Claims analyst vs senior claims analyst

The differences between claims analysts and senior claims analysts can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a claims analyst and a senior claims analyst. Additionally, a senior claims analyst has an average salary of $79,886, which is higher than the $48,398 average annual salary of a claims analyst.

The top three skills for a claims analyst include customer service, medical terminology and CPT. The most important skills for a senior claims analyst are customer service, litigation, and medical terminology.

Claims analyst vs senior claims analyst overview

	Claims Analyst	Senior Claims Analyst
Yearly salary	$48,398	$79,886
Hourly rate	$23.27	$38.41
Growth rate	-6%	-6%
Number of jobs	22,062	21,159
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 52%	Bachelor's Degree, 61%
Average age	44	44
Years of experience	6	6

What does a claims analyst do?

A claims analyst specializes in processing medical insurance claims. They are primarily responsible for verifying the authenticity and eligibility of claims, analyzing the billing, communicating with policyholders, and ensuring adherence to all the policies and regulations during the entire procedure. Furthermore, a claims analyst is also in charge of administrative tasks such as keeping and updating records, reaching out and sending reports to creditors, setting appointments and schedules, processing paperwork, coordinating with key personnel, and discussing terms and necessary information to clients.

What does a senior claims analyst do?

Senior Claims Analysts are responsible for providing support and oversight on the process of liability claims. Their duties include verifying submitted claims, assessing reimbursement policies, performing reconciliation with claims estimates, and conducting payment negotiations. They manage claims processing costs, prepare payment documents, reclassify entries, and attend to requestors' queries. Senior Claims Analyst also organizes records and assist in providing mentorship and training sessions to junior staff.

Claims analyst vs senior claims analyst salary

Claims analysts and senior claims analysts have different pay scales, as shown below.

	Claims Analyst	Senior Claims Analyst
Average salary	$48,398	$79,886
Salary range	Between $29,000 And $78,000	Between $52,000 And $122,000
Highest paying City	Trenton, NJ	San Leandro, CA
Highest paying state	New Jersey	Hawaii
Best paying company	Google	Alameda Health System
Best paying industry	-	Finance

Differences between claims analyst and senior claims analyst education

There are a few differences between a claims analyst and a senior claims analyst in terms of educational background:

	Claims Analyst	Senior Claims Analyst
Most common degree	Bachelor's Degree, 52%	Bachelor's Degree, 61%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Claims analyst vs senior claims analyst demographics

Here are the differences between claims analysts' and senior claims analysts' demographics:

	Claims Analyst	Senior Claims Analyst
Average age	44	44
Gender ratio	Male, 27.6% Female, 72.4%	Male, 30.8% Female, 69.2%
Race ratio	Black or African American, 11.3% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.3% American Indian and Alaska Native, 0.5%	Black or African American, 11.3% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.0% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between claims analyst and senior claims analyst duties and responsibilities

Claims analyst example responsibilities.

Help managed meetings regarding decision making on CMS regulations.
Process UB's and HCFA's according to guidelines.
Analyze and investigate medical claims utilizing ICD-9 and CPT-4 coding.
Review claims (HCFA and UB) for accurate billing submission.
Interpret medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes for member submit claims.
Acquire biometrics and perform phlebotomy.

Senior claims analyst example responsibilities.

Accomplish facets and Macess user including running reports.
Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Coordinate the maintenance of TPA payment type / code table conversions data.
Process claims, generate checks, create reports and correspond with TPA clients.
Review claims for correct billing information such as correct CPT codes, ICD code and patient information.
Analyze, evaluate, and conduct statistical data reviews as required by CMS in accordance with ZPIC policies.

Claims analyst vs senior claims analyst skills

Common claims analyst skills

Customer Service, 14%
Medical Terminology, 5%
CPT, 5%
Process Claims, 5%
Medicaid, 5%
Data Entry, 5%

Common senior claims analyst skills

Customer Service, 7%
Litigation, 7%
Medical Terminology, 6%
Coverage Issues, 6%
Policy Provisions, 5%
Medicaid, 5%

Claims Analyst vs. similar jobs

Claims Analyst related careers

Claims Analyst related jobs

What similar roles do

Zippia Careers
Business and Financial Industry
Claims Analyst
Claims Analyst vs Senior Claims Analyst

Updated January 8, 2025

Browse business and financial jobs