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Claim approver vs claims director

The differences between claim approvers and claims directors 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 claims director. Additionally, a claims director has an average salary of $118,250, which is higher than the $44,986 average annual salary of a claim approver.

The top three skills for a claim approver include process claims, medical terminology and disability claims. The most important skills for a claims director are customer service, litigation, and oversight.

Claim approver vs claims director overview

Claim ApproverClaims Director
Yearly salary$44,986$118,250
Hourly rate$21.63$56.85
Growth rate-6%-6%
Number of jobs2,91813,299
Job satisfaction--
Most common degreeBachelor's Degree, 44%Bachelor's Degree, 68%
Average age4444
Years of experience66

Claim approver vs claims director salary

Claim approvers and claims directors have different pay scales, as shown below.

Claim ApproverClaims Director
Average salary$44,986$118,250
Salary rangeBetween $31,000 And $63,000Between $73,000 And $190,000
Highest paying City--
Highest paying state--
Best paying company--
Best paying industry--

Differences between claim approver and claims director education

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

Claim ApproverClaims Director
Most common degreeBachelor's Degree, 44%Bachelor's Degree, 68%
Most common majorBusinessBusiness
Most common collegeUniversity of PennsylvaniaStanford University

Claim approver vs claims director demographics

Here are the differences between claim approvers' and claims directors' demographics:

Claim ApproverClaims Director
Average age4444
Gender ratioMale, 25.6% Female, 74.4%Male, 58.2% Female, 41.8%
Race ratioBlack 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, 10.7% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 62.2% American Indian and Alaska Native, 0.5%
LGBT Percentage10%10%

Differences between claim approver and claims director 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.
  • Show more

Claims director example responsibilities.

  • Create project team that comply with new Medicare reporting requirements achieving successful reporting to CMS.
  • Maintain relationships with attorneys and manage litigation strategy; ensure strong relationships with insureds, brokers and third party administrators.
  • Redesign processes and procedures for managing litigation through the implementation of an aggressive process for managing discovery and case typing.
  • General knowledge of CPT, ICD-9, HCPCS, DRG and Medicode (UCR), bundling and unbundling.
  • File and respond to online arbitration matters.
  • Facilitate annual updates to all new and revise CPT codes assuring accurate claims payment.
  • Show more

Claim approver vs claims director skills

Common claim approver skills
  • Process Claims, 24%
  • Medical Terminology, 23%
  • Disability Claims, 11%
  • Dental Claims, 9%
  • Data Entry, 5%
  • Insurance Claims, 4%
Common claims director skills
  • Customer Service, 17%
  • Litigation, 11%
  • Oversight, 9%
  • Coverage Issues, 6%
  • Claims Handling, 5%
  • Claims Operations, 5%

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