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The differences between claims resolution specialists and 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 service specialist. Additionally, a service specialist has an average salary of $44,150, 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 service specialist are patients, social work, and criminal justice.
| Claims Resolution Specialist | Service Specialist | |
| Yearly salary | $38,432 | $44,150 |
| Hourly rate | $18.48 | $21.23 |
| Growth rate | -4% | -4% |
| Number of jobs | 55,413 | 207,020 |
| Job satisfaction | - | - |
| Most common degree | Bachelor's Degree, 52% | Bachelor's Degree, 53% |
| Average age | 40 | 40 |
| Years of experience | 12 | 12 |
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.
A service specialist is responsible for assisting customers with their inquiries and concerns about the services offered by the organization. Service specialists' duties include responding to customers' requests, updating customers of promotional offers and new services, escalating high-level concerns to the appropriate department, and keeping accurate records of clients' issues and resolutions. Service specialists are also in charge of preparing customer surveys to rate their satisfaction and identifying opportunities for service improvement. A service specialist must display excellent customer service and communication skills to address clients' concerns efficiently and accurately.
Claims resolution specialists and service specialists have different pay scales, as shown below.
| Claims Resolution Specialist | Service Specialist | |
| Average salary | $38,432 | $44,150 |
| Salary range | Between $30,000 And $47,000 | Between $27,000 And $71,000 |
| Highest paying City | - | Boston, MA |
| Highest paying state | - | Massachusetts |
| Best paying company | - | Ropes & Gray |
| Best paying industry | - | Technology |
There are a few differences between a claims resolution specialist and a service specialist in terms of educational background:
| Claims Resolution Specialist | Service Specialist | |
| Most common degree | Bachelor's Degree, 52% | Bachelor's Degree, 53% |
| Most common major | Business | Business |
| Most common college | - | - |
Here are the differences between claims resolution specialists' and service specialists' demographics:
| Claims Resolution Specialist | Service Specialist | |
| Average age | 40 | 40 |
| Gender ratio | Male, 26.0% Female, 74.0% | Male, 40.1% Female, 59.9% |
| Race ratio | Black 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, 5.4% Hispanic or Latino, 20.9% Asian, 7.5% White, 54.2% American Indian and Alaska Native, 0.7% |
| LGBT Percentage | 7% | 7% |