Claims supervisor vs claims benefit specialist

The differences between claims supervisors and claims benefit specialists can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a claims supervisor and a claims benefit specialist. Additionally, a claims supervisor has an average salary of $75,263, which is higher than the $47,292 average annual salary of a claims benefit specialist.

The top three skills for a claims supervisor include customer service, corrective action and claims adjusters. The most important skills for a claims benefit specialist are customer inquiries, appeals, and medical terminology.

Claims supervisor vs claims benefit specialist overview

	Claims Supervisor	Claims Benefit Specialist
Yearly salary	$75,263	$47,292
Hourly rate	$36.18	$22.74
Growth rate	-6%	-6%
Number of jobs	13,197	32,208
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 64%	Bachelor's Degree, 40%
Average age	44	44
Years of experience	6	6

What does a claims supervisor do?

A claims supervisor is in charge of overseeing the workflow and the workforce involved in processing insurance claims, ensuring accuracy and smooth progress. Their responsibilities typically revolve around liaising with key clients and third party agencies, assisting staff in negotiating terms, verifying the authenticity and completeness of all applications, monitoring the finances, and resolving complex issues. Furthermore, as a claims supervisor, it is essential to lead and encourage the team to reach goals, all while making sure that they adhere to the company's policies and regulations.

What does a claims benefit specialist do?

Claims and benefits specialists ensure their company's compliance with the internal and external health plan partner processes. The job requires them to be sharp, organized, and able to multitask. They recommend strategies that will improve the processes present in the current trends that they constantly evaluate. These specialists manage portfolios of claims and benefits issues and ensure that they provide the best resolutions that follow the health plan processing guidelines to impress their clients.

Claims supervisor vs claims benefit specialist salary

Claims supervisors and claims benefit specialists have different pay scales, as shown below.

	Claims Supervisor	Claims Benefit Specialist
Average salary	$75,263	$47,292
Salary range	Between $48,000 And $117,000	Between $32,000 And $68,000
Highest paying City	San Francisco, CA	-
Highest paying state	California	-
Best paying company	W. R. Berkley	-
Best paying industry	Retail	-

Differences between claims supervisor and claims benefit specialist education

There are a few differences between a claims supervisor and a claims benefit specialist in terms of educational background:

	Claims Supervisor	Claims Benefit Specialist
Most common degree	Bachelor's Degree, 64%	Bachelor's Degree, 40%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Claims supervisor vs claims benefit specialist demographics

Here are the differences between claims supervisors' and claims benefit specialists' demographics:

	Claims Supervisor	Claims Benefit Specialist
Average age	44	44
Gender ratio	Male, 40.8% Female, 59.2%	Male, 19.6% Female, 80.4%
Race ratio	Black or African American, 10.7% Unknown, 4.4% Hispanic or Latino, 17.1% Asian, 5.3% White, 62.1% American Indian and Alaska Native, 0.5%	Black or African American, 11.4% Unknown, 4.4% Hispanic or Latino, 16.9% Asian, 5.2% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between claims supervisor and claims benefit specialist duties and responsibilities

Claims supervisor example responsibilities.

Manage, train and continuously develop a team consisting of both inside SIU investigators and field investigators.
Apply fundamentals of insurance investigation and resolution to an introductory leadership role managing complex claim files and tort litigation files.
Make determinations to authorize payments via XACTIMATE software.
Assist TPA in obtaining company documentation and scheduling employee interviews in investigation of claims.
Advise physician on any changes with CPT and ICD-9 coding to maximize reimbursements and minimize denials.
Provide oversight and direction for highly complicate claim reviews base on policy, procedure and CMS guidelines.

Claims benefit specialist example responsibilities.

Analyze, process and manage FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
Establish a working knowledge of CPT, ICD-9, HCPCS codes, terminology, member benefits and claim flow.
Process claims utilizing appropriate ICD-9, DSM-IV and HCPCS codes.
Analyze each claim and calculate percentages for both PPO and NON-PPO providers.
Understand CPT, HCPCS, ICD-9-CM and ICD-10-CM medical claims coding regulations and guidelines
Process Non-HMO and PPO paper and electronic claims in an accurate and time manner.

Claims supervisor vs claims benefit specialist skills

Common claims supervisor skills

Customer Service, 25%
Corrective Action, 7%
Claims Adjusters, 6%
Litigation, 6%
Claims Handling, 5%
Performance Reviews, 4%

Common claims benefit specialist skills

Customer Inquiries, 11%
Appeals, 7%
Medical Terminology, 6%
Routine Claims, 5%
CPT, 4%
Processing Issues, 4%

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Claims Supervisor
Claims Supervisor vs Claims Benefit Specialist

Updated January 8, 2025

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