Claims manager vs senior claims examiner

The differences between claims managers and senior claims examiners 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 manager and a senior claims examiner. Additionally, a claims manager has an average salary of $73,369, which is higher than the $50,962 average annual salary of a senior claims examiner.

The top three skills for a claims manager include customer service, oversight and litigation. The most important skills for a senior claims examiner are customer service, litigation, and property damage.

Claims manager vs senior claims examiner overview

	Claims Manager	Senior Claims Examiner
Yearly salary	$73,369	$50,962
Hourly rate	$35.27	$24.50
Growth rate	-6%	-6%
Number of jobs	30,302	10,931
Job satisfaction	5	-
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 58%
Average age	47	44
Years of experience	6	6

What does a claims manager do?

A claims manager is an individual who works in an insurance-based firm and is responsible for managing the insurance claims department that is composed of examiners and adjusters. Claims managers are required to maintain claim files and reviewing these files as well as communicate with customers to follow up regarding issues they face with insurance claims. They must determine who is liable for the damage if there were other parties involved. Claims managers must also include an expert to assess the amount of damage and avoid insurance fraud.

What does a senior claims examiner do?

Senior claims examiners review, assess, and process the insurance claims of their clients. The examiners provide recommendations for claims-related resolution. It is their responsibility to examine and authorize the investigation of insurance claims as conducted by insurance adjusters. They check the claims and the insurance policies to ensure that all the information is right. During the settlement, they are expected to be careful in keeping the records with details of the process.

Claims manager vs senior claims examiner salary

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

	Claims Manager	Senior Claims Examiner
Average salary	$73,369	$50,962
Salary range	Between $45,000 And $117,000	Between $34,000 And $75,000
Highest paying City	San Francisco, CA	Urban Honolulu, HI
Highest paying state	California	Hawaii
Best paying company	Zurich	W. R. Berkley
Best paying industry	Insurance	Finance

Differences between claims manager and senior claims examiner education

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

	Claims Manager	Senior Claims Examiner
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 58%
Most common major	Business	Business
Most common college	California State University - Bakersfield	Stanford University

Claims manager vs senior claims examiner demographics

Here are the differences between claims managers' and senior claims examiners' demographics:

	Claims Manager	Senior Claims Examiner
Average age	47	44
Gender ratio	Male, 47.9% Female, 52.1%	Male, 29.6% Female, 70.4%
Race ratio	Black or African American, 10.0% Unknown, 4.8% Hispanic or Latino, 17.1% Asian, 5.9% White, 61.5% American Indian and Alaska Native, 0.7%	Black or African American, 10.8% Unknown, 4.4% Hispanic or Latino, 16.8% Asian, 5.2% White, 62.3% American Indian and Alaska Native, 0.5%
LGBT Percentage	8%	10%

Differences between claims manager and senior claims examiner duties and responsibilities

Claims manager example responsibilities.

Manage multiple outsource PPO networks that enable company to increase top line revenue.
Achieve improved structure and efficiency with initiation of pip specific unit.
Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Oversee implementation and management of litigation and expense protocols including AFA agreements and BLO oversight.
Respond to all DOI questions and concerns.
Work with TPA, service providers and personnel on the design, implementation, and management of wellness programs.

Senior claims examiner example responsibilities.

Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Coordinate vendor referrals for additional investigation and/or litigation management
Maintain office records of various types of complaints, conciliation, administrative decision, private litigation resolution, gather detailed information.
Ensure all HIPPA regulations are followed in the creation and release of all confidential records.
Coordinate vendor referrals for additional investigation and/or litigation management

Claims manager vs senior claims examiner skills

Common claims manager skills

Customer Service, 15%
Oversight, 11%
Litigation, 8%
Direct Reports, 4%
Claims Handling, 4%
Insurance Claims, 3%

Common senior claims examiner skills

Customer Service, 21%
Litigation, 11%
Property Damage, 9%
Claims Handling, 6%
TPA, 4%
Coverage Issues, 4%

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Claims Manager vs Senior Claims Examiner

Updated January 8, 2025

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