Medical claims analyst vs auto claims adjuster

The differences between medical claims analysts and auto claims adjusters can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 4-6 years to become a medical claims analyst, becoming an auto claims adjuster takes usually requires 2-4 years. Additionally, an auto claims adjuster has an average salary of $52,621, which is higher than the $46,708 average annual salary of a medical claims analyst.

The top three skills for a medical claims analyst include medical terminology, medicaid and medical insurance claims. The most important skills for an auto claims adjuster are repair process, body shop, and strong customer service.

Medical claims analyst vs auto claims adjuster overview

	Medical Claims Analyst	Auto Claims Adjuster
Yearly salary	$46,708	$52,621
Hourly rate	$22.46	$25.30
Growth rate	-6%	-6%
Number of jobs	65,897	16,187
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 36%	Bachelor's Degree, 72%
Average age	44	44
Years of experience	6	4

What does a medical claims analyst do?

A medical claims analyst audits or verifies medical claims in insurance companies. Medical claims analysts make sure that corporate reimbursement payments are accurate. Usually, they work at an office on a computer workstation. They receive Medicaid claims from specialty and medical providers for reimbursement. Their job includes the development of an enhanced procedure in handling difficult Medicare/Medicaid letters while complying with the set policies.

What does an auto claims adjuster do?

A claims adjuster inspects insurance claim liability for property damage or personal injuries and calculates payments. They can either work in-house for insurance companies or as external freelancers. They collect gathered information from different reliable sources to determine insurance obligations based on the degree of damage caused. It is part of their responsibility to interview claimants and witnesses and refer with experts like engineers or policyholders to estimate the damage and if it's covered by insurance policies.

Medical claims analyst vs auto claims adjuster salary

Medical claims analysts and auto claims adjusters have different pay scales, as shown below.

	Medical Claims Analyst	Auto Claims Adjuster
Average salary	$46,708	$52,621
Salary range	Between $32,000 And $68,000	Between $38,000 And $71,000
Highest paying City	Bridgewater, NJ	Jersey City, NJ
Highest paying state	New Jersey	Alaska
Best paying company	Montefiore Mount Vernon Hospital	EMC Insurance
Best paying industry	Insurance	Insurance

Differences between medical claims analyst and auto claims adjuster education

There are a few differences between a medical claims analyst and an auto claims adjuster in terms of educational background:

	Medical Claims Analyst	Auto Claims Adjuster
Most common degree	Bachelor's Degree, 36%	Bachelor's Degree, 72%
Most common major	Business	Business
Most common college	University of Pennsylvania	Stanford University

Medical claims analyst vs auto claims adjuster demographics

Here are the differences between medical claims analysts' and auto claims adjusters' demographics:

	Medical Claims Analyst	Auto Claims Adjuster
Average age	44	44
Gender ratio	Male, 14.2% Female, 85.8%	Male, 52.2% Female, 47.8%
Race ratio	Black or African American, 11.2% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.4% American Indian and Alaska Native, 0.5%	Black or African American, 12.1% Unknown, 4.4% Hispanic or Latino, 16.3% Asian, 5.1% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between medical claims analyst and auto claims adjuster duties and responsibilities

Medical claims analyst example responsibilities.

Manage cases by aggressively directing the litigation process.
Analyze incoming medical claims using ICD-9, CPT, HCPCS coding, and Medicare fee schedules.
Determine if claims are in compliance under patient benefit plans for payments using DRG regulations :
Review medical records to determine if the ICD-9, CPT codes and modifiers are processed correctly.
Adhere to the HIPAA privacy, security regulations, and maintain confidentiality of patient a business records.
Research medical claims issues in response to informational inquiries by accessing and interpreting EOB's and claims history.

Auto claims adjuster example responsibilities.

Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
Work closely with staff attorneys to develop litigation strategies and prepare for depositions.
Provide feedback and implement strategies on claim investigation, reserving, settlement and litigation.
Research and review delinquent mortgage cases, financial scenarios and individual homeowner situations to develop solutions compliant with investor policy.
Prepare written arguments for arbitration and provide all supporting documentation and evidence.
Compile and submit arbitration applications against the insurers of at-fault parties who refuse liability.

Medical claims analyst vs auto claims adjuster skills

Common medical claims analyst skills

Medical Terminology, 9%
Medicaid, 6%
Medical Insurance Claims, 6%
Customer Service, 6%
Data Entry, 6%
Patients, 5%

Common auto claims adjuster skills

Repair Process, 14%
Body Shop, 10%
Strong Customer Service, 9%
Vehicle Inspections, 8%
Insurance Claims, 7%
Customer Service, 5%

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Medical Claims Analyst
Medical Claims Analyst vs Auto Claims Adjuster

Updated January 8, 2025

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