Post job

Insurance analyst vs claims analyst

The differences between insurance analysts and claims analysts can be seen in a few details. Each job has different responsibilities and duties. Additionally, an insurance analyst has an average salary of $55,424, which is higher than the $48,398 average annual salary of a claims analyst.

The top three skills for an insurance analyst include insurance coverage, insurance policies and life insurance. The most important skills for a claims analyst are customer service, medical terminology, and CPT.

Insurance analyst vs claims analyst overview

Insurance AnalystClaims Analyst
Yearly salary$55,424$48,398
Hourly rate$26.65$23.27
Growth rate-4%-6%
Number of jobs44,28022,062
Job satisfaction--
Most common degreeBachelor's Degree, 58%Bachelor's Degree, 52%
Average age4444
Years of experience-6

What does an insurance analyst do?

An insurance analyst provides analytical services to maintain an efficient workflow at insurance companies. They are typically in charge of evaluating insurance policies to identify possible risks for the policyholder and the company, validating client information, and reviewing insurance applications to ensure their accuracy. They may meet with clients to answer inquiries, make arrangements, and advise which policies suit them the best. Moreover, an insurance analyst may process policy renewals and amendments, maintain records, perform cancellations, and investigate claims while adhering to the company's policies and regulations.

What does a claims analyst do?

A claims analyst specializes in processing medical insurance claims. They are primarily responsible for verifying the authenticity and eligibility of claims, analyzing the billing, communicating with policyholders, and ensuring adherence to all the policies and regulations during the entire procedure. Furthermore, a claims analyst is also in charge of administrative tasks such as keeping and updating records, reaching out and sending reports to creditors, setting appointments and schedules, processing paperwork, coordinating with key personnel, and discussing terms and necessary information to clients.

Insurance analyst vs claims analyst salary

Insurance analysts and claims analysts have different pay scales, as shown below.

Insurance AnalystClaims Analyst
Average salary$55,424$48,398
Salary rangeBetween $34,000 And $88,000Between $29,000 And $78,000
Highest paying CitySan Francisco, CATrenton, NJ
Highest paying stateCaliforniaNew Jersey
Best paying companyCredit KarmaGoogle
Best paying industry--

Differences between insurance analyst and claims analyst education

There are a few differences between an insurance analyst and a claims analyst in terms of educational background:

Insurance AnalystClaims Analyst
Most common degreeBachelor's Degree, 58%Bachelor's Degree, 52%
Most common majorBusinessBusiness
Most common collegeUniversity of PennsylvaniaStanford University

Insurance analyst vs claims analyst demographics

Here are the differences between insurance analysts' and claims analysts' demographics:

Insurance AnalystClaims Analyst
Average age4444
Gender ratioMale, 28.7% Female, 71.3%Male, 27.6% Female, 72.4%
Race ratioBlack or African American, 11.1% Unknown, 2.4% Hispanic or Latino, 9.0% Asian, 5.4% White, 71.7% American Indian and Alaska Native, 0.4%Black or African American, 11.3% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.3% American Indian and Alaska Native, 0.5%
LGBT Percentage9%10%

Differences between insurance analyst and claims analyst duties and responsibilities

Insurance analyst example responsibilities.

  • Cold-Cal to generate leads for individual life and disability insurance and annuities.
  • Organize and examine medical records for physical therapy clinics for patients, attorneys and disability insurance claims.
  • Verify insurance benefits for specialty medications cover under both pharmacy and major medical benefits and communicate coverage to patients and physicians.
  • Prepare project kickoff PowerPoint presentation for client site visits.
  • Review retail and wholesale files to submit to FHA for HUD insuring.
  • Provide supporting documentation and reconciliation reports for monthly close and billing using GAAP.
  • Show more

Claims analyst example responsibilities.

  • Help managed meetings regarding decision making on CMS regulations.
  • Process UB's and HCFA's according to guidelines.
  • Analyze and investigate medical claims utilizing ICD-9 and CPT-4 coding.
  • Review claims (HCFA and UB) for accurate billing submission.
  • Interpret medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes for member submit claims.
  • Acquire biometrics and perform phlebotomy.
  • Show more

Insurance analyst vs claims analyst skills

Common insurance analyst skills
  • Insurance Coverage, 11%
  • Insurance Policies, 8%
  • Life Insurance, 6%
  • Patients, 5%
  • Health Insurance, 5%
  • PowerPoint, 5%
Common claims analyst skills
  • Customer Service, 14%
  • Medical Terminology, 5%
  • CPT, 5%
  • Process Claims, 5%
  • Medicaid, 5%
  • Data Entry, 5%

Browse business and financial jobs