Claims reviewer vs service specialist

The differences between claims reviewers 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 reviewer and a service specialist. Additionally, a service specialist has an average salary of $44,150, which is higher than the $41,011 average annual salary of a claims reviewer.

The top three skills for a claims reviewer include home health, insurance claims and data entry. The most important skills for a service specialist are patients, social work, and criminal justice.

Claims reviewer vs service specialist overview

	Claims Reviewer	Service Specialist
Yearly salary	$41,011	$44,150
Hourly rate	$19.72	$21.23
Growth rate	-4%	-4%
Number of jobs	9,789	207,020
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 55%	Bachelor's Degree, 53%
Average age	40	40
Years of experience	12	12

Claims reviewer vs service specialist salary

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

	Claims Reviewer	Service Specialist
Average salary	$41,011	$44,150
Salary range	Between $30,000 And $54,000	Between $27,000 And $71,000
Highest paying City	-	Boston, MA
Highest paying state	-	Massachusetts
Best paying company	-	Ropes & Gray
Best paying industry	-	Technology

Differences between claims reviewer and service specialist education

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

	Claims Reviewer	Service Specialist
Most common degree	Bachelor's Degree, 55%	Bachelor's Degree, 53%
Most common major	Business	Business
Most common college	-	-

Claims reviewer vs service specialist demographics

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

	Claims Reviewer	Service Specialist
Average age	40	40
Gender ratio	Male, 30.2% Female, 69.8%	Male, 40.1% Female, 59.9%
Race ratio	Black or African American, 15.5% Unknown, 5.0% Hispanic or Latino, 16.3% Asian, 7.2% White, 55.4% 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%

Differences between claims reviewer and service specialist duties and responsibilities

Claims reviewer example responsibilities.

Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Review worker comp claims base on state fee schedule and ICD-9 guidelines.
Research ICD-9 codes and verify they are equivalent with customer s diagnoses.
Review accounts per OCC guidelines that all efforts are met and due diligence complete.
Research claims, review document findings and execute OCC approve harm test for each file.
Help maintain company compliance with FDA and ICH Regulations/Guidelines governing the reporting of adverse event reports.

Service specialist example responsibilities.

Achieve personal sales and referral goals by identifying, marketing and cross-selling banking products and services beneficial to customer needs.
Educate veterans and the college community on veteran's benefits and academic requirements need to accomplish academic goals.
Provide notary service as requested.
Respond to medical emergencies, including first aid and CPR.
Organize the transition of file transfers of major TRS/NAS clients from FTP to MessageWay.
Follow all rules set by FDCPA and state agencies - pass all annual tests.

Claims reviewer vs service specialist skills

Common claims reviewer skills

Home Health, 50%
Insurance Claims, 5%
Data Entry, 5%
Medical Terminology, 3%
CPT, 3%
Claims Submission, 3%

Common service specialist skills

Patients, 12%
Social Work, 10%
Criminal Justice, 4%
Rehabilitation, 4%
Excellent Interpersonal, 4%
Product Knowledge, 3%