Liability claims examiner vs claims analyst

The differences between liability claims examiners and claims analysts can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a liability claims examiner and a claims analyst. Additionally, a liability claims examiner has an average salary of $54,421, which is higher than the $48,398 average annual salary of a claims analyst.

The top three skills for a liability claims examiner include party claims, litigation and claims handling. The most important skills for a claims analyst are customer service, medical terminology, and CPT.

Liability claims examiner vs claims analyst overview

	Liability Claims Examiner	Claims Analyst
Yearly salary	$54,421	$48,398
Hourly rate	$26.16	$23.27
Growth rate	-6%	-6%
Number of jobs	13,734	22,062
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 73%	Bachelor's Degree, 52%
Average age	44	44
Years of experience	6	6

What does a liability claims examiner do?

A Liability Claims Examiner or also known as an Insurance investigator, is a person who monitors and reviews settled insurances. They will determine if the paid amount is in accordance with the corporation or company's procedure. They report possible irregularities that are happening, like underpayment and overpayment of insurances. They also evaluate insurance claims or applications and do a follow-up of the status to protect and secure the clients from having a financial loss.

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.

Liability claims examiner vs claims analyst salary

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

	Liability Claims Examiner	Claims Analyst
Average salary	$54,421	$48,398
Salary range	Between $34,000 And $85,000	Between $29,000 And $78,000
Highest paying City	Lansing, MI	Trenton, NJ
Highest paying state	Washington	New Jersey
Best paying company	W. R. Berkley	Google
Best paying industry	Insurance	-

Differences between liability claims examiner and claims analyst education

There are a few differences between a liability claims examiner and a claims analyst in terms of educational background:

	Liability Claims Examiner	Claims Analyst
Most common degree	Bachelor's Degree, 73%	Bachelor's Degree, 52%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Liability claims examiner vs claims analyst demographics

Here are the differences between liability claims examiners' and claims analysts' demographics:

	Liability Claims Examiner	Claims Analyst
Average age	44	44
Gender ratio	Male, 46.0% Female, 54.0%	Male, 27.6% Female, 72.4%
Race ratio	Black or African American, 11.1% Unknown, 4.4% Hispanic or Latino, 16.3% Asian, 5.1% White, 62.6% American Indian and Alaska Native, 0.5%	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 Percentage	10%	10%

Differences between liability claims examiner and claims analyst duties and responsibilities

Liability claims examiner example responsibilities.

Handle automobile liability, general liability, products liability and manage litigation for one specific client.
Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
Oversee adjustment of all third-party liability losses, coverage assessment, investigation, and evaluations regarding litigation claims.
Mentore less experience and newer employees in career development and individual development plans to facilitate future leadership candidates for the enterprise.
Interact with assign counsel for case status, interrogatories and preparation for trials on calendar.
Investigate and identify fraud claims and partner with SIU for additional investigations to prevent payouts after fraud are proven.

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.

Liability claims examiner vs claims analyst skills

Common liability claims examiner skills

Party Claims, 12%
Litigation, 12%
Claims Handling, 11%
Claims Process, 11%
Policy Coverage, 10%
Coverage Analysis, 9%

Common claims analyst skills

Customer Service, 14%
Medical Terminology, 5%
CPT, 5%
Process Claims, 5%
Medicaid, 5%
Data Entry, 5%

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Liability Claims Examiner
Liability Claims Examiner vs Claims Analyst

Updated January 8, 2025

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