Senior claims processor vs claims analyst

The differences between senior claims processors and claims analysts 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 claims analyst takes usually requires 4-6 years. Additionally, a claims analyst has an average salary of $48,398, which is higher than the $44,873 average annual salary of a senior claims processor.

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

Senior claims processor vs claims analyst overview

	Senior Claims Processor	Claims Analyst
Yearly salary	$44,873	$48,398
Hourly rate	$21.57	$23.27
Growth rate	-3%	-6%
Number of jobs	14,768	22,062
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 52%
Average age	44	44
Years of experience	4	6

Senior claims processor vs claims analyst salary

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

	Senior Claims Processor	Claims Analyst
Average salary	$44,873	$48,398
Salary range	Between $30,000 And $65,000	Between $29,000 And $78,000
Highest paying City	-	Trenton, NJ
Highest paying state	-	New Jersey
Best paying company	-	Google
Best paying industry	-	-

Differences between senior claims processor and claims analyst education

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

	Senior Claims Processor	Claims Analyst
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 52%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Senior claims processor vs claims analyst demographics

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

	Senior Claims Processor	Claims Analyst
Average age	44	44
Gender ratio	Male, 16.3% Female, 83.7%	Male, 27.6% Female, 72.4%
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, 11.3% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.3% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	10%

Differences between senior claims processor and claims analyst 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.

Claims analyst example responsibilities.

Help managed meetings regarding decision making on CMS regulations.
Process UB's and HCFA's according to guidelines.
Analyze and investigate medical claims utilizing ICD-9 and CPT-4 coding.
Review claims (HCFA and UB) for accurate billing submission.
Interpret medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes for member submit claims.
Acquire biometrics and perform phlebotomy.

Senior claims processor vs claims analyst skills

Common senior claims processor skills

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

Common claims analyst skills

Customer Service, 14%
Medical Terminology, 5%
CPT, 5%
Process Claims, 5%
Medicaid, 5%
Data Entry, 5%

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Senior Claims Processor
Senior Claims Processor vs Claims Analyst

Updated January 8, 2025

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