Claims director vs claims analyst

The differences between claims directors and claims analysts can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a claims director and a claims analyst. Additionally, a claims director has an average salary of $118,250, which is higher than the $48,398 average annual salary of a claims analyst.

The top three skills for a claims director include customer service, litigation and oversight. The most important skills for a claims analyst are customer service, medical terminology, and CPT.

Claims director vs claims analyst overview

	Claims Director	Claims Analyst
Yearly salary	$118,250	$48,398
Hourly rate	$56.85	$23.27
Growth rate	-6%	-6%
Number of jobs	13,299	22,062
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 68%	Bachelor's Degree, 52%
Average age	44	44
Years of experience	6	6

What does a claims director do?

A claims director spearheads and oversees the daily operations of an insurance company's claims department. They have the authority to make decisions and changes, set goals and timelines, establish guidelines and budgets, liaise with key external partners, coordinate managers and teams, delegate responsibilities, and conduct research and analysis to find opportunities that will optimize the department's operations. Moreover, a claims director leads and encourages staff to reach goals, all while implementing the company's claims policies and regulations, developing new ones as needed.

What does a claims analyst do?

A claims analyst specializes in processing medical insurance claims. They are primarily responsible for verifying the authenticity and eligibility of claims, analyzing the billing, communicating with policyholders, and ensuring adherence to all the policies and regulations during the entire procedure. Furthermore, a claims analyst is also in charge of administrative tasks such as keeping and updating records, reaching out and sending reports to creditors, setting appointments and schedules, processing paperwork, coordinating with key personnel, and discussing terms and necessary information to clients.

Claims director vs claims analyst salary

Claims directors and claims analysts have different pay scales, as shown below.

	Claims Director	Claims Analyst
Average salary	$118,250	$48,398
Salary range	Between $73,000 And $190,000	Between $29,000 And $78,000
Highest paying City	-	Trenton, NJ
Highest paying state	-	New Jersey
Best paying company	-	Google
Best paying industry	-	-

Differences between claims director and claims analyst education

There are a few differences between a claims director and a claims analyst in terms of educational background:

	Claims Director	Claims Analyst
Most common degree	Bachelor's Degree, 68%	Bachelor's Degree, 52%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Claims director vs claims analyst demographics

Here are the differences between claims directors' and claims analysts' demographics:

	Claims Director	Claims Analyst
Average age	44	44
Gender ratio	Male, 58.2% Female, 41.8%	Male, 27.6% Female, 72.4%
Race ratio	Black or African American, 10.7% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 62.2% American Indian and Alaska Native, 0.5%	Black or African American, 11.3% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.3% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between claims director and claims analyst duties and responsibilities

Claims director example responsibilities.

Create project team that comply with new Medicare reporting requirements achieving successful reporting to CMS.
Maintain relationships with attorneys and manage litigation strategy; ensure strong relationships with insureds, brokers and third party administrators.
Redesign processes and procedures for managing litigation through the implementation of an aggressive process for managing discovery and case typing.
General knowledge of CPT, ICD-9, HCPCS, DRG and Medicode (UCR), bundling and unbundling.
File and respond to online arbitration matters.
Facilitate annual updates to all new and revise CPT codes assuring accurate claims payment.

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Claims analyst example responsibilities.

Help managed meetings regarding decision making on CMS regulations.
Process UB's and HCFA's according to guidelines.
Analyze and investigate medical claims utilizing ICD-9 and CPT-4 coding.
Review claims (HCFA and UB) for accurate billing submission.
Interpret medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes for member submit claims.
Acquire biometrics and perform phlebotomy.

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Claims director vs claims analyst skills

Common claims director skills

Customer Service, 17%
Litigation, 11%
Oversight, 9%
Coverage Issues, 6%
Claims Handling, 5%
Claims Operations, 5%

Common claims analyst skills

Customer Service, 14%
Medical Terminology, 5%
CPT, 5%
Process Claims, 5%
Medicaid, 5%
Data Entry, 5%

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Updated January 8, 2025

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