Senior claims processor vs claims director

The differences between senior claims processors and claims directors 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 director takes usually requires 4-6 years. Additionally, a claims director has an average salary of $118,250, 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 director are customer service, litigation, and oversight.

Senior claims processor vs claims director overview

	Senior Claims Processor	Claims Director
Yearly salary	$44,873	$118,250
Hourly rate	$21.57	$56.85
Growth rate	-3%	-6%
Number of jobs	14,768	13,299
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 68%
Average age	44	44
Years of experience	4	6

Senior claims processor vs claims director salary

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

	Senior Claims Processor	Claims Director
Average salary	$44,873	$118,250
Salary range	Between $30,000 And $65,000	Between $73,000 And $190,000
Highest paying City	-	-
Highest paying state	-	-
Best paying company	-	-
Best paying industry	-	-

Differences between senior claims processor and claims director education

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

	Senior Claims Processor	Claims Director
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 68%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Senior claims processor vs claims director demographics

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

	Senior Claims Processor	Claims Director
Average age	44	44
Gender ratio	Male, 16.3% Female, 83.7%	Male, 58.2% Female, 41.8%
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, 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	11%	10%

Differences between senior claims processor and claims director 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 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 processor vs claims director skills

Common senior claims processor skills

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

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 Processor
Senior Claims Processor vs Claims Director

Updated January 8, 2025

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