Senior claims analyst vs claims adjuster

The differences between senior claims analysts and 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 senior claims analyst, becoming a claims adjuster takes usually requires 2-4 years. Additionally, a senior claims analyst has an average salary of $79,886, which is higher than the $51,116 average annual salary of a claims adjuster.

The top three skills for a senior claims analyst include customer service, litigation and medical terminology. The most important skills for a claims adjuster are insurance carriers, auto claims, and customer service.

Senior claims analyst vs claims adjuster overview

	Senior Claims Analyst	Claims Adjuster
Yearly salary	$79,886	$51,116
Hourly rate	$38.41	$24.57
Growth rate	-6%	-6%
Number of jobs	21,159	13,221
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 61%	Bachelor's Degree, 66%
Average age	44	44
Years of experience	6	4

What does a senior claims analyst do?

Senior Claims Analysts are responsible for providing support and oversight on the process of liability claims. Their duties include verifying submitted claims, assessing reimbursement policies, performing reconciliation with claims estimates, and conducting payment negotiations. They manage claims processing costs, prepare payment documents, reclassify entries, and attend to requestors' queries. Senior Claims Analyst also organizes records and assist in providing mentorship and training sessions to junior staff.

What does a claims adjuster do?

A claim's adjuster is responsible for the handling of the insurance claims and investigating the extent of property damage and processing the business or a person's liability. Claims adjusters have a broad range of duties such as damage inspection to evaluate incident reports, communicating with property owners and spectators as well as referring to legal documents. They must also have excellent analytical and critical-thinking skills to calculate payments and analyze the complexities of multiple sources. Claims adjusters should also provide timely reports for reference and possible disputes.

Senior claims analyst vs claims adjuster salary

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

	Senior Claims Analyst	Claims Adjuster
Average salary	$79,886	$51,116
Salary range	Between $52,000 And $122,000	Between $40,000 And $64,000
Highest paying City	San Leandro, CA	Los Angeles, CA
Highest paying state	Hawaii	New Jersey
Best paying company	Alameda Health System	Merchants Insurance Group
Best paying industry	Finance	Insurance

Differences between senior claims analyst and claims adjuster education

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

	Senior Claims Analyst	Claims Adjuster
Most common degree	Bachelor's Degree, 61%	Bachelor's Degree, 66%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Senior claims analyst vs claims adjuster demographics

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

	Senior Claims Analyst	Claims Adjuster
Average age	44	44
Gender ratio	Male, 30.8% Female, 69.2%	Male, 45.1% Female, 54.9%
Race ratio	Black or African American, 11.3% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.0% American Indian and Alaska Native, 0.5%	Black or African American, 11.8% Unknown, 4.4% Hispanic or Latino, 16.8% Asian, 5.2% White, 61.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between senior claims analyst and claims adjuster duties and responsibilities

Senior claims analyst example responsibilities.

Accomplish facets and Macess user including running reports.
Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Coordinate the maintenance of TPA payment type / code table conversions data.
Process claims, generate checks, create reports and correspond with TPA clients.
Review claims for correct billing information such as correct CPT codes, ICD code and patient information.
Analyze, evaluate, and conduct statistical data reviews as required by CMS in accordance with ZPIC policies.

Claims adjuster example responsibilities.

Achieve targeted performance goals to manage costs and support Allstate's industry-leading operational standards.
Maintain a full caseload of WC files for a Louisiana customer, for six months, while managing this team.
Manage California branch operations including supervision of 5 WC adjusting and support staff
Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures

Senior claims analyst vs claims adjuster skills

Common senior claims analyst skills

Customer Service, 7%
Litigation, 7%
Medical Terminology, 6%
Coverage Issues, 6%
Policy Provisions, 5%
Medicaid, 5%

Common claims adjuster skills

Insurance Carriers, 13%
Auto Claims, 8%
Customer Service, 8%
Litigation, 7%
Xactimate, 6%
Claims Handling, 5%

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Senior Claims Analyst
Senior Claims Analyst vs Claims Adjuster

Updated January 8, 2025

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