Claims representative vs representative

The differences between claims representatives and representatives can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 4-6 years to become a claims representative, becoming a representative takes usually requires 6-12 months. Additionally, a claims representative has an average salary of $38,796, which is higher than the $36,023 average annual salary of a representative.

The top three skills for a claims representative include customer service, quality standards and policy coverage. The most important skills for a representative are cleanliness, patients, and customer issues.

Claims representative vs representative overview

	Claims Representative	Representative
Yearly salary	$38,796	$36,023
Hourly rate	$18.65	$17.32
Growth rate	-6%	-4%
Number of jobs	18,565	252,761
Job satisfaction	-	5
Most common degree	Bachelor's Degree, 62%	Bachelor's Degree, 53%
Average age	44	40
Years of experience	6	12

What does a claims representative do?

A Claims Representative is an agent who works for insurance companies in order to investigate and settle claims. The agent acts as an intermediary between customers and insurance companies by evaluating the customers' facts surrounding claims and determining whether the loss is covered or should be compensated. Such a role is important because an agent makes sure that no fraud claims are being paid out. It is also highlighted that an agent works in compliance with state regulations.

What does a representative do?

Representatives are lawmakers who represent the people in a specific district. They run for office to represent their districts in their hometown or their current place of living. Representatives are usually charismatic and good communicators. These characteristics are especially important during campaign and election periods. Representatives should be able to capture the hearts of the voters through their planned projects and advocacies. They are then elected by their constituents. Upon election, representatives author bills that will eventually be passed into law should it be approved by the majority of the congress. They also vote on the passage of bills authored by other representatives. They also participate in discussions and debates regarding different bills, issues, and laws. Representatives are expected to vote according to their conscience and in consideration of the voice of their constituents.

Claims representative vs representative salary

Claims representatives and representatives have different pay scales, as shown below.

	Claims Representative	Representative
Average salary	$38,796	$36,023
Salary range	Between $28,000 And $53,000	Between $23,000 And $55,000
Highest paying City	Dearborn, MI	Washington, DC
Highest paying state	New Jersey	New York
Best paying company	W. R. Berkley	Google
Best paying industry	Government	Transportation

Differences between claims representative and representative education

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

	Claims Representative	Representative
Most common degree	Bachelor's Degree, 62%	Bachelor's Degree, 53%
Most common major	Business	Business
Most common college	Stanford University	-

Claims representative vs representative demographics

Here are the differences between claims representatives' and representatives' demographics:

	Claims Representative	Representative
Average age	44	40
Gender ratio	Male, 37.5% Female, 62.5%	Male, 41.8% Female, 58.2%
Race ratio	Black or African American, 11.0% Unknown, 4.4% Hispanic or Latino, 16.5% Asian, 5.1% White, 62.4% American Indian and Alaska Native, 0.5%	Black or African American, 11.0% Unknown, 5.4% Hispanic or Latino, 20.9% Asian, 7.5% White, 54.4% American Indian and Alaska Native, 0.7%
LGBT Percentage	10%	7%

Differences between claims representative and representative duties and responsibilities

Claims representative example responsibilities.

Perform initial set-up and continuously manage claims in the Juris claims management system.
Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
Prepare necessary state filings within statutory limits, manage litigation and vocational rehabilitation process, used appropriate cost containment techniques.
Assist the training department in developing CSR training in order to set expectations.
Create custom templates and guide sheets for new trainees in the CSR Internet division to ensure consistency and increase department efficiency.
Utilize proper SIU reporting procedures for extensive investigation as required.

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Representative example responsibilities.

Manage fitting rooms and recover the department, while providing exceptional customer service and offering rewards and POS options.
Manage physical portfolio with necessary derivatives to mitigate risk within company guidelines.
Conduct telephone sales and interviews, compile and enter information into database, manage documents and insure customer satisfaction.
Review EOB denials, appeals and/or rebilling as appropriate.
Certify of all requirements, policies, and procedures, including MSB.
Take inbound phone calls from member and providers explaining the EOB denial and payments

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Claims representative vs representative skills

Common claims representative skills

Customer Service, 26%
Quality Standards, 6%
Policy Coverage, 6%
Reservations, 5%
Claims Handling, 3%
Insurance Coverage, 3%

Common representative skills

Cleanliness, 20%
Patients, 11%
Customer Issues, 10%
Customer Service, 10%
Data Entry, 6%
Outbound Calls, 3%

Claims Representative vs. similar jobs

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Claims Representative jobs by location

Updated January 8, 2025

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