Escalations manager vs claims manager

The differences between escalations managers and claims managers can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both an escalations manager and a claims manager. Additionally, an escalations manager has an average salary of $95,457, which is higher than the $73,369 average annual salary of a claims manager.

The top three skills for an escalations manager include escalation management, technical support and customer support. The most important skills for a claims manager are customer service, oversight, and litigation.

Escalations manager vs claims manager overview

	Escalations Manager	Claims Manager
Yearly salary	$95,457	$73,369
Hourly rate	$45.89	$35.27
Growth rate	-	-6%
Number of jobs	53,187	30,302
Job satisfaction	-	5
Most common degree	Bachelor's Degree, 57%	Bachelor's Degree, 66%
Average age	47	47
Years of experience	6	6

What does an escalations manager do?

An escalations manager is an individual who is in-charged in dealing with and resolving customer escalations while maintaining a strong relationship with the customer. The essential skills that an escalations manager should possess to accomplish his/her or her responsibilities include excellent technical and customer service skills. The requirements to qualify for the position include prior work experience related to the field and possess a bachelor's or associate degree in business, management, communication, or a related discipline.

What does a claims manager do?

A claims manager is an individual who works in an insurance-based firm and is responsible for managing the insurance claims department that is composed of examiners and adjusters. Claims managers are required to maintain claim files and reviewing these files as well as communicate with customers to follow up regarding issues they face with insurance claims. They must determine who is liable for the damage if there were other parties involved. Claims managers must also include an expert to assess the amount of damage and avoid insurance fraud.

Escalations manager vs claims manager salary

Escalations managers and claims managers have different pay scales, as shown below.

	Escalations Manager	Claims Manager
Average salary	$95,457	$73,369
Salary range	Between $71,000 And $126,000	Between $45,000 And $117,000
Highest paying City	Seattle, WA	San Francisco, CA
Highest paying state	Washington	California
Best paying company	Google	Zurich
Best paying industry	Technology	Insurance

Differences between escalations manager and claims manager education

There are a few differences between an escalations manager and a claims manager in terms of educational background:

	Escalations Manager	Claims Manager
Most common degree	Bachelor's Degree, 57%	Bachelor's Degree, 66%
Most common major	Business	Business
Most common college	California State University - Bakersfield	California State University - Bakersfield

Escalations manager vs claims manager demographics

Here are the differences between escalations managers' and claims managers' demographics:

	Escalations Manager	Claims Manager
Average age	47	47
Gender ratio	Male, 55.4% Female, 44.6%	Male, 47.9% Female, 52.1%
Race ratio	Black or African American, 10.6% Unknown, 4.7% Hispanic or Latino, 18.1% Asian, 5.2% White, 60.8% American Indian and Alaska Native, 0.6%	Black or African American, 10.0% Unknown, 4.8% Hispanic or Latino, 17.1% Asian, 5.9% White, 61.5% American Indian and Alaska Native, 0.7%
LGBT Percentage	8%	8%

Differences between escalations manager and claims manager duties and responsibilities

Escalations manager example responsibilities.

Work within standing orders to help patients effectively manage their diabetes though medications and other specialty consultations.
Insert insurance and patient demographics, verify Medicaid and Medicare.
Verify member insurance eligibility for Medicare, CMO, and other Medicaid benefit plans.
Monitor agents phone calls then set individual AHT.
Point of contact for adding internal users to CRM software and troubleshooting.
Develop bonus structures and are in charge of payroll for multiple projects.

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Claims manager example responsibilities.

Manage multiple outsource PPO networks that enable company to increase top line revenue.
Achieve improved structure and efficiency with initiation of pip specific unit.
Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Oversee implementation and management of litigation and expense protocols including AFA agreements and BLO oversight.
Respond to all DOI questions and concerns.
Work with TPA, service providers and personnel on the design, implementation, and management of wellness programs.

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Escalations manager vs claims manager skills

Common escalations manager skills

Escalation Management, 12%
Technical Support, 10%
Customer Support, 8%
Traction, 6%
Customer Relationships, 5%
Excellent Interpersonal, 5%

Common claims manager skills

Customer Service, 15%
Oversight, 11%
Litigation, 8%
Direct Reports, 4%
Claims Handling, 4%
Insurance Claims, 3%

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Updated January 8, 2025

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