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Claims clerk vs insurance clerk

The differences between claims clerks and insurance clerks 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 clerk and an insurance clerk. Additionally, an insurance clerk has an average salary of $33,089, which is higher than the $32,815 average annual salary of a claims clerk.

The top three skills for a claims clerk include data entry, customer service and clerical support. The most important skills for an insurance clerk are patients, insurance verification, and data entry.

Claims clerk vs insurance clerk overview

Claims ClerkInsurance Clerk
Yearly salary$32,815$33,089
Hourly rate$15.78$15.91
Growth rate-3%-3%
Number of jobs78,588147,755
Job satisfaction-2
Most common degreeBachelor's Degree, 31%High School Diploma, 29%
Average age4444
Years of experience44

What does a claims clerk do?

Claims clerks review the forms and documents for insurance claims to check for missing information and attachments. The data they obtain is entered into their database for safekeeping and quick retrieval. They should know the answers to their clients' questions about the regulations, policies, and procedures covered by their insurance policy. These clerks prepare documents that their agents use to present to their clients. When working for this position, a person must have the ability to communicate well and be familiar with computer applications.

What does an insurance clerk do?

An insurance clerk usually works to process insurance, reinstatement, changes, or cancellations for a company or an individual account. They are responsible for monitoring, processing, and organizing different insurance claims for a client. They usually work closely with the company's insurance agent to provide necessary information to process the clients' application. This career requires a broad knowledge of local and state insurance policies, good attention to detail, excellent communication skills, customer service skills, and administrative skills.

Claims clerk vs insurance clerk salary

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

Claims ClerkInsurance Clerk
Average salary$32,815$33,089
Salary rangeBetween $27,000 And $39,000Between $27,000 And $39,000
Highest paying City-Henderson, NV
Highest paying state-New Hampshire
Best paying company-Lenoir Memorial Hospital
Best paying industry-Finance

Differences between claims clerk and insurance clerk education

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

Claims ClerkInsurance Clerk
Most common degreeBachelor's Degree, 31%High School Diploma, 29%
Most common majorBusinessBusiness
Most common college--

Claims clerk vs insurance clerk demographics

Here are the differences between claims clerks' and insurance clerks' demographics:

Claims ClerkInsurance Clerk
Average age4444
Gender ratioMale, 17.5% Female, 82.5%Male, 8.3% Female, 91.7%
Race ratioBlack 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 Percentage11%11%

Differences between claims clerk and insurance clerk duties and responsibilities

Claims clerk example responsibilities.

  • Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
  • File commercial, worker's comp, Medicare, and Medicaid claims to insurance carriers and employers.
  • Open and sort mail by claim types (HCPA UB 92 and T18).
  • Process medical HMO claims, POS claims, PPO claims and fee for service claims.
  • Review, scan, and file HCFA forms
  • Audit paper claims for accuracy in CPT and ICD9 codes.
    • Show more

Insurance clerk example responsibilities.

  • Manage front office check-in, insurance verification and certifications from doctors.
  • Establish and implement procedures for completion of patient super bills with proper diagnostic coding utilizing ICD-9 and CPT code manuals.
  • Maintain patient medical records insuring diagnosis codes (ICD-9) are itemized correctly and name and address of insurance carriers record.
  • Schedule and obtain authorization for outpatient procedures for patients via private insurance, worker's compensation, and Medicare/ Medicaid.
  • Complete several ICD-10 training courses.
  • Perform medical coding with most accurate and descriptive HCPCS code.
    • Show more

Claims clerk vs insurance clerk skills

Common claims clerk skills
  • Data Entry, 26%
  • Customer Service, 9%
  • Clerical Support, 7%
  • Computer System, 5%
  • Medical Claims, 4%
  • Process Claims, 4%
Common insurance clerk skills
  • Patients, 25%
  • Insurance Verification, 7%
  • Data Entry, 7%
  • Customer Service, 6%
  • Insurance Coverage, 5%
  • Computer System, 3%

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Updated January 8, 2025

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