Claim approver vs claim processor

The differences between claim approvers and claim processors can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a claim approver and a claim processor. Additionally, a claim approver has an average salary of $44,986, which is higher than the $41,201 average annual salary of a claim processor.

The top three skills for a claim approver include process claims, medical terminology and disability claims. The most important skills for a claim processor are customer service, data entry, and medical terminology.

Claim approver vs claim processor overview

	Claim Approver	Claim Processor
Yearly salary	$44,986	$41,201
Hourly rate	$21.63	$19.81
Growth rate	-6%	-6%
Number of jobs	2,918	11,542
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 44%	Bachelor's Degree, 43%
Average age	44	44
Years of experience	6	6

Claim approver vs claim processor salary

Claim approvers and claim processors have different pay scales, as shown below.

	Claim Approver	Claim Processor
Average salary	$44,986	$41,201
Salary range	Between $31,000 And $63,000	Between $26,000 And $62,000
Highest paying City	-	Columbia, MD
Highest paying state	-	Connecticut
Best paying company	-	NTT Data International L.L.C.
Best paying industry	-	Insurance

Differences between claim approver and claim processor education

There are a few differences between a claim approver and a claim processor in terms of educational background:

	Claim Approver	Claim Processor
Most common degree	Bachelor's Degree, 44%	Bachelor's Degree, 43%
Most common major	Business	Business
Most common college	University of Pennsylvania	Stanford University

Claim approver vs claim processor demographics

Here are the differences between claim approvers' and claim processors' demographics:

	Claim Approver	Claim Processor
Average age	44	44
Gender ratio	Male, 25.6% Female, 74.4%	Male, 22.9% Female, 77.1%
Race ratio	Black or African American, 10.5% Unknown, 4.4% Hispanic or Latino, 16.3% Asian, 5.5% White, 62.8% American Indian and Alaska Native, 0.5%	Black or African American, 11.2% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.0% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between claim approver and claim processor duties and responsibilities

Claim approver example responsibilities.

Manage confidential medical records and directs them to the appropriate practitioners while ensuring HIPPA regulations are maintain.
Train new hires on HMO claim processing.
Provide claim processing information for medical indemnity and PPO plans.
Present clinical management appeals for physician review and prepare provider resolution correspondence.
Submit appeals insurance follow-ups electronically, no fault, and workers compensation insurance.
Direct litigation in the areas of environmental liability, extra contractual claims, general liability, and medical malpractice.

Claim processor example responsibilities.

Experience in many facets of the managed healthcare insurance business.
Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
Use ICD-9, CPT-4 and other medical manuals to adjudicate claims.
Analyze claims submit by providers and facilities for appropriate ICD-9, CPT and HCPCS codes against charges that are being bill.
Call DME and HME companies to correct invoices.
Coach and assist in the training of new EMR databases.

Claim approver vs claim processor skills

Common claim approver skills

Process Claims, 24%
Medical Terminology, 23%
Disability Claims, 11%
Dental Claims, 9%
Data Entry, 5%
Insurance Claims, 4%

Common claim processor skills

Customer Service, 20%
Data Entry, 8%
Medical Terminology, 5%
CPT, 5%
Claims Processing, 4%
Medical Insurance Claims, 4%