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Claims service representative vs service representative

The differences between claims service representatives and 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 a service representative. Additionally, a claims service representative has an average salary of $36,043, which is higher than the $33,692 average annual salary of a service representative.

The top three skills for a claims service representative include insurance claims, customer service and policy coverage. The most important skills for a service representative are customer service, client service, and patients.

Claims service representative vs service representative overview

Claims Service RepresentativeService Representative
Yearly salary$36,043$33,692
Hourly rate$17.33$16.20
Growth rate-4%-4%
Number of jobs127,339210,671
Job satisfaction-5
Most common degreeBachelor's Degree, 52%Bachelor's Degree, 51%
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 a service representative do?

Service representatives handle customer inquiries, requests, complaints, and other general feedback. They are usually the first point of contact with the company's customers. Service representatives are expected to be familiar with all of the company's products so that they can answer all inquiries made by the customers. They should also be familiar with company policies and guidelines on sales and customer handling so that they can address concerns and feedback. They are usually the ones who try to resolve customer complaints by sending issues to applicable departments and ensuring that customers are satisfied with the company's products and services.

Claims service representative vs service representative salary

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

Claims Service RepresentativeService Representative
Average salary$36,043$33,692
Salary rangeBetween $30,000 And $42,000Between $24,000 And $45,000
Highest paying CityUrban Honolulu, HINew York, NY
Highest paying stateAlaskaNew York
Best paying companyHomeowners ChoiceNorthern Trust
Best paying industryGovernmentGovernment

Differences between claims service representative and service representative education

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

Claims Service RepresentativeService Representative
Most common degreeBachelor's Degree, 52%Bachelor's Degree, 51%
Most common majorBusinessBusiness
Most common college--

Claims service representative vs service representative demographics

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

Claims Service RepresentativeService Representative
Average age4040
Gender ratioMale, 29.2% Female, 70.8%Male, 39.6% Female, 60.4%
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, 11.0% Unknown, 5.3% Hispanic or Latino, 20.6% Asian, 6.8% White, 55.7% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between claims service representative and 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

Service representative example responsibilities.

  • Utilize QuickBooks to manage patient's payment for hearing aids and various equipment.
  • Join online marketplace specializing in local deals to manage customer engagements while providing industry-best service.
  • Manage customer relations with internal personnel, group administrators, brokers and members as related to Medicare insurance.
  • Involve great interpersonal skills and upselling.
  • Provide excellent customer service via ZenDesk e-mail platform.
  • Counsele individuals who are applying for or receiving TANF.
  • Show more

Claims service representative vs 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 service representative skills
  • Customer Service, 9%
  • Client Service, 8%
  • Patients, 7%
  • PET, 5%
  • Front Desk, 5%
  • Veterans, 5%

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