Litigation claim representative vs claims benefit specialist

The differences between litigation claim representatives and claims benefit specialists 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 claims benefit specialist. Additionally, a litigation claim representative has an average salary of $59,381, which is higher than the $47,292 average annual salary of a claims benefit specialist.

The top three skills for a litigation claim representative include litigation, defense counsel and product liability. The most important skills for a claims benefit specialist are customer inquiries, appeals, and medical terminology.

Litigation claim representative vs claims benefit specialist overview

	Litigation Claim Representative	Claims Benefit Specialist
Yearly salary	$59,381	$47,292
Hourly rate	$28.55	$22.74
Growth rate	-6%	-6%
Number of jobs	6,570	32,208
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 40%
Average age	44	44
Years of experience	6	6

Litigation claim representative vs claims benefit specialist salary

Litigation claim representatives and claims benefit specialists have different pay scales, as shown below.

	Litigation Claim Representative	Claims Benefit Specialist
Average salary	$59,381	$47,292
Salary range	Between $45,000 And $76,000	Between $32,000 And $68,000
Highest paying City	-	-
Highest paying state	-	-
Best paying company	-	-
Best paying industry	-	-

Differences between litigation claim representative and claims benefit specialist education

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

	Litigation Claim Representative	Claims Benefit Specialist
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 40%
Most common major	Business	Business
Most common college	Bentley University	Stanford University

Litigation claim representative vs claims benefit specialist demographics

Here are the differences between litigation claim representatives' and claims benefit specialists' demographics:

	Litigation Claim Representative	Claims Benefit Specialist
Average age	44	44
Gender ratio	Male, 48.4% Female, 51.6%	Male, 19.6% Female, 80.4%
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, 11.4% Unknown, 4.4% Hispanic or Latino, 16.9% Asian, 5.2% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between litigation claim representative and claims benefit specialist 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.

Claims benefit specialist example responsibilities.

Analyze, process and manage FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
Establish a working knowledge of CPT, ICD-9, HCPCS codes, terminology, member benefits and claim flow.
Process claims utilizing appropriate ICD-9, DSM-IV and HCPCS codes.
Analyze each claim and calculate percentages for both PPO and NON-PPO providers.
Understand CPT, HCPCS, ICD-9-CM and ICD-10-CM medical claims coding regulations and guidelines
Process Non-HMO and PPO paper and electronic claims in an accurate and time manner.

Litigation claim representative vs claims benefit specialist skills

Common litigation claim representative skills

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

Common claims benefit specialist skills

Customer Inquiries, 11%
Appeals, 7%
Medical Terminology, 6%
Routine Claims, 5%
CPT, 4%
Processing Issues, 4%

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Litigation Claim Representative
Litigation Claim Representative vs Claims Benefit Specialist

Updated January 8, 2025

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