claims associate and insurance coordinator education

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

	Claims Associate	Insurance Coordinator
Most common degree	Bachelor's Degree, 48%	Bachelor's Degree, 36%
Most common major	Business	Business
Most common college	-	-

Claims associate vs insurance coordinator demographics

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

	Claims Associate	Insurance Coordinator
Average age	44	44
Gender ratio	Male, 30.3% Female, 69.7%	Male, 9.9% Female, 90.1%
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 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.

Insurance coordinator example responsibilities.

Verify patient dental insurance coverage and limitations with major private and business dental insurance providers as well as Medicaid and Medicare.
File to record patient demographics in numerous EMR systems and paper charts if applicable.
Prepare providers and staff for ICD-10 transition.
Post and reconcile all daily insurance, patient payments and transactions within the EMR system.
Experience in registration in healthcare, business office and physician billing, with reimbursement and collections.
Process all Medicare claims, explaining HMO changes to patients in detail and accurately documenting all benefits.

Claims associate vs insurance 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 insurance coordinator skills

Patients, 26%
Customer Service, 11%
Insurance Verification, 7%
Insurance Eligibility, 4%
Medicaid, 3%
Medical Terminology, 3%

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Office and Administrative Industry
Claims Associate
Claims Associate vs Insurance Coordinator

Updated January 8, 2025

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