Litigation examiner vs medical claims examiner

The differences between litigation examiners and medical 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 examiner and a medical claims examiner. Additionally, a litigation examiner has an average salary of $55,295, which is higher than the $42,773 average annual salary of a medical claims examiner.

The top three skills for a litigation examiner include litigation, mediation and general liability. The most important skills for a medical claims examiner are medical terminology, customer service, and data entry.

Litigation examiner vs medical claims examiner overview

	Litigation Examiner	Medical Claims Examiner
Yearly salary	$55,295	$42,773
Hourly rate	$26.58	$20.56
Growth rate	-6%	-6%
Number of jobs	3,612	57,125
Job satisfaction	-	5
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 36%
Average age	44	44
Years of experience	6	6

Litigation examiner vs medical claims examiner salary

Litigation examiners and medical claims examiners have different pay scales, as shown below.

	Litigation Examiner	Medical Claims Examiner
Average salary	$55,295	$42,773
Salary range	Between $37,000 And $81,000	Between $30,000 And $59,000
Highest paying City	-	Los Angeles, CA
Highest paying state	-	New Jersey
Best paying company	-	UST Global
Best paying industry	-	Technology

Differences between litigation examiner and medical claims examiner education

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

	Litigation Examiner	Medical Claims Examiner
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 36%
Most common major	Business	Business
Most common college	Stanford University	University of Pennsylvania

Litigation examiner vs medical claims examiner demographics

Here are the differences between litigation examiners' and medical claims examiners' demographics:

	Litigation Examiner	Medical Claims Examiner
Average age	44	44
Gender ratio	Male, 53.1% Female, 46.9%	Male, 16.6% Female, 83.4%
Race ratio	Black or African American, 12.0% Unknown, 4.4% Hispanic or Latino, 16.2% Asian, 5.1% White, 61.8% American Indian and Alaska Native, 0.5%	Black or African American, 10.5% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 62.4% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between litigation examiner and medical claims examiner duties and responsibilities

Litigation examiner example responsibilities.

Manage litigation costs (defense/consultants/independent investigators/experts).
Manage litigation costs (defense/consultants/independent investigators/experts).
Complete claims involving a high level of analysis, evaluation and negotiation for arbitrations submit.
Manage litigation costs (defense/consultants/independent investigators/experts).

Medical claims examiner example responsibilities.

Manage cases by aggressively directing the litigation process.
Process medical facility claims payment according to account-specific contract (HMO, PPO, EPO, etc . )
Process PPO, HMO, comprehensive plans, including medicare supplements, hospital, chiropractic and physical therapy claims.
Identify which claims are eligible for PPO reprising.
Resolve medical claims by approving and/or denying base on CMS guidelines for Medicaid/Medicare claim processing.
Verify that all ICD-9, CPT, modifiers and revenue codes are used correctly, prior to payment approval.

Litigation examiner vs medical claims examiner skills

Common litigation examiner skills

Litigation, 26%
Mediation, 14%
General Liability, 12%
Defense Counsel, 11%
Settlement Conferences, 7%
Injury Claims, 5%

Common medical claims examiner skills

Medical Terminology, 10%
Customer Service, 9%
Data Entry, 7%
Medical Treatment, 5%
Computer System, 5%
Provider Contracts, 4%

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Litigation Examiner vs Medical Claims Examiner

Updated January 8, 2025

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