Litigation claim representative vs claim processor

The differences between litigation claim representatives and claim processors can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a litigation claim representative and a claim processor. Additionally, a litigation claim representative has an average salary of $59,381, which is higher than the $41,201 average annual salary of a claim processor.

The top three skills for a litigation claim representative include litigation, defense counsel and product liability. The most important skills for a claim processor are customer service, data entry, and medical terminology.

Litigation claim representative vs claim processor overview

	Litigation Claim Representative	Claim Processor
Yearly salary	$59,381	$41,201
Hourly rate	$28.55	$19.81
Growth rate	-6%	-6%
Number of jobs	6,570	11,542
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 43%
Average age	44	44
Years of experience	6	6

Litigation claim representative vs claim processor salary

Litigation claim representatives and claim processors have different pay scales, as shown below.

	Litigation Claim Representative	Claim Processor
Average salary	$59,381	$41,201
Salary range	Between $45,000 And $76,000	Between $26,000 And $62,000
Highest paying City	-	Columbia, MD
Highest paying state	-	Connecticut
Best paying company	-	NTT Data International L.L.C.
Best paying industry	-	Insurance

Differences between litigation claim representative and claim processor education

There are a few differences between a litigation claim representative and a claim processor in terms of educational background:

	Litigation Claim Representative	Claim Processor
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 43%
Most common major	Business	Business
Most common college	Bentley University	Stanford University

Litigation claim representative vs claim processor demographics

Here are the differences between litigation claim representatives' and claim processors' demographics:

	Litigation Claim Representative	Claim Processor
Average age	44	44
Gender ratio	Male, 48.4% Female, 51.6%	Male, 22.9% Female, 77.1%
Race ratio	Black or African American, 11.8% Unknown, 4.4% Hispanic or Latino, 16.6% Asian, 5.2% White, 61.6% American Indian and Alaska Native, 0.5%	Black or African American, 11.2% 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 litigation claim representative and claim processor duties and responsibilities

Litigation claim representative example responsibilities.

Manage assigned third party administration (TPA) multi-jurisdictional workers' compensation; subrogation recovery claims; assign defense attorney.
Resolve no-fault disputes in the arbitration forum and court system in accordance with no-fault regulation and laws.
Guide defense counsel throughout litigation process, securing compliance with corporate objectives and guidelines.
Assist in depositions and interrogatories of inspectors.
Review summons and complaints receive from medical providers attorneys.
Monitor closely and provide directive on every case through litigation till resolution are reached.

Claim processor example responsibilities.

Experience in many facets of the managed healthcare insurance business.
Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
Use ICD-9, CPT-4 and other medical manuals to adjudicate claims.
Analyze claims submit by providers and facilities for appropriate ICD-9, CPT and HCPCS codes against charges that are being bill.
Call DME and HME companies to correct invoices.
Coach and assist in the training of new EMR databases.

Litigation claim representative vs claim processor skills

Common litigation claim representative skills

Litigation, 31%
Defense Counsel, 10%
Product Liability, 8%
Settlement Conferences, 6%
Litigation Process, 5%
ISO, 5%

Common claim processor skills

Customer Service, 20%
Data Entry, 8%
Medical Terminology, 5%
CPT, 5%
Claims Processing, 4%
Medical Insurance Claims, 4%

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Litigation Claim Representative
Litigation Claim Representative vs Claim Processor

Updated January 8, 2025

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