Insurance processor vs telephone claims representative

The differences between insurance processors and telephone claims representatives 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 telephone claims representative. Additionally, a telephone claims representative has an average salary of $42,400, 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 a telephone claims representative are PIP, litigation, and coverage issues.

Insurance processor vs telephone claims representative overview

	Insurance Processor	Telephone Claims Representative
Yearly salary	$33,041	$42,400
Hourly rate	$15.89	$20.38
Growth rate	-3%	-3%
Number of jobs	50,523	14,218
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 33%	Bachelor's Degree, 75%
Average age	44	44
Years of experience	4	4

Insurance processor vs telephone claims representative salary

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

	Insurance Processor	Telephone Claims Representative
Average salary	$33,041	$42,400
Salary range	Between $28,000 And $38,000	Between $31,000 And $57,000
Highest paying City	Leawood, KS	-
Highest paying state	Connecticut	-
Best paying company	Moore County Hospital District	-
Best paying industry	Finance	-

Differences between insurance processor and telephone claims representative education

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

	Insurance Processor	Telephone Claims Representative
Most common degree	Bachelor's Degree, 33%	Bachelor's Degree, 75%
Most common major	Business	Business
Most common college	-	-

Insurance processor vs telephone claims representative demographics

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

	Insurance Processor	Telephone Claims Representative
Average age	44	44
Gender ratio	Male, 16.3% Female, 83.7%	Male, 37.5% Female, 62.5%
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 telephone claims representative 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.

Telephone claims representative example responsibilities.

Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
Draft contentions for arbitration and submit evidence to support those contentions.
Negotiate liability with other insurance companies when possible, review files and documents for arbitration process.
Complete field inspection of losses including accurate scope of damages, photographic evidence collection, written estimates utilizing Xactimate estimating software.
Set up payment arrangements with the at-fault party that cause harmed to the GEICO insure.

Insurance processor vs telephone claims representative skills

Common insurance processor skills

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

Common telephone claims representative skills

PIP, 26%
Litigation, 26%
Coverage Issues, 10%
Bodily Injury Claims, 8%
Customer Service, 7%
Process Claims, 3%

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Insurance Processor
Insurance Processor vs Telephone Claims Representative

Updated January 8, 2025

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