Claims administrator vs insurance verifier

The differences between claims administrators and insurance verifiers 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 verifier. Additionally, a claims administrator has an average salary of $36,432, which is higher than the $33,450 average annual salary of an insurance verifier.

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

Claims administrator vs insurance verifier overview

	Claims Administrator	Insurance Verifier
Yearly salary	$36,432	$33,450
Hourly rate	$17.52	$16.08
Growth rate	-3%	-3%
Number of jobs	59,006	84,023
Job satisfaction	4	-
Most common degree	Bachelor's Degree, 53%	Associate Degree, 25%
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 verifier do?

An insurance verifier specializes in dealing with the billing process and patient claims. As the process begins, insurance verifiers look into patient insurance information and verify treatments that their policies cover. They call the insurance companies and send proper documentation to verify pre-approval for the required procedure. Eventually, the insurance verifiers work with insurance companies to bill them for the procedure. Their tasks may also include communicating with patients about benefits, coverage, and care authorization, and liaising with patients and providers to communicate their needs and current state.

Claims administrator vs insurance verifier salary

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

	Claims Administrator	Insurance Verifier
Average salary	$36,432	$33,450
Salary range	Between $29,000 And $44,000	Between $27,000 And $40,000
Highest paying City	Reno, NV	-
Highest paying state	Connecticut	-
Best paying company	ABB	-
Best paying industry	Hospitality	-

Differences between claims administrator and insurance verifier education

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

	Claims Administrator	Insurance Verifier
Most common degree	Bachelor's Degree, 53%	Associate Degree, 25%
Most common major	Business	Health Care Administration
Most common college	-	-

Claims administrator vs insurance verifier demographics

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

	Claims Administrator	Insurance Verifier
Average age	44	44
Gender ratio	Male, 28.9% Female, 71.1%	Male, 10.5% Female, 89.5%
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 verifier 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 verifier example responsibilities.

Manage database by processing renewals and endorsements.
Verify eligibility for members who have Medicaid and Medicare.
Verify and process demographic information and insurance benefits to register inpatients, outpatients, short procedures, and emergency room patients.
Handle a substantial amount of Allstate customers, third party carriers, and others who need assistance to file a claim.

Claims administrator vs insurance verifier skills

Common claims administrator skills

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

Common insurance verifier skills

Patients, 25%
Insurance Verification, 9%
Medical Terminology, 9%
Customer Service, 7%
Data Entry, 5%
Insurance Eligibility, 4%

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Claims Administrator
Claims Administrator vs Insurance Verifier

Updated January 8, 2025

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