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Claims service representative vs associate customer service representative

The differences between claims service representatives and associate customer service representatives 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 service representative and an associate customer service representative. Additionally, a claims service representative has an average salary of $36,043, which is higher than the $35,215 average annual salary of an associate customer service representative.

The top three skills for a claims service representative include insurance claims, customer service and policy coverage. The most important skills for an associate customer service representative are patients, outbound calls, and customer inquiries.

Claims service representative vs associate customer service representative overview

Claims Service RepresentativeAssociate Customer Service Representative
Yearly salary$36,043$35,215
Hourly rate$17.33$16.93
Growth rate-4%-4%
Number of jobs127,339199,751
Job satisfaction--
Most common degreeBachelor's Degree, 52%Bachelor's Degree, 35%
Average age4040
Years of experience1212

What does a claims service representative do?

Claims service representatives evaluate customer insurance claims. Their tasks in this career include interviewing witnesses or customers and visiting accident sites to assess the scope of the claim. Also, they determine whether it is worth arranging a settlement and make sure all settlement claims are managed quickly. In addition to evaluating accidents and claims, they renew customer policies based on their history. Qualifications for the job include a firm knowledge of overall company policy, computer literacy, and excellent customer service.

What does an associate customer service representative do?

An associate customer service representative is responsible for providing high customer service by assisting customers on their inquiries and concerns, as well as resolving and escalating high-level complaints to the supervisor or tenured customer service representative. Associate customer service representatives also process orders and payments from the customers, replacing defective items, and issuing refunds as needed. They must have excellent communication and organizational skills, especially on handling data processing procedures to the database for reference to customer concerns.

Claims service representative vs associate customer service representative salary

Claims service representatives and associate customer service representatives have different pay scales, as shown below.

Claims Service RepresentativeAssociate Customer Service Representative
Average salary$36,043$35,215
Salary rangeBetween $30,000 And $42,000Between $26,000 And $46,000
Highest paying CityUrban Honolulu, HIWashington, DC
Highest paying stateAlaskaMassachusetts
Best paying companyHomeowners ChoiceDeutsche Bank
Best paying industryGovernmentFinance

Differences between claims service representative and associate customer service representative education

There are a few differences between a claims service representative and an associate customer service representative in terms of educational background:

Claims Service RepresentativeAssociate Customer Service Representative
Most common degreeBachelor's Degree, 52%Bachelor's Degree, 35%
Most common majorBusinessBusiness
Most common college--

Claims service representative vs associate customer service representative demographics

Here are the differences between claims service representatives' and associate customer service representatives' demographics:

Claims Service RepresentativeAssociate Customer Service Representative
Average age4040
Gender ratioMale, 29.2% Female, 70.8%Male, 35.1% Female, 64.9%
Race ratioBlack or African American, 12.8% Unknown, 5.2% Hispanic or Latino, 19.9% Asian, 6.1% White, 55.3% American Indian and Alaska Native, 0.7%Black or African American, 12.2% Unknown, 5.5% Hispanic or Latino, 21.0% Asian, 6.4% White, 54.2% American Indian and Alaska Native, 0.8%
LGBT Percentage7%7%

Differences between claims service representative and associate customer service representative duties and responsibilities

Claims service representative example responsibilities.

  • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
  • Experience in medical terminology, ICD9, CPT and DRG coding.
  • Review types of service on claims base on the CPT codes and diagnosis code.
  • Examine injure persons and administer first aid or cardiopulmonary resuscitation, if necessary, using training and medical supplies and equipment.
  • Coordinate EDI traffic with external clearinghouses and business partner Multiplan.
  • Process EDI reports, purge reports, and smart data reject list.
  • Show more

Associate customer service representative example responsibilities.

  • Lead and train a group of 3+ CSRs at a time, are responsible for making change and maintaining the till.
  • Assist as a cashier handling money, checks, and credit card transactions on company's POS system.
  • Operate POS cash register, maintain thorough knowledge of store merchandise and responsible for cross selling JC Penney credit card.
  • Audit CSRs final work for errors in the data entry portion so that billing information to providers & veterans are accurate.
  • Mail updated information to patients and providers regarding benefit changes.
  • Perform computer record searches; verify merchandise warranty and relay information to internal leadership.
  • Show more

Claims service representative vs associate customer service representative skills

Common claims service representative skills
  • Insurance Claims, 12%
  • Customer Service, 11%
  • Policy Coverage, 8%
  • Phone Calls, 7%
  • Claims Process, 6%
  • Inbound Calls, 4%
Common associate customer service representative skills
  • Patients, 16%
  • Outbound Calls, 14%
  • Customer Inquiries, 7%
  • Customer Complaints, 7%
  • Inbound Calls, 6%
  • Customer Service, 5%

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