Telephone claims representative vs claims coordinator

The differences between telephone claims representatives and claims coordinators can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a telephone claims representative, becoming a claims coordinator takes usually requires 4-6 years. Additionally, a telephone claims representative has an average salary of $42,400, which is higher than the $38,620 average annual salary of a claims coordinator.

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

Telephone claims representative vs claims coordinator overview

	Telephone Claims Representative	Claims Coordinator
Yearly salary	$42,400	$38,620
Hourly rate	$20.38	$18.57
Growth rate	-3%	-6%
Number of jobs	14,218	27,332
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 75%	Bachelor's Degree, 48%
Average age	44	44
Years of experience	4	6

Telephone claims representative vs claims coordinator salary

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

	Telephone Claims Representative	Claims Coordinator
Average salary	$42,400	$38,620
Salary range	Between $31,000 And $57,000	Between $31,000 And $47,000
Highest paying City	-	Federal Way, WA
Highest paying state	-	New Jersey
Best paying company	-	Xcel Energy
Best paying industry	-	Finance

Differences between telephone claims representative and claims coordinator education

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

	Telephone Claims Representative	Claims Coordinator
Most common degree	Bachelor's Degree, 75%	Bachelor's Degree, 48%
Most common major	Business	Business
Most common college	-	-

Telephone claims representative vs claims coordinator demographics

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

	Telephone Claims Representative	Claims Coordinator
Average age	44	44
Gender ratio	Male, 37.5% Female, 62.5%	Male, 24.6% Female, 75.4%
Race ratio	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%	Black or African American, 11.2% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	10%

Differences between telephone claims representative and claims coordinator 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 coordinator example responsibilities.

Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
Process and adjust Medicare claims, provide feedback to providers on proper CPT, ICD-9 coding for billing purposes.
Serve as point of contact for all legal issues relate to HIPAA.
Streamline audit procedures of TPA and maintain extremely high production rate which help in keeping staffing requirements lower.
Review and audit claims -Using correct CPT and DX codes -Denial reports -correct billing error, resubmitted claims for proper payment
Communicate with company management, injure workers/customers, medical providers and TPA, as necessary, regarding claim relate matters.

Telephone claims representative vs claims coordinator 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 coordinator skills

Customer Service, 23%
Patients, 9%
Data Entry, 8%
Phone Calls, 6%
Insurance Claims, 5%
Quality Standards, 4%

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Office and Administrative Industry
Telephone Claims Representative
Telephone Claims Representative vs Claims Coordinator

Updated January 8, 2025

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