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Senior claims specialist vs specialist

The differences between senior claims specialists and specialists 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 specialist takes usually requires 1-2 years. Additionally, a senior claims specialist has an average salary of $69,808, which is higher than the $58,013 average annual salary of a specialist.

The top three skills for a senior claims specialist include customer service, litigation and claims handling. The most important skills for a specialist are patients, customer service, and work ethic.

Senior claims specialist vs specialist overview

Senior Claims SpecialistSpecialist
Yearly salary$69,808$58,013
Hourly rate$33.56$27.89
Growth rate-6%10%
Number of jobs11,011358,433
Job satisfaction--
Most common degreeBachelor's Degree, 65%Bachelor's Degree, 49%
Average age4442
Years of experience62

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 specialist do?

Specialists are employees who are responsible for specific tasks or activities in the department they are assigned to. The actions or tasks they work on are related to their educational background or work experiences. They are usually highly skilled in specializations related to the work they are assigned to. Specialists are also highly trained on the competencies that are required of their specialty. As such, they are focused on the skills and competencies that are needed to enhance their experience in their specific field further.

Senior claims specialist vs specialist salary

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

Senior Claims SpecialistSpecialist
Average salary$69,808$58,013
Salary rangeBetween $45,000 And $107,000Between $32,000 And $104,000
Highest paying City-Jersey City, NJ
Highest paying state-New Jersey
Best paying company-The Citadel
Best paying industry--

Differences between senior claims specialist and specialist education

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

Senior Claims SpecialistSpecialist
Most common degreeBachelor's Degree, 65%Bachelor's Degree, 49%
Most common majorBusinessBusiness
Most common collegeStanford UniversityStanford University

Senior claims specialist vs specialist demographics

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

Senior Claims SpecialistSpecialist
Average age4442
Gender ratioMale, 40.7% Female, 59.3%Male, 47.5% Female, 52.5%
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, 11.4% Unknown, 5.4% Hispanic or Latino, 16.4% Asian, 10.5% White, 55.9% American Indian and Alaska Native, 0.4%
LGBT Percentage10%11%

Differences between senior claims specialist and specialist 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

Specialist example responsibilities.

  • Create, manage, and assist users with SharePoint sites.
  • Manage an on-site IRB and company good clinical practice (GCP) inspection.
  • Manage SharePoint sites by creating, editing, and customizing company sites, libraries and security.
  • Manage the building of accounts, assigning of static IP's, and scheduling of business class installations.
  • Convert servers from UNIX to Linux, all hardware diagnostics and repair including printers/plotters/desktops etc.
  • Follow safety procedures such as maintenance of all equipment (Telxon scanners, terminals and ladders).
  • Show more

Senior claims specialist vs specialist skills

Common senior claims specialist skills
  • Customer Service, 26%
  • Litigation, 10%
  • Claims Handling, 8%
  • SR, 5%
  • Settlement Conferences, 5%
  • Excellent Interpersonal, 4%
Common specialist skills
  • Patients, 15%
  • Customer Service, 11%
  • Work Ethic, 5%
  • Patient Care, 4%
  • Exceptional Client, 4%
  • Troubleshoot, 4%

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