Claim approver vs senior claims processor

The differences between claim approvers and senior claims processors can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 4-6 years to become a claim approver, becoming a senior claims processor takes usually requires 2-4 years. Additionally, a claim approver has an average salary of $44,986, which is higher than the $44,873 average annual salary of a senior claims processor.

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

Claim approver vs senior claims processor overview

	Claim Approver	Senior Claims Processor
Yearly salary	$44,986	$44,873
Hourly rate	$21.63	$21.57
Growth rate	-6%	-3%
Number of jobs	2,918	14,768
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 44%	Bachelor's Degree, 37%
Average age	44	44
Years of experience	6	4

Claim approver vs senior claims processor salary

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

	Claim Approver	Senior Claims Processor
Average salary	$44,986	$44,873
Salary range	Between $31,000 And $63,000	Between $30,000 And $65,000
Highest paying City	-	-
Highest paying state	-	-
Best paying company	-	-
Best paying industry	-	-

Differences between claim approver and senior claims processor education

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

	Claim Approver	Senior Claims Processor
Most common degree	Bachelor's Degree, 44%	Bachelor's Degree, 37%
Most common major	Business	Business
Most common college	University of Pennsylvania	Stanford University

Claim approver vs senior claims processor demographics

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

	Claim Approver	Senior Claims Processor
Average age	44	44
Gender ratio	Male, 25.6% Female, 74.4%	Male, 16.3% Female, 83.7%
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, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	11%

Differences between claim approver and senior claims 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.

Senior claims processor example responsibilities.

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.
Experience with HMO's, IPA's and insurance authorizations.
Handle confidential information according to new laws (HIPPA).
Review ICD-9 diagnosis codes against CPT codes for claim payment guidelines.

Claim approver vs senior claims 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 senior claims processor skills

Customer Service, 16%
Process Claims, 8%
SR, 6%
Medical Terminology, 5%
Appeals, 5%
CMS, 5%

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Claim Approver vs Senior Claims Processor

Updated January 8, 2025

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