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Claims resolution specialist vs customer support specialist

The differences between claims resolution specialists and customer support 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 customer support specialist. Additionally, a customer support specialist has an average salary of $39,470, 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 customer support specialist are customer support, phone calls, and compassion.

Claims resolution specialist vs customer support specialist overview

Claims Resolution SpecialistCustomer Support Specialist
Yearly salary$38,432$39,470
Hourly rate$18.48$18.98
Growth rate-4%-4%
Number of jobs55,413259,592
Job satisfaction-1
Most common degreeBachelor's Degree, 52%Bachelor's Degree, 49%
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 customer support specialist do?

A customer support specialist is responsible for assisting a customer's inquiries and concerns regarding the goods and services the organization offers. Customer support specialists handle customer issues and resolve them promptly, escalating high-level complaints to the immediate supervisors. A support specialist will also replace products or process payment refunds as needed. Their goal is to maintain the highest customer satisfaction and keep a good reputation for the company while driving revenues and increasing profitability. A customer support specialist must have outstanding communication skills, as well as the ability to multi-task to record customer complaint cases while providing resolution.

Claims resolution specialist vs customer support specialist salary

Claims resolution specialists and customer support specialists have different pay scales, as shown below.

Claims Resolution SpecialistCustomer Support Specialist
Average salary$38,432$39,470
Salary rangeBetween $30,000 And $47,000Between $28,000 And $55,000
Highest paying City-Washington, DC
Highest paying state-Rhode Island
Best paying company-Micron Technology
Best paying industry-Technology

Differences between claims resolution specialist and customer support specialist education

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

Claims Resolution SpecialistCustomer Support Specialist
Most common degreeBachelor's Degree, 52%Bachelor's Degree, 49%
Most common majorBusinessBusiness
Most common college--

Claims resolution specialist vs customer support specialist demographics

Here are the differences between claims resolution specialists' and customer support specialists' demographics:

Claims Resolution SpecialistCustomer Support Specialist
Average age4040
Gender ratioMale, 26.0% Female, 74.0%Male, 37.4% Female, 62.6%
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, 11.5% Unknown, 5.3% Hispanic or Latino, 19.9% Asian, 7.2% White, 55.4% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between claims resolution specialist and customer support 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

Customer support specialist example responsibilities.

  • Build emails in Luminate system using HTML for mass updates.
  • Design online eBay templates using HTML; list items for sale.
  • Assist in training new CSR's on computer and billing systems.
  • Work for a pet supply business dealing mostly with business to business sales.
  • Assist in research projects for the department & prepare PowerPoint presentations as necessary.
  • Support using SQL to analyze data, write reports and correct errors in data.
  • Show more

Claims resolution specialist vs customer support specialist skills

Common claims resolution specialist skills
  • Patients, 13%
  • Medical Terminology, 7%
  • Insurance Claims, 6%
  • Patient Accounts, 5%
  • Medicaid, 5%
  • CPT, 5%
Common customer support specialist skills
  • Customer Support, 16%
  • Phone Calls, 11%
  • Compassion, 6%
  • Customer Service, 6%
  • Digital Marketing, 4%
  • Data Entry, 4%

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