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Insurance claims processor vs processor

The differences between insurance claims processors and processors can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become an insurance claims processor, becoming a processor takes usually requires 6-12 months. Additionally, an insurance claims processor has an average salary of $37,151, which is higher than the $32,098 average annual salary of a processor.

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

Insurance claims processor vs processor overview

Insurance Claims ProcessorProcessor
Yearly salary$37,151$32,098
Hourly rate$17.86$15.43
Growth rate-3%-3%
Number of jobs48,77711,448
Job satisfaction--
Most common degreeBachelor's Degree, 30%Bachelor's Degree, 35%
Average age4450
Years of experience412

What does an insurance claims processor do?

A claims processor usually works in health or property insurance claims. They are responsible for processing and evaluating the claim forms, monitoring and verifying information, and closely communicating with the company's clients, beneficiaries, and agents. Also, they handle queries and comments, calculate possible claims, and process of various payments. They also need to ensure all insurance company guidelines and policies are adhered to in order to avoid discrepancies, issues, and other problems regarding a client's claims.

What does a processor do?

Processors are employees who deal with clients and ensure that the clients' requests are provided. Processors usually handle loans or any other related claims. They are in charge of managing the submission of the clients' rights. They communicate the requirements to clients, schedule appointments, receive requirements submitted by clients, validate the requirements, and endorse further processing and approval requirements. Processors act as the bridge between clients and other institutions. They also communicate the request's status to clients and assist should it be needed after approval.

Insurance claims processor vs processor salary

Insurance claims processors and processors have different pay scales, as shown below.

Insurance Claims ProcessorProcessor
Average salary$37,151$32,098
Salary rangeBetween $30,000 And $45,000Between $24,000 And $41,000
Highest paying CityEden Prairie, MNRandolph, MA
Highest paying stateConnecticutCalifornia
Best paying companyAccentureArgonne National Laboratory
Best paying industryInsuranceFinance

Differences between insurance claims processor and processor education

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

Insurance Claims ProcessorProcessor
Most common degreeBachelor's Degree, 30%Bachelor's Degree, 35%
Most common majorBusinessBusiness
Most common college--

Insurance claims processor vs processor demographics

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

Insurance Claims ProcessorProcessor
Average age4450
Gender ratioMale, 20.3% Female, 79.7%Male, 34.0% Female, 66.0%
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, 6.7% Unknown, 4.5% Hispanic or Latino, 10.7% Asian, 4.7% White, 72.3% American Indian and Alaska Native, 1.1%
LGBT Percentage11%7%

Differences between insurance claims processor and processor duties and responsibilities

Insurance claims processor example responsibilities.

  • Manage cases by aggressively directing the litigation process.
  • Maintain confidentiality in accordance with HIPAA laws.
  • Process ICD-9 codes, diagnostic and procedure codes.
  • Handle confidential information according to HIPPA and JAACHO standards.
  • Follow and comply with HIPPA rules and regulations to ensure patient privacy.
  • Process medical and dental claims using appropriate CPT, ICD-9, and ADA coding.
    • Show more

Processor example responsibilities.

  • Manage the project schedule and design the PowerPoint presentation.
  • Manage a monthly pipeline averaging 100 files from origination to funding per month as a Jr. processor.
  • Coach fellow team members to help attain higher QA and assist with CANDE questions to ensure efficiency.
  • Manage the ordering of homeowner's association estoppel letters for payoffs; as well as surveys and clear lien searches.
  • Obtain title policies and process title claims to expedite REO closings and obtain clear title to properties in numerous states.
  • Mail clerk, stamp, open, count mail and match checks with EOB 's
    • Show more

Insurance claims processor vs processor skills

Common insurance claims processor skills
  • Data Entry, 18%
  • Customer Service, 11%
  • Medicaid, 8%
  • Medical Terminology, 6%
  • Insurance Coverage, 5%
  • ICD-9, 4%
Common processor skills
  • Data Entry, 19%
  • Customer Service, 18%
  • Patients, 11%
  • Standard Operating Procedure, 6%
  • Strong Customer Service, 5%
  • Bank Deposits, 5%

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Updated January 8, 2025

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