Senior claims analyst vs claims manager

The differences between senior claims analysts and claims managers can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a senior claims analyst and a claims manager. Additionally, a senior claims analyst has an average salary of $79,886, which is higher than the $73,369 average annual salary of a claims manager.

The top three skills for a senior claims analyst include customer service, litigation and medical terminology. The most important skills for a claims manager are customer service, oversight, and litigation.

Senior claims analyst vs claims manager overview

	Senior Claims Analyst	Claims Manager
Yearly salary	$79,886	$73,369
Hourly rate	$38.41	$35.27
Growth rate	-6%	-6%
Number of jobs	21,159	30,302
Job satisfaction	-	5
Most common degree	Bachelor's Degree, 61%	Bachelor's Degree, 66%
Average age	44	47
Years of experience	6	6

What does a senior claims analyst do?

Senior Claims Analysts are responsible for providing support and oversight on the process of liability claims. Their duties include verifying submitted claims, assessing reimbursement policies, performing reconciliation with claims estimates, and conducting payment negotiations. They manage claims processing costs, prepare payment documents, reclassify entries, and attend to requestors' queries. Senior Claims Analyst also organizes records and assist in providing mentorship and training sessions to junior staff.

What does a claims manager do?

A claims manager is an individual who works in an insurance-based firm and is responsible for managing the insurance claims department that is composed of examiners and adjusters. Claims managers are required to maintain claim files and reviewing these files as well as communicate with customers to follow up regarding issues they face with insurance claims. They must determine who is liable for the damage if there were other parties involved. Claims managers must also include an expert to assess the amount of damage and avoid insurance fraud.

Senior claims analyst vs claims manager salary

Senior claims analysts and claims managers have different pay scales, as shown below.

	Senior Claims Analyst	Claims Manager
Average salary	$79,886	$73,369
Salary range	Between $52,000 And $122,000	Between $45,000 And $117,000
Highest paying City	San Leandro, CA	San Francisco, CA
Highest paying state	Hawaii	California
Best paying company	Alameda Health System	Zurich
Best paying industry	Finance	Insurance

Differences between senior claims analyst and claims manager education

There are a few differences between a senior claims analyst and a claims manager in terms of educational background:

	Senior Claims Analyst	Claims Manager
Most common degree	Bachelor's Degree, 61%	Bachelor's Degree, 66%
Most common major	Business	Business
Most common college	Stanford University	California State University - Bakersfield

Senior claims analyst vs claims manager demographics

Here are the differences between senior claims analysts' and claims managers' demographics:

	Senior Claims Analyst	Claims Manager
Average age	44	47
Gender ratio	Male, 30.8% Female, 69.2%	Male, 47.9% Female, 52.1%
Race ratio	Black or African American, 11.3% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.0% American Indian and Alaska Native, 0.5%	Black or African American, 10.0% Unknown, 4.8% Hispanic or Latino, 17.1% Asian, 5.9% White, 61.5% American Indian and Alaska Native, 0.7%
LGBT Percentage	10%	8%

Differences between senior claims analyst and claims manager duties and responsibilities

Senior claims analyst example responsibilities.

Accomplish facets and Macess user including running reports.
Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Coordinate the maintenance of TPA payment type / code table conversions data.
Process claims, generate checks, create reports and correspond with TPA clients.
Review claims for correct billing information such as correct CPT codes, ICD code and patient information.
Analyze, evaluate, and conduct statistical data reviews as required by CMS in accordance with ZPIC policies.

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Claims manager example responsibilities.

Manage multiple outsource PPO networks that enable company to increase top line revenue.
Achieve improved structure and efficiency with initiation of pip specific unit.
Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Oversee implementation and management of litigation and expense protocols including AFA agreements and BLO oversight.
Respond to all DOI questions and concerns.
Work with TPA, service providers and personnel on the design, implementation, and management of wellness programs.

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Senior claims analyst vs claims manager skills

Common senior claims analyst skills

Customer Service, 7%
Litigation, 7%
Medical Terminology, 6%
Coverage Issues, 6%
Policy Provisions, 5%
Medicaid, 5%

Common claims manager skills

Customer Service, 15%
Oversight, 11%
Litigation, 8%
Direct Reports, 4%
Claims Handling, 4%
Insurance Claims, 3%

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Updated January 8, 2025

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