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Claims support specialist vs service specialist

The differences between claims support specialists and service specialists 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 support specialist and a service specialist. Additionally, a service specialist has an average salary of $44,150, which is higher than the $37,033 average annual salary of a claims support specialist.

The top three skills for a claims support specialist include data entry, dictation and claims support. The most important skills for a service specialist are patients, social work, and criminal justice.

Claims support specialist vs service specialist overview

Claims Support SpecialistService Specialist
Yearly salary$37,033$44,150
Hourly rate$17.80$21.23
Growth rate-4%-4%
Number of jobs120,650207,020
Job satisfaction--
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 53%
Average age4040
Years of experience1212

What does a claims support specialist do?

Claims support specialists are the ones who make sure that the right amount of reimbursement rates is paid based on their client's contracts. Their job includes processing medical record requests and reviewing the secondary and tertiary claims for legitimacy. Working with physician and billing office employees to find resolutions for outstanding claim issues is a part of their responsibilities as claim support specialists. They also make follow up calls about unprocessed or denied insurance claims. And having good communication skills and knowledge in healthcare receivables and collections will help them succeed.

What does a service specialist do?

A service specialist is responsible for assisting customers with their inquiries and concerns about the services offered by the organization. Service specialists' duties include responding to customers' requests, updating customers of promotional offers and new services, escalating high-level concerns to the appropriate department, and keeping accurate records of clients' issues and resolutions. Service specialists are also in charge of preparing customer surveys to rate their satisfaction and identifying opportunities for service improvement. A service specialist must display excellent customer service and communication skills to address clients' concerns efficiently and accurately.

Claims support specialist vs service specialist salary

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

Claims Support SpecialistService Specialist
Average salary$37,033$44,150
Salary rangeBetween $28,000 And $47,000Between $27,000 And $71,000
Highest paying CityRancho Cordova, CABoston, MA
Highest paying stateMassachusettsMassachusetts
Best paying companyW. R. BerkleyRopes & Gray
Best paying industryInsuranceTechnology

Differences between claims support specialist and service specialist education

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

Claims Support SpecialistService Specialist
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 53%
Most common majorBusinessBusiness
Most common college--

Claims support specialist vs service specialist demographics

Here are the differences between claims support specialists' and service specialists' demographics:

Claims Support SpecialistService Specialist
Average age4040
Gender ratioMale, 22.3% Female, 77.7%Male, 40.1% Female, 59.9%
Race ratioBlack or African American, 11.3% Unknown, 4.9% Hispanic or Latino, 18.3% Asian, 6.8% White, 58.1% American Indian and Alaska Native, 0.6%Black or African American, 11.2% Unknown, 5.4% Hispanic or Latino, 20.9% Asian, 7.5% White, 54.2% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between claims support specialist and service specialist duties and responsibilities

Claims support specialist example 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.

Service specialist example responsibilities.

  • Achieve personal sales and referral goals by identifying, marketing and cross-selling banking products and services beneficial to customer needs.
  • Educate veterans and the college community on veteran's benefits and academic requirements need to accomplish academic goals.
  • Provide notary service as requested.
  • Respond to medical emergencies, including first aid and CPR.
  • Organize the transition of file transfers of major TRS/NAS clients from FTP to MessageWay.
  • Follow all rules set by FDCPA and state agencies - pass all annual tests.
  • Show more

Claims support specialist vs service specialist skills

Common claims support specialist skills
  • Data Entry, 21%
  • Dictation, 10%
  • Claims Support, 9%
  • Loss Reports, 6%
  • Customer Service, 6%
  • Office Equipment, 5%
Common service specialist skills
  • Patients, 12%
  • Social Work, 10%
  • Criminal Justice, 4%
  • Rehabilitation, 4%
  • Excellent Interpersonal, 4%
  • Product Knowledge, 3%

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