Claims coordinator vs insurance processor

The differences between claims coordinators and insurance processors can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 4-6 years to become a claims coordinator, becoming an insurance processor takes usually requires 2-4 years. Additionally, a claims coordinator has an average salary of $38,620, which is higher than the $33,041 average annual salary of an insurance processor.

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

Claims coordinator vs insurance processor overview

	Claims Coordinator	Insurance Processor
Yearly salary	$38,620	$33,041
Hourly rate	$18.57	$15.89
Growth rate	-6%	-3%
Number of jobs	27,332	50,523
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 48%	Bachelor's Degree, 33%
Average age	44	44
Years of experience	6	4

What does a claims coordinator do?

Claims coordinators are professionals who are responsible for coordinating activities that are related to handling and processing insurance claims for an organization. These coordinators must serve as liaison officer between the organization, insurance provider, and policyholders to communicate the status and eligibility for coverage for all relevant claims. They need to ensure that billing requirements are met by reviewing insurance claims. Claims coordinators must also answer all the inquiries of their clients while making recommendations to resolve any claim issues.

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 coordinator vs insurance processor salary

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

	Claims Coordinator	Insurance Processor
Average salary	$38,620	$33,041
Salary range	Between $31,000 And $47,000	Between $28,000 And $38,000
Highest paying City	Federal Way, WA	Leawood, KS
Highest paying state	New Jersey	Connecticut
Best paying company	Xcel Energy	Moore County Hospital District
Best paying industry	Finance	Finance

Differences between claims coordinator and insurance processor education

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

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

Claims coordinator vs insurance processor demographics

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

	Claims Coordinator	Insurance Processor
Average age	44	44
Gender ratio	Male, 24.6% Female, 75.4%	Male, 16.3% Female, 83.7%
Race ratio	Black or African American, 11.2% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 61.6% 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	10%	11%

Differences between claims coordinator and insurance processor duties and responsibilities

Claims coordinator example responsibilities.

Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
Process and adjust Medicare claims, provide feedback to providers on proper CPT, ICD-9 coding for billing purposes.
Serve as point of contact for all legal issues relate to HIPAA.
Streamline audit procedures of TPA and maintain extremely high production rate which help in keeping staffing requirements lower.
Review and audit claims -Using correct CPT and DX codes -Denial reports -correct billing error, resubmitted claims for proper payment
Communicate with company management, injure workers/customers, medical providers and TPA, as necessary, regarding claim relate matters.

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 coordinator vs insurance processor skills

Common claims coordinator skills

Customer Service, 23%
Patients, 9%
Data Entry, 8%
Phone Calls, 6%
Insurance Claims, 5%
Quality Standards, 4%

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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Claims Coordinator
Claims Coordinator vs Insurance Processor

Updated January 8, 2025

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