Insurance examining clerk vs claim processor

The differences between insurance examining clerks and claim processors can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 1-2 years to become an insurance examining clerk, 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 $38,537 average annual salary of an insurance examining clerk.

The top three skills for an insurance examining clerk include customer service, and . The most important skills for a claim processor are customer service, data entry, and medical terminology.

Insurance examining clerk vs claim processor overview

	Insurance Examining Clerk	Claim Processor
Yearly salary	$38,537	$41,201
Hourly rate	$18.53	$19.81
Growth rate	-3%	-6%
Number of jobs	100,102	11,542
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 39%	Bachelor's Degree, 43%
Average age	44	44
Years of experience	2	6

Insurance examining clerk vs claim processor salary

Insurance examining clerks and claim processors have different pay scales, as shown below.

	Insurance Examining Clerk	Claim Processor
Average salary	$38,537	$41,201
Salary range	Between $29,000 And $50,000	Between $26,000 And $62,000
Highest paying City	-	Columbia, MD
Highest paying state	-	Connecticut
Best paying company	-	NTT Data International L.L.C.
Best paying industry	-	Insurance

Differences between insurance examining clerk and claim processor education

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

	Insurance Examining Clerk	Claim Processor
Most common degree	Bachelor's Degree, 39%	Bachelor's Degree, 43%
Most common major	Business	Business
Most common college	-	Stanford University

Insurance examining clerk vs claim processor demographics

Here are the differences between insurance examining clerks' and claim processors' demographics:

	Insurance Examining Clerk	Claim Processor
Average age	44	44
Gender ratio	Male, 29.4% Female, 70.6%	Male, 22.9% Female, 77.1%
Race ratio	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%	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 Percentage	11%	10%

Differences between insurance examining clerk and claim processor duties and responsibilities

Insurance examining clerk example responsibilities.

Demonstrate strong math skills in managing inmate s accounts and calmly and effectively deescalating outbursts of belligerent inmates.
Communicate directly with providers and patients in order to obtain all necessary information and documentation require for proper billing of claims.
Examine incoming ITIN applications for accuracy and sorting purposes.

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.

Insurance examining clerk vs claim processor skills

Common insurance examining clerk skills

Customer Service, 100%

Common claim processor skills

Customer Service, 20%
Data Entry, 8%
Medical Terminology, 5%
CPT, 5%
Claims Processing, 4%
Medical Insurance Claims, 4%

Insurance Examining Clerk vs. similar jobs

Insurance Examining Clerk related careers

Insurance Examining Clerk related jobs

What similar roles do

Zippia Careers
Office and Administrative Industry
Insurance Examining Clerk
Insurance Examining Clerk vs Claim Processor

Updated January 8, 2025

Browse office and administrative jobs