Senior claims processor vs claim processor

The differences between senior claims processors and claim processors can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a senior claims processor, becoming a claim processor takes usually requires 4-6 years. Additionally, a senior claims processor has an average salary of $44,873, which is higher than the $41,201 average annual salary of a claim processor.

The top three skills for a senior claims processor include customer service, process claims and SR. The most important skills for a claim processor are customer service, data entry, and medical terminology.

Senior claims processor vs claim processor overview

	Senior Claims Processor	Claim Processor
Yearly salary	$44,873	$41,201
Hourly rate	$21.57	$19.81
Growth rate	-3%	-6%
Number of jobs	14,768	11,542
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 43%
Average age	44	44
Years of experience	4	6

Senior claims processor vs claim processor salary

Senior claims processors and claim processors have different pay scales, as shown below.

	Senior Claims Processor	Claim Processor
Average salary	$44,873	$41,201
Salary range	Between $30,000 And $65,000	Between $26,000 And $62,000
Highest paying City	-	Columbia, MD
Highest paying state	-	Connecticut
Best paying company	-	NTT Data International L.L.C.
Best paying industry	-	Insurance

Differences between senior claims processor and claim processor education

There are a few differences between a senior claims processor and a claim processor in terms of educational background:

	Senior Claims Processor	Claim Processor
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 43%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Senior claims processor vs claim processor demographics

Here are the differences between senior claims processors' and claim processors' demographics:

	Senior Claims Processor	Claim Processor
Average age	44	44
Gender ratio	Male, 16.3% Female, 83.7%	Male, 22.9% Female, 77.1%
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, 11.2% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.0% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	10%

Differences between senior claims processor and claim processor duties and responsibilities

Senior claims processor example responsibilities.

Manage confidential medical records and directs them to the appropriate practitioners while ensuring HIPPA regulations are maintain.
Investigate, manage, negotiate and resolve claims arising out of accidents involving automobile and homeowner policies.
Process CalPERS HMO facility claims.
Experience with HMO's, IPA's and insurance authorizations.
Handle confidential information according to new laws (HIPPA).
Review ICD-9 diagnosis codes against CPT codes for claim payment guidelines.

Claim processor example responsibilities.

Experience in many facets of the managed healthcare insurance business.
Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
Use ICD-9, CPT-4 and other medical manuals to adjudicate claims.
Analyze claims submit by providers and facilities for appropriate ICD-9, CPT and HCPCS codes against charges that are being bill.
Call DME and HME companies to correct invoices.
Coach and assist in the training of new EMR databases.

Senior claims processor vs claim processor skills

Common senior claims processor skills

Customer Service, 16%
Process Claims, 8%
SR, 6%
Medical Terminology, 5%
Appeals, 5%
CMS, 5%

Common claim processor skills

Customer Service, 20%
Data Entry, 8%
Medical Terminology, 5%
CPT, 5%
Claims Processing, 4%
Medical Insurance Claims, 4%

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Senior Claims Processor
Senior Claims Processor vs Claim Processor

Updated January 8, 2025

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