How To Become A Claims Support Specialist: What It Is and Career Path

What is a claims support specialist and how to become one

Updated January 8, 2025

5 min read

A claims support specialist is an individual who works in the insurance industry to assist customers with their claims. They are responsible for processing and verifying insurance claims, reviewing policy coverage, and communicating with customers to provide updates on their claims status. They work closely with adjusters and other insurance professionals to ensure that claims are resolved efficiently and accurately.They must have strong communication skills, attention to detail, and knowledge of insurance policies and procedures.

ScoreClaims Support SpecialistUS Average

Salary

2.9

Avg. Salary $37,033

Avg. Salary $59,228

Stability level

5.9

Growth rate -4%

Growth rate 0.3%

Diversity

9.3

Race

American Indian and Alaska Native 0.59%

Asian 6.78%

Black or African American 11.28%

Hispanic or Latino 18.35%

Unknown 4.85%

White 58.14%

Gender

female 77.68%

male 22.32%

Age - 39

Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 39

Stress level

5.9

Stress level is manageable

7.1 - high

Complexity level

6.6

Complexity level is challenging

7 - challenging

Work life balance

6.5

Work life balance is good

6.4 - fair

What are the pros and cons of being a claims support specialist?

Pros

Opportunity to help customers during difficult times
Gain knowledge and experience in the insurance industry
Potential for career growth and advancement
Develop strong communication and problem-solving skills
Competitive salary and benefits package

Cons

Dealing with upset or frustrated customers can be emotionally challenging
High stress environment with tight deadlines and quotas to meet
Repetitive tasks and data entry can become tedious
Must be comfortable working with confidential information and adhering to strict privacy policies
Limited opportunities for creativity or innovation in job tasks

Key steps to become a claims support specialist

Explore claims support specialist education requirements

Most common claims support specialist degrees

Bachelor's

44.7 %

Associate

21.6 %

High School Diploma

19.4 %

Start to develop specific claims support specialist skills

Skills	Percentages
Data Entry	21.23%
Dictation	9.85%
Claims Support	9.50%
Loss Reports	5.74%
Customer Service	5.73%

Complete relevant claims support specialist training and internships

Accountants spend an average of 6-12 months on post-employment, on-the-job training. New claims support specialists learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a claims support specialist based on U.S. Bureau of Labor Statistics data and data from real claims support specialist resumes.

Research claims support specialist duties and responsibilities

Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
Key in DC Medicaid claims for processing.
Process various compensation benefits applications for veterans in compliance with organizational laws, federal laws, rules and regulations.
Review and process HMO facility and professional claims determining benefits due in accordance to plan/policy provisions.

Prepare your claims support specialist resume

When your background is strong enough, you can start writing your claims support specialist resume.

You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a claims support specialist resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

Choose from 10+ customizable claims support specialist resume templates

Build a professional claims support specialist resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your claims support specialist resume.