Claims administrator vs claims coordinator

The differences between claims administrators and claims coordinators can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a claims administrator, becoming a claims coordinator takes usually requires 4-6 years. Additionally, a claims coordinator has an average salary of $38,620, which is higher than the $36,432 average annual salary of a claims administrator.

The top three skills for a claims administrator include data entry, customer service and process claims. The most important skills for a claims coordinator are customer service, patients, and data entry.

Claims administrator vs claims coordinator overview

	Claims Administrator	Claims Coordinator
Yearly salary	$36,432	$38,620
Hourly rate	$17.52	$18.57
Growth rate	-3%	-6%
Number of jobs	59,006	27,332
Job satisfaction	4	-
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 48%
Average age	44	44
Years of experience	4	6

What does a claims administrator do?

Claims administrators are professionals who are responsible for performing administrative duties related to insurance claims. These administrators must collaborate with insurance companies so that they can analyze claims and determine the extent of the company's liability. They must review billing and process claims correctly by identifying provider information and other documentation to ensure a prompt payout. Claims administrators must also maintain and manage the compensation files of all workers in order to conduct preliminary investigations on work-related injuries for worker's compensation claims.

What does a claims coordinator do?

Claims coordinators are professionals who are responsible for coordinating activities that are related to handling and processing insurance claims for an organization. These coordinators must serve as liaison officer between the organization, insurance provider, and policyholders to communicate the status and eligibility for coverage for all relevant claims. They need to ensure that billing requirements are met by reviewing insurance claims. Claims coordinators must also answer all the inquiries of their clients while making recommendations to resolve any claim issues.

Claims administrator vs claims coordinator salary

Claims administrators and claims coordinators have different pay scales, as shown below.

	Claims Administrator	Claims Coordinator
Average salary	$36,432	$38,620
Salary range	Between $29,000 And $44,000	Between $31,000 And $47,000
Highest paying City	Reno, NV	Federal Way, WA
Highest paying state	Connecticut	New Jersey
Best paying company	ABB	Xcel Energy
Best paying industry	Hospitality	Finance

Differences between claims administrator and claims coordinator education

There are a few differences between a claims administrator and a claims coordinator in terms of educational background:

	Claims Administrator	Claims Coordinator
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 48%
Most common major	Business	Business
Most common college	-	-

Claims administrator vs claims coordinator demographics

Here are the differences between claims administrators' and claims coordinators' demographics:

	Claims Administrator	Claims Coordinator
Average age	44	44
Gender ratio	Male, 28.9% Female, 71.1%	Male, 24.6% Female, 75.4%
Race ratio	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%	Black or African American, 11.2% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	10%

Differences between claims administrator and claims coordinator duties and responsibilities

Claims administrator example responsibilities.

Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
Implement HIPAA regulations to protect patient privacy.
Adjudicate medical, commercial and Medicaid, claims.
Code medical records by following current ICD-9/ICD-10, CPT, and HCPCS standards.
Work with doctors, TPA, adjusters, attorneys, to maintain claim cost effectively.
Process various compensation benefits applications for veterans in compliance with organizational laws, federal laws, rules and regulations.

Claims coordinator example responsibilities.

Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
Process and adjust Medicare claims, provide feedback to providers on proper CPT, ICD-9 coding for billing purposes.
Serve as point of contact for all legal issues relate to HIPAA.
Streamline audit procedures of TPA and maintain extremely high production rate which help in keeping staffing requirements lower.
Review and audit claims -Using correct CPT and DX codes -Denial reports -correct billing error, resubmitted claims for proper payment
Communicate with company management, injure workers/customers, medical providers and TPA, as necessary, regarding claim relate matters.

Claims administrator vs claims coordinator skills

Common claims administrator skills

Data Entry, 12%
Customer Service, 9%
Process Claims, 8%
Phone Calls, 7%
HR, 5%
Insurance Claims, 5%

Common claims coordinator skills

Customer Service, 23%
Patients, 9%
Data Entry, 8%
Phone Calls, 6%
Insurance Claims, 5%
Quality Standards, 4%

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Claims Administrator
Claims Administrator vs Claims Coordinator

Updated January 8, 2025

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