Claims supervisor vs medical claims analyst

The differences between claims supervisors and medical claims analysts 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 medical claims analyst. Additionally, a claims supervisor has an average salary of $75,263, which is higher than the $46,708 average annual salary of a medical claims analyst.

The top three skills for a claims supervisor include customer service, corrective action and claims adjusters. The most important skills for a medical claims analyst are medical terminology, medicaid, and medical insurance claims.

Claims supervisor vs medical claims analyst overview

	Claims Supervisor	Medical Claims Analyst
Yearly salary	$75,263	$46,708
Hourly rate	$36.18	$22.46
Growth rate	-6%	-6%
Number of jobs	13,197	65,897
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 64%	Bachelor's Degree, 36%
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 medical claims analyst do?

A medical claims analyst audits or verifies medical claims in insurance companies. Medical claims analysts make sure that corporate reimbursement payments are accurate. Usually, they work at an office on a computer workstation. They receive Medicaid claims from specialty and medical providers for reimbursement. Their job includes the development of an enhanced procedure in handling difficult Medicare/Medicaid letters while complying with the set policies.

Claims supervisor vs medical claims analyst salary

Claims supervisors and medical claims analysts have different pay scales, as shown below.

	Claims Supervisor	Medical Claims Analyst
Average salary	$75,263	$46,708
Salary range	Between $48,000 And $117,000	Between $32,000 And $68,000
Highest paying City	San Francisco, CA	Bridgewater, NJ
Highest paying state	California	New Jersey
Best paying company	W. R. Berkley	Montefiore Mount Vernon Hospital
Best paying industry	Retail	Insurance

Differences between claims supervisor and medical claims analyst education

There are a few differences between a claims supervisor and a medical claims analyst in terms of educational background:

	Claims Supervisor	Medical Claims Analyst
Most common degree	Bachelor's Degree, 64%	Bachelor's Degree, 36%
Most common major	Business	Business
Most common college	Stanford University	University of Pennsylvania

Claims supervisor vs medical claims analyst demographics

Here are the differences between claims supervisors' and medical claims analysts' demographics:

	Claims Supervisor	Medical Claims Analyst
Average age	44	44
Gender ratio	Male, 40.8% Female, 59.2%	Male, 14.2% Female, 85.8%
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, 11.2% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.4% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between claims supervisor and medical claims analyst 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.

Medical claims analyst example responsibilities.

Manage cases by aggressively directing the litigation process.
Analyze incoming medical claims using ICD-9, CPT, HCPCS coding, and Medicare fee schedules.
Determine if claims are in compliance under patient benefit plans for payments using DRG regulations :
Review medical records to determine if the ICD-9, CPT codes and modifiers are processed correctly.
Adhere to the HIPAA privacy, security regulations, and maintain confidentiality of patient a business records.
Research medical claims issues in response to informational inquiries by accessing and interpreting EOB's and claims history.

Claims supervisor vs medical claims analyst skills

Common claims supervisor skills

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

Common medical claims analyst skills

Medical Terminology, 9%
Medicaid, 6%
Medical Insurance Claims, 6%
Customer Service, 6%
Data Entry, 6%
Patients, 5%

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Claims Supervisor vs Medical Claims Analyst

Updated January 8, 2025

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