Disability examiner vs claims representative

The differences between disability examiners and claims representatives can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a disability examiner, becoming a claims representative takes usually requires 4-6 years. Additionally, a disability examiner has an average salary of $40,180, which is higher than the $38,796 average annual salary of a claims representative.

The top three skills for a disability examiner include social security disability, supplemental security income and social security administration. The most important skills for a claims representative are customer service, quality standards, and policy coverage.

Disability examiner vs claims representative overview

	Disability Examiner	Claims Representative
Yearly salary	$40,180	$38,796
Hourly rate	$19.32	$18.65
Growth rate	-6%	-6%
Number of jobs	2,241	18,565
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 69%	Bachelor's Degree, 62%
Average age	44	44
Years of experience	4	6

What does a disability examiner do?

A disability examiner is primarily in charge of conducting assessments and examinations to determine an applicant's eligibility for disability benefits and programs. Their duties usually include reviewing medical and health records, conducting interviews, and evaluating applications. There are also times when a disability examiner must directly coordinate with healthcare providers to obtain and assess records. Moreover, as a disability examiner, it is essential to assist clients by answering inquiries, providing instructions and advice, and helping them understand the extent of procedures.

What does a claims representative do?

A Claims Representative is an agent who works for insurance companies in order to investigate and settle claims. The agent acts as an intermediary between customers and insurance companies by evaluating the customers' facts surrounding claims and determining whether the loss is covered or should be compensated. Such a role is important because an agent makes sure that no fraud claims are being paid out. It is also highlighted that an agent works in compliance with state regulations.

Disability examiner vs claims representative salary

Disability examiners and claims representatives have different pay scales, as shown below.

	Disability Examiner	Claims Representative
Average salary	$40,180	$38,796
Salary range	Between $28,000 And $57,000	Between $28,000 And $53,000
Highest paying City	Sacramento, CA	Dearborn, MI
Highest paying state	Alaska	New Jersey
Best paying company	Minnesota State Fair	W. R. Berkley
Best paying industry	Government	Government

Differences between disability examiner and claims representative education

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

	Disability Examiner	Claims Representative
Most common degree	Bachelor's Degree, 69%	Bachelor's Degree, 62%
Most common major	Psychology	Business
Most common college	SUNY at Binghamton	Stanford University

Disability examiner vs claims representative demographics

Here are the differences between disability examiners' and claims representatives' demographics:

	Disability Examiner	Claims Representative
Average age	44	44
Gender ratio	Male, 30.0% Female, 70.0%	Male, 37.5% Female, 62.5%
Race ratio	Black or African American, 14.4% Unknown, 4.4% Hispanic or Latino, 15.9% Asian, 5.0% White, 59.8% American Indian and Alaska Native, 0.5%	Black or African American, 11.0% Unknown, 4.4% Hispanic or Latino, 16.5% Asian, 5.1% White, 62.4% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between disability examiner and claims representative duties and responsibilities

Disability examiner example responsibilities.

Manage a number of cases dealing with veterans' requests for claims and education benefits.
Provide comprehensive written and verbal reports to broker-dealer executives and FINRA management.
Interact extensively with senior management of securities firms to discuss their procedures and any weaknesses and/or findings regarding their processes.
Collaborate with FINRA enforcement on taking official on-the-record testimonies of register principals and register representatives.
Blood collection by venipuncture and capillary technique ensure all specimens are collect accurately, on time and according to establish procedures.
Work with the client and claimants to discuss the evaluation process and future action of short term disability and FMLA claims.

Claims representative example responsibilities.

Perform initial set-up and continuously manage claims in the Juris claims management system.
Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
Prepare necessary state filings within statutory limits, manage litigation and vocational rehabilitation process, used appropriate cost containment techniques.
Assist the training department in developing CSR training in order to set expectations.
Create custom templates and guide sheets for new trainees in the CSR Internet division to ensure consistency and increase department efficiency.
Utilize proper SIU reporting procedures for extensive investigation as required.

Disability examiner vs claims representative skills

Common disability examiner skills

Social Security Disability, 24%
Supplemental Security Income, 9%
Social Security Administration, 8%
Disability Determinations, 6%
Medical Terminology, 5%
Disability Benefits, 5%

Common claims representative skills

Customer Service, 26%
Quality Standards, 6%
Policy Coverage, 6%
Reservations, 5%
Claims Handling, 3%
Insurance Coverage, 3%

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Disability Examiner vs Claims Representative

Updated January 8, 2025

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