Average Claims Processors in the United States make around $14.84 per hour. The specific employer is the biggest factor affecting pay for this group, followed by the particular city and tenure. Though the majority of Claims Processors do not report high levels of job satisfaction, most are moderately content with their role. A large number report receiving medical coverage from their employers and a fair number collect dental insurance. Women account for the majority of Claims Processors who took the survey — 82 percent to be exact. The data in this summary comes from the PayScale salary survey.

$28,183 - $48,494
$28K
$36K
$48K
MEDIAN: $36,132
10%
50%
90%

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$11.22 - $19.18
$11
$15
$19
MEDIAN: $14.00
10%
50%
90%

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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$17K$34K$51K
Salary
$28,183 - $48,494  
   
Bonus
$400.00 - $3,000  
Profit Sharing
$1,000  
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).
)
$24,456 - $44,100  
Country: United States | Currency: USD | Updated: 18 Jan 2017 | Individuals Reporting: 91
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
$11.22 - $19.18  
   
Overtime
$18.00 - $29.37  
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
$400.00 - $3,000  
   
Profit Sharing
$1,000  
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).
)
$24,456 - $44,100  
Country: United States | Currency: USD | Updated: 18 Jan 2017 | Individuals Reporting: 269

Find Out Exactly What You Should Be Paid

United States (change)

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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

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

Claims Processor Job Listings

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Popular Employer Salaries for Claims Processor


Known for taking on a considerable number of Claims Processors, State Farm Insurance Company, Allstate Insurance Company, UnitedHealth Group, Blue Cross and Blue Shield of South Carolina, Inc. (BCBSSC), and WellPoint, Inc. are leading firms in the industry. State Farm Insurance Company leads the field in terms of pay, with a median salary of $48K. Claims Processors will also find cushy salaries at Allstate Insurance Company (+$35K), Cigna Corporation (+$32K), and UnitedHealth Group (+$30K).

Also approaching the lower end are Allstate at $29K, WellPoint, Inc. at $30K, and UnitedHealth Group at $30K.

Popular Skills for Claims Processor


Survey results suggest that Claims Processors use a fairly large toolkit of professional skills. Most notably, skills in Insurance, Customer Service, Medical Coding, and Claim Handling are correlated to pay that is above average. At the other end of the pay range are skills like Data Entry, Data Processing, 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.


More years of relevant experience do not necessarily translate to higher paychecks. Those in the early stages of their career can expect to make around $30K; however, individuals with five to 10 years of experience bring in $35K on average — a distinctly larger sum. Claims Processors who work for 10 to 20 years in their occupation tend to earn about $37K. Ultimately, more time spent in the workforce does seem to translate to bigger paychecks; seasoned veterans with more than 20 years of experience report a median income of $41K.

Claims Processor Reviews

Q: What is it like working as a Claims Processor?

Claims Processor in Manhattan:
"I love the job and what it brings everyday."
Pros: Meeting new people and learning new disabilities and situations of the clients for the cases I process.
Cons: None.

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.

Related Job Salaries

Key Stats for Claims Processor

Gender

Female
82 %
Male
18 %

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 47 votes.
Less than 1 year
7%
1-4 years
47%
5-9 years
18%
10-19 years
20%
20 years or more
8%
Location:
Years in Fields/Career:
United States (change)

Experience Affects Claims Processor Salaries




National Average
$32,000


Skills That Affect Claims Processor Salaries





National Average
$32,000

Typing
up arrow 3%

up arrow 4%

Microsoft Office
up arrow 4%

Data Processing
up arrow 7%

Data Entry
up arrow 17%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 47 votes.

Gender

Female
82 %
Male
18 %

Years of Experience

Less than 1 year
7%
1-4 years
47%
5-9 years
18%
10-19 years
20%
20 years or more
8%

Common Health Benefits

medical benefits
Medical: 84%
dental benefits
Dental: 76%
vision benefits
Vision: 72%
dental benefits
None: 12%
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