Insurance processor vs insurance claims processor

The differences between insurance processors and insurance claims processors 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 an insurance claims processor. Additionally, an insurance claims processor has an average salary of $37,151, which is higher than the $33,041 average annual salary of an insurance processor.

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

Insurance processor vs insurance claims processor overview

	Insurance Processor	Insurance Claims Processor
Yearly salary	$33,041	$37,151
Hourly rate	$15.89	$17.86
Growth rate	-3%	-3%
Number of jobs	50,523	48,777
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 33%	Bachelor's Degree, 30%
Average age	44	44
Years of experience	4	4

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 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.

Insurance processor vs insurance claims processor salary

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

	Insurance Processor	Insurance Claims Processor
Average salary	$33,041	$37,151
Salary range	Between $28,000 And $38,000	Between $30,000 And $45,000
Highest paying City	Leawood, KS	Eden Prairie, MN
Highest paying state	Connecticut	Connecticut
Best paying company	Moore County Hospital District	Accenture
Best paying industry	Finance	Insurance

Differences between insurance processor and insurance claims processor education

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

	Insurance Processor	Insurance Claims Processor
Most common degree	Bachelor's Degree, 33%	Bachelor's Degree, 30%
Most common major	Business	Business
Most common college	-	-

Insurance processor vs insurance claims processor demographics

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

	Insurance Processor	Insurance Claims Processor
Average age	44	44
Gender ratio	Male, 16.3% Female, 83.7%	Male, 20.3% Female, 79.7%
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, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	11%

Differences between insurance processor and insurance claims processor 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.

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.

Insurance processor vs insurance claims processor skills

Common insurance processor skills

Data Entry, 18%
Customer Service, 12%
Phone Calls, 9%
Outbound Calls, 9%
Insurance Claims, 6%
Insurance Coverage, 5%

Common insurance claims processor skills

Data Entry, 18%
Customer Service, 11%
Medicaid, 8%
Medical Terminology, 6%
Insurance Coverage, 5%
ICD-9, 4%

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Insurance Processor
Insurance Processor vs Insurance Claims Processor

Updated January 8, 2025

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