Claims administrator vs insurance processor

The differences between claims administrators and insurance processors 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 processor. Additionally, a claims administrator has an average salary of $36,432, which is higher than the $33,041 average annual salary of an insurance processor.

The top three skills for a claims administrator include data entry, customer service and process claims. The most important skills for an insurance processor are data entry, customer service, and phone calls.

Claims administrator vs insurance processor overview

	Claims Administrator	Insurance Processor
Yearly salary	$36,432	$33,041
Hourly rate	$17.52	$15.89
Growth rate	-3%	-3%
Number of jobs	59,006	50,523
Job satisfaction	4	-
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 33%
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 processor do?

Insurance Processors deal with the processing of insurance applications, amendments of policies, changes, and cancellations. An Insurance Processor works with the client to choose the best insurance package and advise them on how to maximize their benefits. Clients need to understand the insurance process by answering inquiries. It is also essential that an Insurance Processor work hand in hand with the client, guiding them through the process, explaining all crucial parts of the insurance to establish trust in you and the company.

Claims administrator vs insurance processor salary

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

	Claims Administrator	Insurance Processor
Average salary	$36,432	$33,041
Salary range	Between $29,000 And $44,000	Between $28,000 And $38,000
Highest paying City	Reno, NV	Leawood, KS
Highest paying state	Connecticut	Connecticut
Best paying company	ABB	Moore County Hospital District
Best paying industry	Hospitality	Finance

Differences between claims administrator and insurance processor education

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

	Claims Administrator	Insurance Processor
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 33%
Most common major	Business	Business
Most common college	-	-

Claims administrator vs insurance processor demographics

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

	Claims Administrator	Insurance Processor
Average age	44	44
Gender ratio	Male, 28.9% Female, 71.1%	Male, 16.3% Female, 83.7%
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 processor 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 processor example responsibilities.

Manage database by processing renewals and endorsements.
Input and process all dental claims, through electronic and paper submission, to private insurance companies and Medicaid.
Maintain patient privacy and confidentiality complaint with HIPPA regulations.
Work directly with mortgage lenders and foreclosure attorneys to negotiate timely and cost effective repayment plans or modifications for delinquent loans.
Handle a substantial amount of Allstate customers, third party carriers, and others who need assistance to file a claim.

Claims administrator vs insurance processor skills

Common claims administrator skills

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

Common insurance processor skills

Data Entry, 18%
Customer Service, 12%
Phone Calls, 9%
Outbound Calls, 9%
Insurance Claims, 6%
Insurance Coverage, 5%

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Office and Administrative Industry
Claims Administrator
Claims Administrator vs Insurance Processor

Updated January 8, 2025

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