Senior claims examiner vs senior claims analyst

The differences between senior claims examiners and senior 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 examiner and a senior claims analyst. Additionally, a senior claims analyst has an average salary of $79,886, 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 senior claims analyst are customer service, litigation, and medical terminology.

Senior claims examiner vs senior claims analyst overview

	Senior Claims Examiner	Senior Claims Analyst
Yearly salary	$50,962	$79,886
Hourly rate	$24.50	$38.41
Growth rate	-6%	-6%
Number of jobs	10,931	21,159
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 58%	Bachelor's Degree, 61%
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 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.

Senior claims examiner vs senior claims analyst salary

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

	Senior Claims Examiner	Senior Claims Analyst
Average salary	$50,962	$79,886
Salary range	Between $34,000 And $75,000	Between $52,000 And $122,000
Highest paying City	Urban Honolulu, HI	San Leandro, CA
Highest paying state	Hawaii	Hawaii
Best paying company	W. R. Berkley	Alameda Health System
Best paying industry	Finance	Finance

Differences between senior claims examiner and senior claims analyst education

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

	Senior Claims Examiner	Senior Claims Analyst
Most common degree	Bachelor's Degree, 58%	Bachelor's Degree, 61%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Senior claims examiner vs senior claims analyst demographics

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

	Senior Claims Examiner	Senior Claims Analyst
Average age	44	44
Gender ratio	Male, 29.6% Female, 70.4%	Male, 30.8% Female, 69.2%
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, 11.3% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.0% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between senior claims examiner and senior claims analyst 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

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.

Senior claims examiner vs senior claims analyst skills

Common senior claims examiner skills

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

Common senior claims analyst skills

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

Senior Claims Examiner vs. similar jobs

Senior Claims Examiner related careers

Senior Claims Examiner related jobs

What similar roles do

Zippia Careers
Business and Financial Industry
Senior Claims Examiner
Senior Claims Examiner vs Senior Claims Analyst

Updated January 8, 2025

Browse business and financial jobs