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The differences between claims resolution specialists and specialists can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 6-12 months to become a claims resolution specialist, becoming a specialist takes usually requires 1-2 years. Additionally, a specialist has an average salary of $58,013, 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 specialist are patients, customer service, and work ethic.
| Claims Resolution Specialist | Specialist | |
| Yearly salary | $38,432 | $58,013 |
| Hourly rate | $18.48 | $27.89 |
| Growth rate | -4% | 10% |
| Number of jobs | 55,413 | 358,433 |
| Job satisfaction | - | - |
| Most common degree | Bachelor's Degree, 52% | Bachelor's Degree, 49% |
| Average age | 40 | 42 |
| Years of experience | 12 | 2 |
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.
Specialists are employees who are responsible for specific tasks or activities in the department they are assigned to. The actions or tasks they work on are related to their educational background or work experiences. They are usually highly skilled in specializations related to the work they are assigned to. Specialists are also highly trained on the competencies that are required of their specialty. As such, they are focused on the skills and competencies that are needed to enhance their experience in their specific field further.
Claims resolution specialists and specialists have different pay scales, as shown below.
| Claims Resolution Specialist | Specialist | |
| Average salary | $38,432 | $58,013 |
| Salary range | Between $30,000 And $47,000 | Between $32,000 And $104,000 |
| Highest paying City | - | Jersey City, NJ |
| Highest paying state | - | New Jersey |
| Best paying company | - | The Citadel |
| Best paying industry | - | - |
There are a few differences between a claims resolution specialist and a specialist in terms of educational background:
| Claims Resolution Specialist | Specialist | |
| Most common degree | Bachelor's Degree, 52% | Bachelor's Degree, 49% |
| Most common major | Business | Business |
| Most common college | - | Stanford University |
Here are the differences between claims resolution specialists' and specialists' demographics:
| Claims Resolution Specialist | Specialist | |
| Average age | 40 | 42 |
| Gender ratio | Male, 26.0% Female, 74.0% | Male, 47.5% Female, 52.5% |
| 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, 11.4% Unknown, 5.4% Hispanic or Latino, 16.4% Asian, 10.5% White, 55.9% American Indian and Alaska Native, 0.4% |
| LGBT Percentage | 7% | 11% |