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Licensed insurance agent vs insurance verification specialist

The differences between licensed insurance agents and insurance verification specialists can be seen in a few details. Each job has different responsibilities and duties. Additionally, a licensed insurance agent has an average salary of $54,118, which is higher than the $33,043 average annual salary of an insurance verification specialist.

The top three skills for a licensed insurance agent include excellent time management, work ethic and strong customer service. The most important skills for an insurance verification specialist are patients, insurance verification, and customer service.

Licensed insurance agent vs insurance verification specialist overview

Licensed Insurance AgentInsurance Verification Specialist
Yearly salary$54,118$33,043
Hourly rate$26.02$15.89
Growth rate6%6%
Number of jobs78,01671,688
Job satisfaction--
Most common degreeBachelor's Degree, 50%Associate Degree, 27%
Average age4646
Years of experience--

What does a licensed insurance agent do?

A licensed insurance agent is primarily responsible for finding and utilizing opportunities to secure insurance sales. Moreover, a licensed insurance agent must reach out to potential clients, discuss and negotiate terms, respond to inquiries, and perform various assessments to determine their ability to uphold financial obligations. Besides building a client base, they also need to handle current policies, process renewals, monitor claims, maintain an accurate record of transactions, prepare progress reports and strategies, and distribute policy proceeds according to the company rules and regulations.

What does an insurance verification specialist do?

An insurance verification specialist is responsible for confirming a patient's insurance details and eligibility to receive medical care services. Insurance verification specialists review the insurance documents of the patients, including its coverage and limitations, and escalate concerns to the supervisor for immediate resolution. They process paperwork accordingly upon coordinating with the patients and attending health professionals. An insurance verification specialist must have excellent communication and organizational skills, finishing administrative tasks efficiently under minimal supervision.

Licensed insurance agent vs insurance verification specialist salary

Licensed insurance agents and insurance verification specialists have different pay scales, as shown below.

Licensed Insurance AgentInsurance Verification Specialist
Average salary$54,118$33,043
Salary rangeBetween $32,000 And $88,000Between $28,000 And $37,000
Highest paying CityWashington, DCMadison, WI
Highest paying stateHawaiiNew Hampshire
Best paying companyTorchmarkSt. Luke's Cataract & Laser Institute
Best paying industryFinancePharmaceutical

Differences between licensed insurance agent and insurance verification specialist education

There are a few differences between a licensed insurance agent and an insurance verification specialist in terms of educational background:

Licensed Insurance AgentInsurance Verification Specialist
Most common degreeBachelor's Degree, 50%Associate Degree, 27%
Most common majorBusinessHealth Care Administration
Most common collegeUniversity of PennsylvaniaUniversity of Pennsylvania

Licensed insurance agent vs insurance verification specialist demographics

Here are the differences between licensed insurance agents' and insurance verification specialists' demographics:

Licensed Insurance AgentInsurance Verification Specialist
Average age4646
Gender ratioMale, 39.0% Female, 61.0%Male, 11.4% Female, 88.6%
Race ratioBlack or African American, 9.2% Unknown, 3.6% Hispanic or Latino, 15.7% Asian, 4.9% White, 66.5% American Indian and Alaska Native, 0.1%Black or African American, 9.3% Unknown, 3.6% Hispanic or Latino, 16.0% Asian, 4.9% White, 66.1% American Indian and Alaska Native, 0.1%
LGBT Percentage7%7%

Differences between licensed insurance agent and insurance verification specialist duties and responsibilities

Licensed insurance agent example responsibilities.

  • Explain and advice the customers about the insurance needs, handle objections and sale the Allstate company advantage.
  • Work with people in retirement helping manage their health and life insurance, also help structure their 401k's into annuities.
  • Used consultative upselling techniques to provide leads
  • Quote and sell home, mobile home, renters, auto, and motorcycle policies.
  • Process application on auto, homes, workers comp, trailer, motorcycle, commercial policies.
  • Provide financial services through life insurance, disability insurance and annuities.
  • Show more

Insurance verification specialist example responsibilities.

  • Check CPT and ICD-10 codes with LCD and policies from multiple insurance companies to make sure procedures will be paid.
  • Support the patient privacy/confidentiality policies and regulations under HIPAA for patients and their medical records.
  • Confirm correct charges base on HCPCS codes.
  • Assist callers as well with questions about their benefits, terms and conditions of medical plans, appeals and grievances.
  • Provide medical record support in the absence of EMR: assist clinics and hospitals in obtaining medical records in appropriate format.
  • Document outbound communication from providers and veterans.
  • Show more

Licensed insurance agent vs insurance verification specialist skills

Common licensed insurance agent skills
  • Excellent Time Management, 17%
  • Work Ethic, 17%
  • Strong Customer Service, 13%
  • Customer Service, 13%
  • Insurance Sales, 11%
  • Financial Resources, 5%
Common insurance verification specialist skills
  • Patients, 25%
  • Insurance Verification, 15%
  • Customer Service, 7%
  • Insurance Eligibility, 5%
  • Data Entry, 4%
  • Medical Terminology, 4%