Claims Processor Salary

Median pay for Claims Processors in the United States is around $14.72 per hour. The most important factor affecting compensation for this group is geographic location, followed by the specific employer and tenure. Most report receiving medical coverage from their employers and a strong majority collect dental insurance. The majority of Claims Processors claim high levels of job satisfaction. The information for this snapshot was generated by responses to the PayScale salary survey.

$25,583 - $43,639

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$11.05 - $18.47

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National Salary Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$15K$30K$45K
Salary
$25,583 - $43,639  
   
Bonus
$0.00 - $1,956  
Profit Sharing
$393.05 - $916  
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).
)
$24,797 - $41,851  
Country: United States | Currency: USD | Updated: 18 Jul 2015 | Individuals Reporting: 180
National Hourly Rate Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$10$20$30
Hourly Rate
$11.05 - $18.47  
   
Overtime
$13.29 - $27.69  
National Annualized Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$20K$40K$60K
Bonus
$0.00 - $1,956  
   
Profit Sharing
$393.05 - $916  
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).
)
$24,797 - $41,851  
Country: United States | Currency: USD | Updated: 18 Jul 2015 | Individuals Reporting: 323
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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 some prominent firms with considerable interest in employing a large team of Claims Processors. Claims Processors flock to Allstate Insurance Company for generous paychecks, where average earnings of $35K lead the pack in compensation.

Popular Skills for Claims Processor


Claims Processors seem to require a number of specific skills. Most notably, skills in Medical Coding, Customer Service, Insurance, and Claim Handling are correlated to pay that is above average. Skills that pay less than market rate include Data Entry and Data Processing. Those proficient in Claim Handling are, more often than not, also skilled in Billing and Medical Coding. Most people skilled in Customer Service are similarly competent in Medical Coding and Billing.

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. Claims Processors bring in $35K after working for 10 to 20 years. As Claims Processors reach more than two decades on the job, compensation remains commensurate with experience; the average pay in this group is $38K.

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 3%

Claim Handling
up arrow 2%

Insurance
up arrow 2%

National Average
$32,000

Billing
up arrow 2%

Typing
up arrow 2%

Microsoft Office
up arrow 3%

Data Processing
up arrow 6%

Data Entry
up arrow 15%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 89 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: 77%
vision benefits Vision: 66% employee benefits None: 12%
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