Claims Processor Salary

Pay for Claims Processors in the United States sits in the ballpark of $14.66 per hour. The most important factor affecting compensation for this group is geography, followed by the company and years of experience. The majority of Claims Processors claim high levels of job satisfaction. A large number enjoy medical while a fair number get dental coverage. Vision coverage is also available to a majority. There are far more female Claims Processors who answered the questionnaire than men, making up 80 percent. This report is based on responses to the PayScale salary survey.

$25,533 - $43,480
(Median)
$26K
$33K
$43K
MEDIAN: $33,450
10%
50%
90%

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$11.11 - $18.46
(Median)
$11
$15
$18
MEDIAN: $14.00
10%
50%
90%

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National Salary Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$15K$30K$45K
Salary
$25,533 - $43,480  
   
Bonus
$0.00 - $1,905  
Profit Sharing
$350.00 - $850  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$24,834 - $41,722  
Country: United States | Currency: USD | Updated: 20 Jun 2015 | Individuals Reporting: 176
National Hourly Rate Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$10$20$30
Hourly Rate
$11.11 - $18.46  
   
Overtime
$13.33 - $27.64  
National Annualized Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$20K$40K$60K
Bonus
$0.00 - $1,905  
   
Profit Sharing
$350.00 - $850  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$24,834 - $41,722  
Country: United States | Currency: USD | Updated: 20 Jun 2015 | Individuals Reporting: 315
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Job Description for Claims Processor

Claims processors - also called claims adjustors - are responsible for accurately and efficiently entering and processing claims for their organization. Claims processors generally work in the insurance industry and they work for many types of companies (such as those specializing in health insurance, automobile insurance, and/or home insurance). These claims may be received via the computer, on paper, or over the phone; processed claims create approvals (which send payment) or denials. Claims processors may be required to answer phone calls from policyholders related to claims, and they must be able to answer such calls quickly and accurately. They typically work in an office setting during normal business hours. If they answer phone calls, claims processors may be required to work on weekends and evenings. This position may be part time or full time, and some companies allow claims processors to work from home. Claims processors generally work seated at a computer workstation for extended periods of time.

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Claims Processor Tasks

  • Approve claim payments.
  • Process flexible spending account claims of any type for multiple welfare plans according to established rules and guidelines.
  • Determine proper payees for benefits in order to discharge company’s liabilities.
  • Coordinate claims with Medicare and other group insurance carriers.
  • Audit other team member’s claims as needed.

Claims Processor Job Listings

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Popular Employer Salaries for Claims Processor


State Farm Insurance Company, Allstate Insurance Company, Blue Cross and Blue Shield of South Carolina, Inc. (BCBSSC), WellPoint, Inc., and Allstate are top-notch employers for Claims Processors in this area. Allstate Insurance Company offers the largest salaries in town — $35K on average.

Popular Skills for Claims Processor


Survey results imply that Claims Processors put a diverse skill set to use. Most notably, skills in Medical Coding, Insurance, Customer Service, and Claim Handling are correlated to pay that is above average. Skills that are correlated to lower pay, on the other hand, include Data Entry and Data Processing. Those who learned Customer Service also tend to know Medical Coding and Billing. Most people experienced in Claim Handling also know Billing and Medical Coding.

Pay by Experience Level for Claims Processor

Median of all compensation (including tips, bonus, and overtime) by years of experience.


Experience does not seem to be a strong driver of pay increase in this role. Someone who has worked for fewer than five years earns around $30K on average. Individuals with five to 10 years of experience don't get much more, though; the average income in this group is $32K. The average pay reported by folks with 10 to 20 years of experience is around $35K. Survey participants who have spent more than 20 years on the job report a predictably higher median income of $38K, demonstrating that compensation is roughly commensurate with experience in the end.

Claims Processor Reviews

What is it like working as a Claims Processor at State Farm Insurance Company?

Claims Processor in Tacoma:
"Call Center Insurance Claim Handler."
Pros: Ability to help people in need. Encouragement of training and ability to move to different areas of the company.
Cons: Rigidity of call center environment. Cubicle farm.

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Experience Affects Claims Processor Salaries




National Average
$32,000


Skills That Affect Claims Processor Salaries


Customer Service
up arrow 2%

Insurance
up arrow 2%

Claim Handling
up arrow 1%

National Average
$32,000

Billing
up arrow 1%

Typing
up arrow 1%

Microsoft Office
up arrow 2%

Data Processing
up arrow 6%

Data Entry
up arrow 14%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 88 votes.

Gender

Female
80 %
Male
20 %

Years of Experience

Less than 1 year
8%
1-4 years
43%
5-9 years
21%
10-19 years
20%
20 years or more
8%

Common Health Benefits

medical benefits Medical: 84% dental benefits Dental: 76%
vision benefits Vision: 65% employee benefits None: 12%
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