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Senior claims specialist vs senior claims adjuster

The differences between senior claims specialists 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 specialist, becoming a senior claims adjuster takes usually requires 2-4 years. Additionally, a senior claims specialist has an average salary of $69,808, which is higher than the $58,688 average annual salary of a senior claims adjuster.

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

Senior claims specialist vs senior claims adjuster overview

Senior Claims SpecialistSenior Claims Adjuster
Yearly salary$69,808$58,688
Hourly rate$33.56$28.22
Growth rate-6%-6%
Number of jobs11,01111,495
Job satisfaction-2
Most common degreeBachelor's Degree, 65%Bachelor's Degree, 70%
Average age4444
Years of experience64

What does a senior claims specialist do?

A senior claims specialist's role is to handle and process insurance claims, ensuring accuracy and smooth workflow. Their responsibilities include liaising with clients to identify their needs, reviewing and validating documentation, resolving issues and concerns, and traveling to different locations in order to perform claims inspections and investigations for client eligibility. They may also approve claims applications and negotiate settlements. Furthermore, as a senior claims specialist, it is essential to lead and serve as a mentor to junior specialists, all while implementing the company's policies and regulations.

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 specialist vs senior claims adjuster salary

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

Senior Claims SpecialistSenior Claims Adjuster
Average salary$69,808$58,688
Salary rangeBetween $45,000 And $107,000Between $37,000 And $91,000
Highest paying City-Roseville, CA
Highest paying state-New Jersey
Best paying company-EMC Insurance
Best paying industry-Insurance

Differences between senior claims specialist and senior claims adjuster education

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

Senior Claims SpecialistSenior Claims Adjuster
Most common degreeBachelor's Degree, 65%Bachelor's Degree, 70%
Most common majorBusinessBusiness
Most common collegeStanford UniversityStanford University

Senior claims specialist vs senior claims adjuster demographics

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

Senior Claims SpecialistSenior Claims Adjuster
Average age4444
Gender ratioMale, 40.7% Female, 59.3%Male, 48.2% Female, 51.8%
Race ratioBlack or African American, 12.0% Unknown, 4.4% Hispanic or Latino, 16.8% Asian, 5.2% White, 61.0% 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 Percentage10%10%

Differences between senior claims specialist and senior claims adjuster duties and responsibilities

Senior claims specialist example responsibilities.

  • Manage assigned third party administration (TPA) multi-jurisdictional workers' compensation; subrogation recovery claims; assign defense attorney.
  • Work toward settlement with claimants and attorneys, or determine company litigation strategy, participating in mediation and arbitration when necessary.
  • Maintain EDI processing table logic.
  • Work with testing HIPAA transactions, reporting and processing data reporting to the state.
  • Review data entry of claims receive through the EDI system for accuracy prior to processing.
  • Operate within all company regulations regarding HIPAA, fraud, confidentiality, and private health information guidelines.
  • Show more

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.
  • Show more

Senior claims specialist vs senior claims adjuster skills

Common senior claims specialist skills
  • Customer Service, 26%
  • Litigation, 10%
  • Claims Handling, 8%
  • SR, 5%
  • Settlement Conferences, 5%
  • Excellent Interpersonal, 4%
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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