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Insurance processor vs claims clerk

The differences between insurance processors and claims clerks can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both an insurance processor and a claims clerk. Additionally, an insurance processor has an average salary of $33,041, which is higher than the $32,815 average annual salary of a claims clerk.

The top three skills for an insurance processor include data entry, customer service and phone calls. The most important skills for a claims clerk are data entry, customer service, and clerical support.

Insurance processor vs claims clerk overview

Insurance ProcessorClaims Clerk
Yearly salary$33,041$32,815
Hourly rate$15.89$15.78
Growth rate-3%-3%
Number of jobs50,52378,588
Job satisfaction--
Most common degreeBachelor's Degree, 33%Bachelor's Degree, 31%
Average age4444
Years of experience44

What does an insurance processor do?

Insurance Processors deal with the processing of insurance applications, amendments of policies, changes, and cancellations. An Insurance Processor works with the client to choose the best insurance package and advise them on how to maximize their benefits. Clients need to understand the insurance process by answering inquiries. It is also essential that an Insurance Processor work hand in hand with the client, guiding them through the process, explaining all crucial parts of the insurance to establish trust in you and the company.

What does a claims clerk do?

Claims clerks review the forms and documents for insurance claims to check for missing information and attachments. The data they obtain is entered into their database for safekeeping and quick retrieval. They should know the answers to their clients' questions about the regulations, policies, and procedures covered by their insurance policy. These clerks prepare documents that their agents use to present to their clients. When working for this position, a person must have the ability to communicate well and be familiar with computer applications.

Insurance processor vs claims clerk salary

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

Insurance ProcessorClaims Clerk
Average salary$33,041$32,815
Salary rangeBetween $28,000 And $38,000Between $27,000 And $39,000
Highest paying CityLeawood, KS-
Highest paying stateConnecticut-
Best paying companyMoore County Hospital District-
Best paying industryFinance-

Differences between insurance processor and claims clerk education

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

Insurance ProcessorClaims Clerk
Most common degreeBachelor's Degree, 33%Bachelor's Degree, 31%
Most common majorBusinessBusiness
Most common college--

Insurance processor vs claims clerk demographics

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

Insurance ProcessorClaims Clerk
Average age4444
Gender ratioMale, 16.3% Female, 83.7%Male, 17.5% Female, 82.5%
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, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage11%11%

Differences between insurance processor and claims clerk duties and responsibilities

Insurance processor example responsibilities.

  • Manage database by processing renewals and endorsements.
  • Input and process all dental claims, through electronic and paper submission, to private insurance companies and Medicaid.
  • Maintain patient privacy and confidentiality complaint with HIPPA regulations.
  • Work directly with mortgage lenders and foreclosure attorneys to negotiate timely and cost effective repayment plans or modifications for delinquent loans.
  • Handle a substantial amount of Allstate customers, third party carriers, and others who need assistance to file a claim.

Claims clerk example responsibilities.

  • Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
  • File commercial, worker's comp, Medicare, and Medicaid claims to insurance carriers and employers.
  • Open and sort mail by claim types (HCPA UB 92 and T18).
  • Process medical HMO claims, POS claims, PPO claims and fee for service claims.
  • Review, scan, and file HCFA forms
  • Audit paper claims for accuracy in CPT and ICD9 codes.
    • Show more

Insurance processor vs claims clerk skills

Common insurance processor skills
  • Data Entry, 18%
  • Customer Service, 12%
  • Phone Calls, 9%
  • Outbound Calls, 9%
  • Insurance Claims, 6%
  • Insurance Coverage, 5%
Common claims clerk skills
  • Data Entry, 26%
  • Customer Service, 9%
  • Clerical Support, 7%
  • Computer System, 5%
  • Medical Claims, 4%
  • Process Claims, 4%

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Updated January 8, 2025

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