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Telephone claims representative vs claims administrator

The differences between telephone claims representatives and claims administrators can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a telephone claims representative and a claims administrator. Additionally, a telephone claims representative has an average salary of $42,400, which is higher than the $36,432 average annual salary of a claims administrator.

The top three skills for a telephone claims representative include PIP, litigation and coverage issues. The most important skills for a claims administrator are data entry, customer service, and process claims.

Telephone claims representative vs claims administrator overview

Telephone Claims RepresentativeClaims Administrator
Yearly salary$42,400$36,432
Hourly rate$20.38$17.52
Growth rate-3%-3%
Number of jobs14,21859,006
Job satisfaction-4
Most common degreeBachelor's Degree, 75%Bachelor's Degree, 53%
Average age4444
Years of experience44

Telephone claims representative vs claims administrator salary

Telephone claims representatives and claims administrators have different pay scales, as shown below.

Telephone Claims RepresentativeClaims Administrator
Average salary$42,400$36,432
Salary rangeBetween $31,000 And $57,000Between $29,000 And $44,000
Highest paying City-Reno, NV
Highest paying state-Connecticut
Best paying company-ABB
Best paying industry-Hospitality

Differences between telephone claims representative and claims administrator education

There are a few differences between a telephone claims representative and a claims administrator in terms of educational background:

Telephone Claims RepresentativeClaims Administrator
Most common degreeBachelor's Degree, 75%Bachelor's Degree, 53%
Most common majorBusinessBusiness
Most common college--

Telephone claims representative vs claims administrator demographics

Here are the differences between telephone claims representatives' and claims administrators' demographics:

Telephone Claims RepresentativeClaims Administrator
Average age4444
Gender ratioMale, 37.5% Female, 62.5%Male, 28.9% Female, 71.1%
Race ratioBlack or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage11%11%

Differences between telephone claims representative and claims administrator duties and responsibilities

Telephone claims representative example responsibilities.

  • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
  • Draft contentions for arbitration and submit evidence to support those contentions.
  • Negotiate liability with other insurance companies when possible, review files and documents for arbitration process.
  • Complete field inspection of losses including accurate scope of damages, photographic evidence collection, written estimates utilizing Xactimate estimating software.
  • Set up payment arrangements with the at-fault party that cause harmed to the GEICO insure.

Claims administrator example responsibilities.

  • 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.
  • Code medical records by following current ICD-9/ICD-10, CPT, and HCPCS standards.
  • Work with doctors, TPA, adjusters, attorneys, to maintain claim cost effectively.
  • Process various compensation benefits applications for veterans in compliance with organizational laws, federal laws, rules and regulations.
    • Show more

Telephone claims representative vs claims administrator skills

Common telephone claims representative skills
  • PIP, 26%
  • Litigation, 26%
  • Coverage Issues, 10%
  • Bodily Injury Claims, 8%
  • Customer Service, 7%
  • Process Claims, 3%
Common claims administrator skills
  • Data Entry, 12%
  • Customer Service, 9%
  • Process Claims, 8%
  • Phone Calls, 7%
  • HR, 5%
  • Insurance Claims, 5%

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Updated January 8, 2025

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