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Claims associate vs insurance verifier

The differences between claims associates and insurance verifiers 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 verifier. Additionally, a claims associate has an average salary of $36,558, which is higher than the $33,450 average annual salary of an insurance verifier.

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

Claims associate vs insurance verifier overview

Claims AssociateInsurance Verifier
Yearly salary$36,558$33,450
Hourly rate$17.58$16.08
Growth rate-3%-3%
Number of jobs9,14584,023
Job satisfaction--
Most common degreeBachelor's Degree, 48%Associate Degree, 25%
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 an insurance verifier do?

An insurance verifier specializes in dealing with the billing process and patient claims. As the process begins, insurance verifiers look into patient insurance information and verify treatments that their policies cover. They call the insurance companies and send proper documentation to verify pre-approval for the required procedure. Eventually, the insurance verifiers work with insurance companies to bill them for the procedure. Their tasks may also include communicating with patients about benefits, coverage, and care authorization, and liaising with patients and providers to communicate their needs and current state.

Claims associate vs insurance verifier salary

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

Claims AssociateInsurance Verifier
Average salary$36,558$33,450
Salary rangeBetween $30,000 And $44,000Between $27,000 And $40,000
Highest paying CityHartford, CT-
Highest paying stateConnecticut-
Best paying companyAccenture-
Best paying industryInsurance-

Differences between claims associate and insurance verifier education

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

Claims AssociateInsurance Verifier
Most common degreeBachelor's Degree, 48%Associate Degree, 25%
Most common majorBusinessHealth Care Administration
Most common college--

Claims associate vs insurance verifier demographics

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

Claims AssociateInsurance Verifier
Average age4444
Gender ratioMale, 30.3% Female, 69.7%Male, 10.5% Female, 89.5%
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 insurance verifier 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.
  • Show more

Insurance verifier example responsibilities.

  • Manage database by processing renewals and endorsements.
  • Verify eligibility for members who have Medicaid and Medicare.
  • Verify and process demographic information and insurance benefits to register inpatients, outpatients, short procedures, and emergency room patients.
  • Handle a substantial amount of Allstate customers, third party carriers, and others who need assistance to file a claim.

Claims associate vs insurance verifier 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 verifier skills
  • Patients, 25%
  • Insurance Verification, 9%
  • Medical Terminology, 9%
  • Customer Service, 7%
  • Data Entry, 5%
  • Insurance Eligibility, 4%

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