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Disability examiner vs claim processor

The differences between disability examiners and claim processors can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a disability examiner, becoming a claim processor takes usually requires 4-6 years. Additionally, a claim processor has an average salary of $41,201, which is higher than the $40,180 average annual salary of a disability examiner.

The top three skills for a disability examiner include social security disability, supplemental security income and social security administration. The most important skills for a claim processor are customer service, data entry, and medical terminology.

Disability examiner vs claim processor overview

Disability ExaminerClaim Processor
Yearly salary$40,180$41,201
Hourly rate$19.32$19.81
Growth rate-6%-6%
Number of jobs2,24111,542
Job satisfaction--
Most common degreeBachelor's Degree, 69%Bachelor's Degree, 43%
Average age4444
Years of experience46

What does a disability examiner do?

A disability examiner is primarily in charge of conducting assessments and examinations to determine an applicant's eligibility for disability benefits and programs. Their duties usually include reviewing medical and health records, conducting interviews, and evaluating applications. There are also times when a disability examiner must directly coordinate with healthcare providers to obtain and assess records. Moreover, as a disability examiner, it is essential to assist clients by answering inquiries, providing instructions and advice, and helping them understand the extent of procedures.

What does a claim processor do?

A Claims Processor is responsible for processing and verifying insurance claims, in adherence to the policies, laws, and regulations of the company involved. Aside from examining its authenticity, they must also oversee new policies and recommend modifications should it be needed. Moreover, it is also the task of the Claims Processor to prepare the necessary documents and guidelines for the policyholder, process reimbursements upon approval, provide answers to inquiries, and report issues and updates to the management.

Disability examiner vs claim processor salary

Disability examiners and claim processors have different pay scales, as shown below.

Disability ExaminerClaim Processor
Average salary$40,180$41,201
Salary rangeBetween $28,000 And $57,000Between $26,000 And $62,000
Highest paying CitySacramento, CAColumbia, MD
Highest paying stateAlaskaConnecticut
Best paying companyMinnesota State FairNTT Data International L.L.C.
Best paying industryGovernmentInsurance

Differences between disability examiner and claim processor education

There are a few differences between a disability examiner and a claim processor in terms of educational background:

Disability ExaminerClaim Processor
Most common degreeBachelor's Degree, 69%Bachelor's Degree, 43%
Most common majorPsychologyBusiness
Most common collegeSUNY at BinghamtonStanford University

Disability examiner vs claim processor demographics

Here are the differences between disability examiners' and claim processors' demographics:

Disability ExaminerClaim Processor
Average age4444
Gender ratioMale, 30.0% Female, 70.0%Male, 22.9% Female, 77.1%
Race ratioBlack or African American, 14.4% Unknown, 4.4% Hispanic or Latino, 15.9% Asian, 5.0% White, 59.8% American Indian and Alaska Native, 0.5%Black or African American, 11.2% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.0% American Indian and Alaska Native, 0.5%
LGBT Percentage10%10%

Differences between disability examiner and claim processor duties and responsibilities

Disability examiner example responsibilities.

  • Manage a number of cases dealing with veterans' requests for claims and education benefits.
  • Provide comprehensive written and verbal reports to broker-dealer executives and FINRA management.
  • Interact extensively with senior management of securities firms to discuss their procedures and any weaknesses and/or findings regarding their processes.
  • Collaborate with FINRA enforcement on taking official on-the-record testimonies of register principals and register representatives.
  • Blood collection by venipuncture and capillary technique ensure all specimens are collect accurately, on time and according to establish procedures.
  • Work with the client and claimants to discuss the evaluation process and future action of short term disability and FMLA claims.
  • Show more

Claim processor example responsibilities.

  • Experience in many facets of the managed healthcare insurance business.
  • Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
  • Use ICD-9, CPT-4 and other medical manuals to adjudicate claims.
  • Analyze claims submit by providers and facilities for appropriate ICD-9, CPT and HCPCS codes against charges that are being bill.
  • Call DME and HME companies to correct invoices.
  • Coach and assist in the training of new EMR databases.
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Disability examiner vs claim processor skills

Common disability examiner skills
  • Social Security Disability, 24%
  • Supplemental Security Income, 9%
  • Social Security Administration, 8%
  • Disability Determinations, 6%
  • Medical Terminology, 5%
  • Disability Benefits, 5%
Common claim processor skills
  • Customer Service, 20%
  • Data Entry, 8%
  • Medical Terminology, 5%
  • CPT, 5%
  • Claims Processing, 4%
  • Medical Insurance Claims, 4%

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