Social insurance administrator vs medical claims processor

The differences between social insurance administrators and medical claims processors can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a social insurance administrator and a medical claims processor. Additionally, a medical claims processor has an average salary of $36,777, which is higher than the $36,216 average annual salary of a social insurance administrator.

The top three skills for a social insurance administrator include patients, insurance policies and insurance benefits. The most important skills for a medical claims processor are patients, healthcare, and data entry.

Social insurance administrator vs medical claims processor overview

	Social Insurance Administrator	Medical Claims Processor
Yearly salary	$36,216	$36,777
Hourly rate	$17.41	$17.68
Growth rate	-3%	-3%
Number of jobs	110,093	59,992
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 49%	Bachelor's Degree, 29%
Average age	44	44
Years of experience	4	4

Social insurance administrator vs medical claims processor salary

Social insurance administrators and medical claims processors have different pay scales, as shown below.

	Social Insurance Administrator	Medical Claims Processor
Average salary	$36,216	$36,777
Salary range	Between $29,000 And $44,000	Between $29,000 And $45,000
Highest paying City	-	Dover, DE
Highest paying state	-	Delaware
Best paying company	-	Cognizant
Best paying industry	-	Government

Differences between social insurance administrator and medical claims processor education

There are a few differences between a social insurance administrator and a medical claims processor in terms of educational background:

	Social Insurance Administrator	Medical Claims Processor
Most common degree	Bachelor's Degree, 49%	Bachelor's Degree, 29%
Most common major	Business	Business
Most common college	-	-

Social insurance administrator vs medical claims processor demographics

Here are the differences between social insurance administrators' and medical claims processors' demographics:

	Social Insurance Administrator	Medical Claims Processor
Average age	44	44
Gender ratio	Male, 18.9% Female, 81.1%	Male, 16.0% Female, 84.0%
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, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	11%

Differences between social insurance administrator and medical claims processor duties and responsibilities

Social insurance administrator example responsibilities.

Cold-Cal to generate leads for individual life and disability insurance and annuities.
Resolve issues that arise concerning private insurance and Medicaid claims and collections.
Assist patients by updating and correcting statement errors, and annotate additional billing information request on the behalf of insurance company.
Update policy and training to employees on all HMO & PPO policy changes.
Select to distribute communications to team including creating PowerPoint's and emails.
Be professional in all communications, act in a manner consistent with Assurant values and honor Assurant s commitments.

Medical claims processor example responsibilities.

Enter UB 92 and 1500 HCFA medical claims into computer system manage and process insurance claims.
Manage cases by aggressively directing the litigation process.
Submit medical claims to commercial insurance companies, Medicare, and Medicaid for payment with use of ICD-9 and CPT coding.
Review and verify patient account information against insurance program specifications, analyze surgical procedures and diagnoses using CPT-4 and ICD-9 codes.
Acknowledge and enforces confidentiality in alignment with (HIPPA) guidelines.
Audit encounters and ICD-10 codes to ensure correct coding and maximum reimbursement.

Social insurance administrator vs medical claims processor skills

Common social insurance administrator skills

Patients, 12%
Insurance Policies, 9%
Insurance Benefits, 9%
Insurance Claims, 7%
Medical Necessity, 4%
Life Insurance, 4%

Common medical claims processor skills

Patients, 13%
Healthcare, 10%
Data Entry, 10%
Medical Insurance Claims, 9%
Medical Terminology, 6%
Customer Service, 3%

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Social Insurance Administrator
Social Insurance Administrator vs Medical Claims Processor

Updated January 8, 2025

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