Claims administrator vs insurance coordinator

The differences between claims administrators and insurance coordinators can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a claims administrator and an insurance coordinator. Additionally, a claims administrator has an average salary of $36,432, which is higher than the $32,788 average annual salary of an insurance coordinator.

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

Claims administrator vs insurance coordinator overview

	Claims Administrator	Insurance Coordinator
Yearly salary	$36,432	$32,788
Hourly rate	$17.52	$15.76
Growth rate	-3%	-3%
Number of jobs	59,006	108,509
Job satisfaction	4	-
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 36%
Average age	44	44
Years of experience	4	4

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 an insurance coordinator do?

An insurance coordinator is responsible for evaluating and validating insurance information to verify claims and process the necessary claims resolutions for parties. Insurance coordinators submit claims statements timely to the insurance officers for review, coordinate with the clients for inquiries and updates, and reach out to medical institutions for accurate filing of payments. An insurance coordinator must have excellent communication and analytical skills to assess reports, resolve claims discrepancies, and escalate high-level complaints to the officers for immediate action.

Claims administrator vs insurance coordinator salary

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

	Claims Administrator	Insurance Coordinator
Average salary	$36,432	$32,788
Salary range	Between $29,000 And $44,000	Between $25,000 And $41,000
Highest paying City	Reno, NV	Oakland, CA
Highest paying state	Connecticut	New Hampshire
Best paying company	ABB	University of California, Berkeley
Best paying industry	Hospitality	Pharmaceutical

Differences between claims administrator and insurance coordinator education

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

	Claims Administrator	Insurance Coordinator
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 36%
Most common major	Business	Business
Most common college	-	-

Claims administrator vs insurance coordinator demographics

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

	Claims Administrator	Insurance Coordinator
Average age	44	44
Gender ratio	Male, 28.9% Female, 71.1%	Male, 9.9% Female, 90.1%
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, 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	11%	11%

Differences between claims administrator and insurance 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.

Insurance coordinator example responsibilities.

Verify patient dental insurance coverage and limitations with major private and business dental insurance providers as well as Medicaid and Medicare.
File to record patient demographics in numerous EMR systems and paper charts if applicable.
Prepare providers and staff for ICD-10 transition.
Post and reconcile all daily insurance, patient payments and transactions within the EMR system.
Experience in registration in healthcare, business office and physician billing, with reimbursement and collections.
Process all Medicare claims, explaining HMO changes to patients in detail and accurately documenting all benefits.

Claims administrator vs insurance coordinator skills

Common claims administrator skills

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

Common insurance coordinator skills

Patients, 26%
Customer Service, 11%
Insurance Verification, 7%
Insurance Eligibility, 4%
Medicaid, 3%
Medical Terminology, 3%

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Office and Administrative Industry
Claims Administrator
Claims Administrator vs Insurance Coordinator

Updated January 8, 2025

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