Senior claims analyst vs senior claims adjuster

The differences between senior claims analysts and senior 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 senior 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 $58,688 average annual salary of a senior claims adjuster.

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

Senior claims analyst vs senior claims adjuster overview

	Senior Claims Analyst	Senior Claims Adjuster
Yearly salary	$79,886	$58,688
Hourly rate	$38.41	$28.22
Growth rate	-6%	-6%
Number of jobs	21,159	11,495
Job satisfaction	-	2
Most common degree	Bachelor's Degree, 61%	Bachelor's Degree, 70%
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 senior claims adjuster do?

A senior claims adjuster is in charge of inspecting and analyzing insurance claims to validate and adjust payments. Among their responsibilities include reviewing and verifying claims documents, visiting sites to investigate property damages and personal injuries, gathering evidence such as photos and videos, and conducting interviews with witnesses and clients. Moreover, as a senior claims adjuster, it is essential to lead and serve as a mentor to fellow claims adjusters while enforcing and promoting the company's policies and regulations.

Senior claims analyst vs senior claims adjuster salary

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

	Senior Claims Analyst	Senior Claims Adjuster
Average salary	$79,886	$58,688
Salary range	Between $52,000 And $122,000	Between $37,000 And $91,000
Highest paying City	San Leandro, CA	Roseville, CA
Highest paying state	Hawaii	New Jersey
Best paying company	Alameda Health System	EMC Insurance
Best paying industry	Finance	Insurance

Differences between senior claims analyst and senior claims adjuster education

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

	Senior Claims Analyst	Senior Claims Adjuster
Most common degree	Bachelor's Degree, 61%	Bachelor's Degree, 70%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Senior claims analyst vs senior claims adjuster demographics

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

	Senior Claims Analyst	Senior Claims Adjuster
Average age	44	44
Gender ratio	Male, 30.8% Female, 69.2%	Male, 48.2% Female, 51.8%
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, 11.7% Unknown, 4.4% Hispanic or Latino, 16.9% Asian, 5.2% White, 61.3% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between senior claims analyst and senior 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.

Senior claims adjuster example responsibilities.

Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
Experience litigation adjuster proactively investigating, evaluating, and negotiating commercial and homeowner general liability casualty and property damage liability claims.
Prepare and calculate consumer pensions as well as variable & fix annuities.
Develop relationships with other departments such as sales, underwriting, and SIU in order to meet business goals.
Prepare property repair estimates utilizing Xactimate estimating software.
Structure settlement options with annuities and Medicare set-aside programs.

Senior claims analyst vs senior 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 senior claims adjuster skills

Customer Service, 25%
Litigation, 9%
Coverage Issues, 6%
Strong Customer Service, 5%
Settlement Authority, 5%
Claims Handling, 3%

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Senior Claims Analyst
Senior Claims Analyst vs Senior Claims Adjuster

Updated January 8, 2025

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