Post job

Claims resolution specialist vs client service specialist

The differences between claims resolution specialists and client service specialists can be seen in a few details. Each job has different responsibilities and duties. It typically takes 6-12 months to become both a claims resolution specialist and a client service specialist. Additionally, a client service specialist has an average salary of $40,043, which is higher than the $38,432 average annual salary of a claims resolution specialist.

The top three skills for a claims resolution specialist include patients, medical terminology and insurance claims. The most important skills for a client service specialist are client service, excellent interpersonal, and client facing.

Claims resolution specialist vs client service specialist overview

Claims Resolution SpecialistClient Service Specialist
Yearly salary$38,432$40,043
Hourly rate$18.48$19.25
Growth rate-4%-4%
Number of jobs55,413225,591
Job satisfaction--
Most common degreeBachelor's Degree, 52%Bachelor's Degree, 61%
Average age4040
Years of experience1212

What does a claims resolution specialist do?

Claims resolution specialists are in charge of outstanding claims follow-ups, submitting appeals, and corresponding to work claims. To be good at this job, they find different techniques to resolve outstanding patient claims. When performing their duties, these specialists make sure that they work with professionalism and high detail quality. They should be comfortable with navigating computerized claims and various platforms while assisting their clients over the phone. These types of specialists also always maintain the confidentiality of their members' data.

What does a client service specialist do?

A client service specialist is an individual who fulfills tasks that are related to delivering a product or service to clients. Client service specialists are required to assist project managers in establishing parameters and requirements of a project or work with a particular client. They help in the development of training manuals and materials that are needed by the client to use the newly developed product. Client service specialists must also set up and create archives for client records.

Claims resolution specialist vs client service specialist salary

Claims resolution specialists and client service specialists have different pay scales, as shown below.

Claims Resolution SpecialistClient Service Specialist
Average salary$38,432$40,043
Salary rangeBetween $30,000 And $47,000Between $26,000 And $61,000
Highest paying City-New York, NY
Highest paying state-New York
Best paying company-Moody's
Best paying industry-Finance

Differences between claims resolution specialist and client service specialist education

There are a few differences between a claims resolution specialist and a client service specialist in terms of educational background:

Claims Resolution SpecialistClient Service Specialist
Most common degreeBachelor's Degree, 52%Bachelor's Degree, 61%
Most common majorBusinessBusiness
Most common college--

Claims resolution specialist vs client service specialist demographics

Here are the differences between claims resolution specialists' and client service specialists' demographics:

Claims Resolution SpecialistClient Service Specialist
Average age4040
Gender ratioMale, 26.0% Female, 74.0%Male, 29.5% Female, 70.5%
Race ratioBlack or African American, 11.4% Unknown, 5.1% Hispanic or Latino, 20.6% Asian, 6.2% White, 56.0% American Indian and Alaska Native, 0.6%Black or African American, 11.2% Unknown, 5.5% Hispanic or Latino, 19.9% Asian, 7.0% White, 55.6% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between claims resolution specialist and client service specialist duties and responsibilities

Claims resolution specialist example responsibilities.

  • Manage expedition of appeals via problem solving and collaboration with other departments.
  • Assist provider with ICD-9, CPT and revenue codes, DME, coordination of benefits, efficiently train on HIPPA.
  • Process medical claims submit to Kansas Medicaid using establish guidelines and policies.
  • Ensure compliance with HIPAA regulations and requirements.
  • Determine the types of claims using submit diagnoses, CPT, and HCPS codes.
  • Communicate with claimants and insure individuals alike while ensuring privacy and HIPPA laws are maintain.
  • Show more

Client service specialist example responsibilities.

  • Educate veterans and the college community on veteran's benefits and academic requirements need to accomplish academic goals.
  • Demonstrate compassion and encouragement during tough moments.
  • Prepare and present PowerPoint presentations for training meetings.
  • Create a PowerPoint presentation implement into the official training program.
  • Transition reporting and document storage process to an online SharePoint workspace for increase efficiency.
  • Examine injure persons and administer first aid or cardiopulmonary resuscitation, if necessary, using training and medical supplies and equipment.
  • Show more

Claims resolution specialist vs client service specialist skills

Common claims resolution specialist skills
  • Patients, 13%
  • Medical Terminology, 7%
  • Insurance Claims, 6%
  • Patient Accounts, 5%
  • Medicaid, 5%
  • CPT, 5%
Common client service specialist skills
  • Client Service, 16%
  • Excellent Interpersonal, 7%
  • Client Facing, 6%
  • Client Issues, 5%
  • Data Entry, 5%
  • Work Ethic, 4%

Browse office and administrative jobs