Claim processor vs auto claims adjuster

The differences between claim processors and auto claims adjusters 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 processor, becoming an auto claims adjuster takes usually requires 2-4 years. Additionally, an auto claims adjuster has an average salary of $52,621, which is higher than the $41,201 average annual salary of a claim processor.

The top three skills for a claim processor include customer service, data entry and medical terminology. The most important skills for an auto claims adjuster are repair process, body shop, and strong customer service.

Claim processor vs auto claims adjuster overview

	Claim Processor	Auto Claims Adjuster
Yearly salary	$41,201	$52,621
Hourly rate	$19.81	$25.30
Growth rate	-6%	-6%
Number of jobs	11,542	16,187
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 43%	Bachelor's Degree, 72%
Average age	44	44
Years of experience	6	4

What does a claim processor do?

A Claims Processor is responsible for processing and verifying insurance claims, in adherence to the policies, laws, and regulations of the company involved. Aside from examining its authenticity, they must also oversee new policies and recommend modifications should it be needed. Moreover, it is also the task of the Claims Processor to prepare the necessary documents and guidelines for the policyholder, process reimbursements upon approval, provide answers to inquiries, and report issues and updates to the management.

What does an auto claims adjuster do?

A claims adjuster inspects insurance claim liability for property damage or personal injuries and calculates payments. They can either work in-house for insurance companies or as external freelancers. They collect gathered information from different reliable sources to determine insurance obligations based on the degree of damage caused. It is part of their responsibility to interview claimants and witnesses and refer with experts like engineers or policyholders to estimate the damage and if it's covered by insurance policies.

Claim processor vs auto claims adjuster salary

Claim processors and auto claims adjusters have different pay scales, as shown below.

	Claim Processor	Auto Claims Adjuster
Average salary	$41,201	$52,621
Salary range	Between $26,000 And $62,000	Between $38,000 And $71,000
Highest paying City	Columbia, MD	Jersey City, NJ
Highest paying state	Connecticut	Alaska
Best paying company	NTT Data International L.L.C.	EMC Insurance
Best paying industry	Insurance	Insurance

Differences between claim processor and auto claims adjuster education

There are a few differences between a claim processor and an auto claims adjuster in terms of educational background:

	Claim Processor	Auto Claims Adjuster
Most common degree	Bachelor's Degree, 43%	Bachelor's Degree, 72%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Claim processor vs auto claims adjuster demographics

Here are the differences between claim processors' and auto claims adjusters' demographics:

	Claim Processor	Auto Claims Adjuster
Average age	44	44
Gender ratio	Male, 22.9% Female, 77.1%	Male, 52.2% Female, 47.8%
Race ratio	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%	Black or African American, 12.1% Unknown, 4.4% Hispanic or Latino, 16.3% Asian, 5.1% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between claim processor and auto claims adjuster duties and responsibilities

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.

Auto claims adjuster example responsibilities.

Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
Work closely with staff attorneys to develop litigation strategies and prepare for depositions.
Provide feedback and implement strategies on claim investigation, reserving, settlement and litigation.
Research and review delinquent mortgage cases, financial scenarios and individual homeowner situations to develop solutions compliant with investor policy.
Prepare written arguments for arbitration and provide all supporting documentation and evidence.
Compile and submit arbitration applications against the insurers of at-fault parties who refuse liability.

Claim processor vs auto claims adjuster skills

Common claim processor skills

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

Common auto claims adjuster skills

Repair Process, 14%
Body Shop, 10%
Strong Customer Service, 9%
Vehicle Inspections, 8%
Insurance Claims, 7%
Customer Service, 5%

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Claim Processor vs Auto Claims Adjuster

Updated January 8, 2025

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