Senior claims examiner vs claims director

The differences between senior claims examiners and claims directors 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 examiner and a claims director. Additionally, a claims director has an average salary of $118,250, which is higher than the $50,962 average annual salary of a senior claims examiner.

The top three skills for a senior claims examiner include customer service, litigation and property damage. The most important skills for a claims director are customer service, litigation, and oversight.

Senior claims examiner vs claims director overview

	Senior Claims Examiner	Claims Director
Yearly salary	$50,962	$118,250
Hourly rate	$24.50	$56.85
Growth rate	-6%	-6%
Number of jobs	10,931	13,299
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 58%	Bachelor's Degree, 68%
Average age	44	44
Years of experience	6	6

What does a senior claims examiner do?

Senior claims examiners review, assess, and process the insurance claims of their clients. The examiners provide recommendations for claims-related resolution. It is their responsibility to examine and authorize the investigation of insurance claims as conducted by insurance adjusters. They check the claims and the insurance policies to ensure that all the information is right. During the settlement, they are expected to be careful in keeping the records with details of the process.

What does a claims director do?

A claims director spearheads and oversees the daily operations of an insurance company's claims department. They have the authority to make decisions and changes, set goals and timelines, establish guidelines and budgets, liaise with key external partners, coordinate managers and teams, delegate responsibilities, and conduct research and analysis to find opportunities that will optimize the department's operations. Moreover, a claims director leads and encourages staff to reach goals, all while implementing the company's claims policies and regulations, developing new ones as needed.

Senior claims examiner vs claims director salary

Senior claims examiners and claims directors have different pay scales, as shown below.

	Senior Claims Examiner	Claims Director
Average salary	$50,962	$118,250
Salary range	Between $34,000 And $75,000	Between $73,000 And $190,000
Highest paying City	Urban Honolulu, HI	-
Highest paying state	Hawaii	-
Best paying company	W. R. Berkley	-
Best paying industry	Finance	-

Differences between senior claims examiner and claims director education

There are a few differences between a senior claims examiner and a claims director in terms of educational background:

	Senior Claims Examiner	Claims Director
Most common degree	Bachelor's Degree, 58%	Bachelor's Degree, 68%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Senior claims examiner vs claims director demographics

Here are the differences between senior claims examiners' and claims directors' demographics:

	Senior Claims Examiner	Claims Director
Average age	44	44
Gender ratio	Male, 29.6% Female, 70.4%	Male, 58.2% Female, 41.8%
Race ratio	Black or African American, 10.8% Unknown, 4.4% Hispanic or Latino, 16.8% Asian, 5.2% White, 62.3% American Indian and Alaska Native, 0.5%	Black or African American, 10.7% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 62.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between senior claims examiner and claims director duties and responsibilities

Senior claims examiner example responsibilities.

Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Coordinate vendor referrals for additional investigation and/or litigation management
Maintain office records of various types of complaints, conciliation, administrative decision, private litigation resolution, gather detailed information.
Ensure all HIPPA regulations are followed in the creation and release of all confidential records.
Coordinate vendor referrals for additional investigation and/or litigation management

Claims director example responsibilities.

Create project team that comply with new Medicare reporting requirements achieving successful reporting to CMS.
Maintain relationships with attorneys and manage litigation strategy; ensure strong relationships with insureds, brokers and third party administrators.
Redesign processes and procedures for managing litigation through the implementation of an aggressive process for managing discovery and case typing.
General knowledge of CPT, ICD-9, HCPCS, DRG and Medicode (UCR), bundling and unbundling.
File and respond to online arbitration matters.
Facilitate annual updates to all new and revise CPT codes assuring accurate claims payment.

Senior claims examiner vs claims director skills

Common senior claims examiner skills

Customer Service, 21%
Litigation, 11%
Property Damage, 9%
Claims Handling, 6%
TPA, 4%
Coverage Issues, 4%

Common claims director skills

Customer Service, 17%
Litigation, 11%
Oversight, 9%
Coverage Issues, 6%
Claims Handling, 5%
Claims Operations, 5%

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Senior Claims Examiner
Senior Claims Examiner vs Claims Director

Updated January 8, 2025

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