Senior claims analyst vs medical claims analyst

The differences between senior claims analysts and medical claims analysts 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 medical claims analyst. Additionally, a senior claims analyst has an average salary of $79,886, which is higher than the $46,708 average annual salary of a medical claims analyst.

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

Senior claims analyst vs medical claims analyst overview

	Senior Claims Analyst	Medical Claims Analyst
Yearly salary	$79,886	$46,708
Hourly rate	$38.41	$22.46
Growth rate	-6%	-6%
Number of jobs	21,159	65,897
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 61%	Bachelor's Degree, 36%
Average age	44	44
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 medical claims analyst do?

A medical claims analyst audits or verifies medical claims in insurance companies. Medical claims analysts make sure that corporate reimbursement payments are accurate. Usually, they work at an office on a computer workstation. They receive Medicaid claims from specialty and medical providers for reimbursement. Their job includes the development of an enhanced procedure in handling difficult Medicare/Medicaid letters while complying with the set policies.

Senior claims analyst vs medical claims analyst salary

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

	Senior Claims Analyst	Medical Claims Analyst
Average salary	$79,886	$46,708
Salary range	Between $52,000 And $122,000	Between $32,000 And $68,000
Highest paying City	San Leandro, CA	Bridgewater, NJ
Highest paying state	Hawaii	New Jersey
Best paying company	Alameda Health System	Montefiore Mount Vernon Hospital
Best paying industry	Finance	Insurance

Differences between senior claims analyst and medical claims analyst education

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

	Senior Claims Analyst	Medical Claims Analyst
Most common degree	Bachelor's Degree, 61%	Bachelor's Degree, 36%
Most common major	Business	Business
Most common college	Stanford University	University of Pennsylvania

Senior claims analyst vs medical claims analyst demographics

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

	Senior Claims Analyst	Medical Claims Analyst
Average age	44	44
Gender ratio	Male, 30.8% Female, 69.2%	Male, 14.2% Female, 85.8%
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, 11.2% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.4% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between senior claims analyst and medical claims analyst 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.

Medical claims analyst example responsibilities.

Manage cases by aggressively directing the litigation process.
Analyze incoming medical claims using ICD-9, CPT, HCPCS coding, and Medicare fee schedules.
Determine if claims are in compliance under patient benefit plans for payments using DRG regulations :
Review medical records to determine if the ICD-9, CPT codes and modifiers are processed correctly.
Adhere to the HIPAA privacy, security regulations, and maintain confidentiality of patient a business records.
Research medical claims issues in response to informational inquiries by accessing and interpreting EOB's and claims history.

Senior claims analyst vs medical claims analyst skills

Common senior claims analyst skills

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

Common medical claims analyst skills

Medical Terminology, 9%
Medicaid, 6%
Medical Insurance Claims, 6%
Customer Service, 6%
Data Entry, 6%
Patients, 5%

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Senior Claims Analyst vs Medical Claims Analyst

Updated January 8, 2025

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