Claims associate vs insurance processor

The differences between claims associates 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 associate and an insurance processor. Additionally, a claims associate has an average salary of $36,558, which is higher than the $33,041 average annual salary of an insurance processor.

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

Claims associate vs insurance processor overview

	Claims Associate	Insurance Processor
Yearly salary	$36,558	$33,041
Hourly rate	$17.58	$15.89
Growth rate	-3%	-3%
Number of jobs	9,145	50,523
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 48%	Bachelor's Degree, 33%
Average age	44	44
Years of experience	4	4

What does a claims associate do?

Claims associates control claims for insurance companies. Their job duties include determining a customer's insurance coverage and evaluating those who have filed a claim. Also, they must make sure that a claim is analyzed correctly for the clients to receive their entitled financial settlement. The work may require the agent to travel to generate information about the claim and may vary from a different position in the insurance industry. Qualifications for the job include an associate degree, excellent interpersonal and research skills as well as relevant experience in customer service.

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 associate vs insurance processor salary

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

	Claims Associate	Insurance Processor
Average salary	$36,558	$33,041
Salary range	Between $30,000 And $44,000	Between $28,000 And $38,000
Highest paying City	Hartford, CT	Leawood, KS
Highest paying state	Connecticut	Connecticut
Best paying company	Accenture	Moore County Hospital District
Best paying industry	Insurance	Finance

Differences between claims associate and insurance processor education

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

	Claims Associate	Insurance Processor
Most common degree	Bachelor's Degree, 48%	Bachelor's Degree, 33%
Most common major	Business	Business
Most common college	-	-

Claims associate vs insurance processor demographics

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

	Claims Associate	Insurance Processor
Average age	44	44
Gender ratio	Male, 30.3% Female, 69.7%	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 associate and insurance processor duties and responsibilities

Claims associate example responsibilities.

Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
Obtain vehicle information from the DMV.
Follow HIPAA policy on each and every call.
Abided by the laws and regulations associate under HIPAA and patient confidentiality.
Receive recognition for creating a workflow and database for all incoming subpoenas.
Assist in training new CSA s on job responsibilities, which increase office productivity.

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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 associate vs insurance processor skills

Common claims associate skills

Customer Service, 14%
Medical Claims, 8%
Phone Calls, 8%
Claims Handling, 7%
Insurance Claims, 6%
Medical Terminology, 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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Updated January 8, 2025

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