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Claim processor vs claims supervisor

The differences between claim processors and claims supervisors 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 processor and a claims supervisor. Additionally, a claims supervisor has an average salary of $75,263, 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 a claims supervisor are customer service, corrective action, and claims adjusters.

Claim processor vs claims supervisor overview

Claim ProcessorClaims Supervisor
Yearly salary$41,201$75,263
Hourly rate$19.81$36.18
Growth rate-6%-6%
Number of jobs11,54213,197
Job satisfaction--
Most common degreeBachelor's Degree, 43%Bachelor's Degree, 64%
Average age4444
Years of experience66

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 a claims supervisor do?

A claims supervisor is in charge of overseeing the workflow and the workforce involved in processing insurance claims, ensuring accuracy and smooth progress. Their responsibilities typically revolve around liaising with key clients and third party agencies, assisting staff in negotiating terms, verifying the authenticity and completeness of all applications, monitoring the finances, and resolving complex issues. Furthermore, as a claims supervisor, it is essential to lead and encourage the team to reach goals, all while making sure that they adhere to the company's policies and regulations.

Claim processor vs claims supervisor salary

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

Claim ProcessorClaims Supervisor
Average salary$41,201$75,263
Salary rangeBetween $26,000 And $62,000Between $48,000 And $117,000
Highest paying CityColumbia, MDSan Francisco, CA
Highest paying stateConnecticutCalifornia
Best paying companyNTT Data International L.L.C.W. R. Berkley
Best paying industryInsuranceRetail

Differences between claim processor and claims supervisor education

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

Claim ProcessorClaims Supervisor
Most common degreeBachelor's Degree, 43%Bachelor's Degree, 64%
Most common majorBusinessBusiness
Most common collegeStanford UniversityStanford University

Claim processor vs claims supervisor demographics

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

Claim ProcessorClaims Supervisor
Average age4444
Gender ratioMale, 22.9% Female, 77.1%Male, 40.8% Female, 59.2%
Race ratioBlack 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, 10.7% Unknown, 4.4% Hispanic or Latino, 17.1% Asian, 5.3% White, 62.1% American Indian and Alaska Native, 0.5%
LGBT Percentage10%10%

Differences between claim processor and claims supervisor 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.
    • Show more

Claims supervisor example responsibilities.

  • Manage, train and continuously develop a team consisting of both inside SIU investigators and field investigators.
  • Apply fundamentals of insurance investigation and resolution to an introductory leadership role managing complex claim files and tort litigation files.
  • Make determinations to authorize payments via XACTIMATE software.
  • Assist TPA in obtaining company documentation and scheduling employee interviews in investigation of claims.
  • Advise physician on any changes with CPT and ICD-9 coding to maximize reimbursements and minimize denials.
  • Provide oversight and direction for highly complicate claim reviews base on policy, procedure and CMS guidelines.
    • Show more

Claim processor vs claims supervisor skills

Common claim processor skills
  • Customer Service, 20%
  • Data Entry, 8%
  • Medical Terminology, 5%
  • CPT, 5%
  • Claims Processing, 4%
  • Medical Insurance Claims, 4%
Common claims supervisor skills
  • Customer Service, 25%
  • Corrective Action, 7%
  • Claims Adjusters, 6%
  • Litigation, 6%
  • Claims Handling, 5%
  • Performance Reviews, 4%

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Updated January 8, 2025

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