Senior claims processor vs health claims examiner

The differences between senior claims processors and health claims examiners 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 health claims examiner takes usually requires 4-6 years. Additionally, a health claims examiner has an average salary of $45,220, 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 health claims examiner are medical terminology, medicaid, and HMO.

Senior claims processor vs health claims examiner overview

	Senior Claims Processor	Health Claims Examiner
Yearly salary	$44,873	$45,220
Hourly rate	$21.57	$21.74
Growth rate	-3%	-6%
Number of jobs	14,768	59,641
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 health claims examiner salary

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

	Senior Claims Processor	Health Claims Examiner
Average salary	$44,873	$45,220
Salary range	Between $30,000 And $65,000	Between $30,000 And $67,000
Highest paying City	-	-
Highest paying state	-	-
Best paying company	-	-
Best paying industry	-	-

Differences between senior claims processor and health claims examiner education

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

	Senior Claims Processor	Health Claims Examiner
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 43%
Most common major	Business	Business
Most common college	Stanford University	University of Pennsylvania

Senior claims processor vs health claims examiner demographics

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

	Senior Claims Processor	Health Claims Examiner
Average age	44	44
Gender ratio	Male, 16.3% Female, 83.7%	Male, 17.1% Female, 82.9%
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, 10.5% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.8% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	10%

Differences between senior claims processor and health claims examiner 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.

Health claims examiner example responsibilities.

Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
Review and analyze medical claims to finalize payments according to Medicaid benefits.
Analyze and process Medicare and Medicaid claims (Primary/Secondary).
Blood collection by venipuncture and capillary technique ensure all specimens are collect accurately, on time and according to establish procedures.
Coordinate vendor referrals for additional investigation and/or litigation management

Senior claims processor vs health claims examiner skills

Common senior claims processor skills

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

Common health claims examiner skills

Medical Terminology, 13%
Medicaid, 11%
HMO, 10%
Data Entry, 9%
Blood Pressure, 6%
Medical Claims, 5%

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Senior Claims Processor
Senior Claims Processor vs Health Claims Examiner

Updated January 8, 2025

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