Jobs that use process claims the most include damage appraiser, claim processing specialist, and claims service specialist.
| Rank | Job title | Salary | % of all skills | Job openings |
|---|---|---|---|---|
| 1 | Damage Appraiser | $48,075 | 17% | 1,117 |
| 2 | Claim Processing Specialist | $34,436 | 10% | 55,392 |
| 3 | Claims Service Specialist | $39,962 | 9% | 93,831 |
| 4 | Claims Administrator | $36,432 | 8% | 59,006 |
| 5 | Senior Claims Processor | $44,873 | 8% | 14,768 |
| 6 | Claims Analyst | $48,398 | 5% | 22,062 |
What jobs use Process Claims the most?
1. Damage Appraiser
How damage appraiser uses Process Claims:
- Greet customers and write complete repair estimates on damage vehicles using different computer programs, CCC and ADP.
- Coordinate with SIU on fraudulent claims effectively.
- Investigate claims and report fraud to SIU.
Most common skills for damage appraiser:
- Vehicle Repairs
- Parts Costs
- Process Claims
- Customer Service
- Audatex
- Repair Process
2. Claim Processing Specialist
How claim processing specialist uses Process Claims:
- Manage expedition of appeals via problem solving and collaboration with other departments.
- Provide consumer-oriented health benefit plans, process all types of health claims knowledgeable of ICD-9 and CPT codes.
- Process medical claims for Medicaid recipients via a state-fund Medicaid insurance carrier per plan guidelines and department procedures.
Most common skills for claim processing specialist:
- Data Entry
- Process Claims
- Insurance Claims
- Inbound Calls
- CPT
- Medicaid
3. Claims Service Specialist
How claims service specialist uses Process Claims:
- Manage expedition of appeals via problem solving and collaboration with other departments.
- Perform data entry and assessment evaluations regarding admitting patients in facilities.
- Verify demographics, review EOB's, bill charges and modifiers.
Most common skills for claims service specialist:
- Customer Service
- Process Claims
- Data Entry
- Auto Claims
- Telephone Calls
- Strong Analytical
4. Claims Administrator
How claims administrator uses Process Claims:
- Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
- Implement HIPAA regulations to protect patient privacy.
- Adjudicate medical, commercial and Medicaid, claims.
Most common skills for claims administrator:
- Data Entry
- Customer Service
- Process Claims
- Phone Calls
- HR
- Insurance Claims
5. Senior Claims Processor
How senior claims processor uses Process Claims:
- Manage confidential medical records and directs them to the appropriate practitioners while ensuring HIPPA regulations are maintain.
- Investigate, manage, negotiate and resolve claims arising out of accidents involving automobile and homeowner policies.
- Process CalPERS HMO facility claims.
Most common skills for senior claims processor:
- Customer Service
- Process Claims
- SR
- Medical Terminology
- Appeals
- CMS
6. Claims Analyst
How claims analyst uses Process Claims:
- Help managed meetings regarding decision making on CMS regulations.
- Process UB's and HCFA's according to guidelines.
- Analyze and investigate medical claims utilizing ICD-9 and CPT-4 coding.
Most common skills for claims analyst:
- Customer Service
- Medical Terminology
- CPT
- Process Claims
- Medicaid
- Data Entry
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Updated December 28, 2023