Litigation claim representative vs health claims examiner

The differences between litigation claim representatives and health claims examiners 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 health claims examiner. Additionally, a litigation claim representative has an average salary of $59,381, which is higher than the $45,220 average annual salary of a health claims examiner.

The top three skills for a litigation claim representative include litigation, defense counsel and product liability. The most important skills for a health claims examiner are medical terminology, medicaid, and HMO.

Litigation claim representative vs health claims examiner overview

	Litigation Claim Representative	Health Claims Examiner
Yearly salary	$59,381	$45,220
Hourly rate	$28.55	$21.74
Growth rate	-6%	-6%
Number of jobs	6,570	59,641
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 health claims examiner salary

Litigation claim representatives and health claims examiners have different pay scales, as shown below.

	Litigation Claim Representative	Health Claims Examiner
Average salary	$59,381	$45,220
Salary range	Between $45,000 And $76,000	Between $30,000 And $67,000
Highest paying City	-	-
Highest paying state	-	-
Best paying company	-	-
Best paying industry	-	-

Differences between litigation claim representative and health claims examiner education

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

	Litigation Claim Representative	Health Claims Examiner
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 43%
Most common major	Business	Business
Most common college	Bentley University	University of Pennsylvania

Litigation claim representative vs health claims examiner demographics

Here are the differences between litigation claim representatives' and health claims examiners' demographics:

	Litigation Claim Representative	Health Claims Examiner
Average age	44	44
Gender ratio	Male, 48.4% Female, 51.6%	Male, 17.1% Female, 82.9%
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, 10.5% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.8% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between litigation claim representative and health claims examiner 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.

Health claims examiner example responsibilities.

Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
Review and analyze medical claims to finalize payments according to Medicaid benefits.
Analyze and process Medicare and Medicaid claims (Primary/Secondary).
Blood collection by venipuncture and capillary technique ensure all specimens are collect accurately, on time and according to establish procedures.
Coordinate vendor referrals for additional investigation and/or litigation management

Litigation claim representative vs health claims examiner skills

Common litigation claim representative skills

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

Common health claims examiner skills

Medical Terminology, 13%
Medicaid, 11%
HMO, 10%
Data Entry, 9%
Blood Pressure, 6%
Medical Claims, 5%

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Litigation Claim Representative
Litigation Claim Representative vs Health Claims Examiner

Updated January 8, 2025

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