Claims director vs senior claims analyst

The differences between claims directors 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 director and a senior claims analyst. Additionally, a claims director has an average salary of $118,250, which is higher than the $79,886 average annual salary of a senior claims analyst.

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

Claims director vs senior claims analyst overview

	Claims Director	Senior Claims Analyst
Yearly salary	$118,250	$79,886
Hourly rate	$56.85	$38.41
Growth rate	-6%	-6%
Number of jobs	13,299	21,159
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 68%	Bachelor's Degree, 61%
Average age	44	44
Years of experience	6	6

What does a claims director do?

A claims director spearheads and oversees the daily operations of an insurance company's claims department. They have the authority to make decisions and changes, set goals and timelines, establish guidelines and budgets, liaise with key external partners, coordinate managers and teams, delegate responsibilities, and conduct research and analysis to find opportunities that will optimize the department's operations. Moreover, a claims director leads and encourages staff to reach goals, all while implementing the company's claims policies and regulations, developing new ones as needed.

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 director vs senior claims analyst salary

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

	Claims Director	Senior Claims Analyst
Average salary	$118,250	$79,886
Salary range	Between $73,000 And $190,000	Between $52,000 And $122,000
Highest paying City	-	San Leandro, CA
Highest paying state	-	Hawaii
Best paying company	-	Alameda Health System
Best paying industry	-	Finance

Differences between claims director and senior claims analyst education

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

	Claims Director	Senior Claims Analyst
Most common degree	Bachelor's Degree, 68%	Bachelor's Degree, 61%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Claims director vs senior claims analyst demographics

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

	Claims Director	Senior Claims Analyst
Average age	44	44
Gender ratio	Male, 58.2% Female, 41.8%	Male, 30.8% Female, 69.2%
Race ratio	Black or African American, 10.7% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 62.2% 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 director and senior claims analyst duties and responsibilities

Claims director example responsibilities.

Create project team that comply with new Medicare reporting requirements achieving successful reporting to CMS.
Maintain relationships with attorneys and manage litigation strategy; ensure strong relationships with insureds, brokers and third party administrators.
Redesign processes and procedures for managing litigation through the implementation of an aggressive process for managing discovery and case typing.
General knowledge of CPT, ICD-9, HCPCS, DRG and Medicode (UCR), bundling and unbundling.
File and respond to online arbitration matters.
Facilitate annual updates to all new and revise CPT codes assuring accurate claims payment.

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 director vs senior claims analyst skills

Common claims director skills

Customer Service, 17%
Litigation, 11%
Oversight, 9%
Coverage Issues, 6%
Claims Handling, 5%
Claims Operations, 5%

Common senior claims analyst skills

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

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Claims Director vs Senior Claims Analyst

Updated January 8, 2025

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