Liability claims examiner vs senior claims analyst

The differences between liability claims examiners and senior 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 senior claims analyst. Additionally, a senior claims analyst has an average salary of $79,886, which is higher than the $54,421 average annual salary of a liability claims examiner.

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

Liability claims examiner vs senior claims analyst overview

	Liability Claims Examiner	Senior Claims Analyst
Yearly salary	$54,421	$79,886
Hourly rate	$26.16	$38.41
Growth rate	-6%	-6%
Number of jobs	13,734	21,159
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 73%	Bachelor's Degree, 61%
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 senior claims analyst do?

Senior Claims Analysts are responsible for providing support and oversight on the process of liability claims. Their duties include verifying submitted claims, assessing reimbursement policies, performing reconciliation with claims estimates, and conducting payment negotiations. They manage claims processing costs, prepare payment documents, reclassify entries, and attend to requestors' queries. Senior Claims Analyst also organizes records and assist in providing mentorship and training sessions to junior staff.

Liability claims examiner vs senior claims analyst salary

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

	Liability Claims Examiner	Senior Claims Analyst
Average salary	$54,421	$79,886
Salary range	Between $34,000 And $85,000	Between $52,000 And $122,000
Highest paying City	Lansing, MI	San Leandro, CA
Highest paying state	Washington	Hawaii
Best paying company	W. R. Berkley	Alameda Health System
Best paying industry	Insurance	Finance

Differences between liability claims examiner and senior claims analyst education

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

	Liability Claims Examiner	Senior Claims Analyst
Most common degree	Bachelor's Degree, 73%	Bachelor's Degree, 61%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Liability claims examiner vs senior claims analyst demographics

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

	Liability Claims Examiner	Senior Claims Analyst
Average age	44	44
Gender ratio	Male, 46.0% Female, 54.0%	Male, 30.8% Female, 69.2%
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, 16.7% Asian, 5.2% White, 62.0% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between liability claims examiner and senior 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.

Senior claims analyst example responsibilities.

Accomplish facets and Macess user including running reports.
Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Coordinate the maintenance of TPA payment type / code table conversions data.
Process claims, generate checks, create reports and correspond with TPA clients.
Review claims for correct billing information such as correct CPT codes, ICD code and patient information.
Analyze, evaluate, and conduct statistical data reviews as required by CMS in accordance with ZPIC policies.

Liability claims examiner vs senior 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 senior claims analyst skills

Customer Service, 7%
Litigation, 7%
Medical Terminology, 6%
Coverage Issues, 6%
Policy Provisions, 5%
Medicaid, 5%

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Liability Claims Examiner
Liability Claims Examiner vs Senior Claims Analyst

Updated January 8, 2025

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