Claims Processor Salary

Claims Processors in the United States pull down an average of $14.57 per hour. The most influential factor affecting pay for this group is residence, though the specific employer and years of experience have a (lesser) impact as well. Medical benefits are awarded to most, and a strong majority earn dental coverage. Most Claims Processors report high levels of job satisfaction. Female Claims Processors make up most of the survey respondents at 79 percent. The data for this snapshot was collected from individuals who took PayScale's salary survey.

$25,521 - $43,505
(Median)
$26K
$33K
$44K
MEDIAN: $33,323
10%
50%
90%

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$11.02 - $18.25
(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
$25,521 - $43,505  
   
Bonus
$0.00 - $1,867  
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).
)
$24,801 - $41,714  
Country: United States | Currency: USD | Updated: 31 Mar 2015 | Individuals Reporting: 175
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
$11.02 - $18.25  
   
Overtime
$13.17 - $27.60  
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 - $1,867  
   
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).
)
$24,801 - $41,714  
Country: United States | Currency: USD | Updated: 31 Mar 2015 | Individuals Reporting: 282

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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


Claims Processors fill the offices of leading firms State Farm Insurance Company, Allstate Insurance Company, Blue Cross and Blue Shield of South Carolina, Inc. (BCBSSC), WellPoint, Inc., and Allstate. Heading up the field in terms of compensation, Allstate Insurance Company offers the most; Claims Processors earn $35K on average there.

Popular Skills for Claims Processor


Claims Processors report using a wide range of professional skills. Most notably, skills in Medical Coding, Billing, Insurance, and Customer Service are correlated to pay that is above average. At the other end of the pay range are skills like Data Entry and Data Processing. Most people who know Claim Handling also know Billing and Medical Coding. Most people familiar with Customer Service also know 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. Salaries for the relatively untried average out to around $30K, but survey participants with five to 10 years of experience earn a significantly higher median of $33K. The average pay reported by folks with 10 to 20 years of experience is around $35K. Claims Processors with more than 20 years of experience report incomes that are only modestly higher; the median for these old hands hovers around $37K.

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.

Related Job Salaries

United States (change)

Experience Affects Claims Processor Salaries




National Average
$32,000


Skills That Affect Claims Processor Salaries


Billing
up arrow 4%

Insurance
up arrow 3%

Customer Service
up arrow 2%

Claim Handling
up arrow 1%

National Average
$32,000

Typing
up arrow 1%

Microsoft Office
up arrow 2%

Data Processing
up arrow 5%

Data Entry
up arrow 15%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 91 votes.

Gender

Female
79 %
Male
21 %

Years of Experience

Less than 1 year
8%
1-4 years
43%
5-9 years
22%
10-19 years
19%
20 years or more
8%

Common Health Benefits

medical benefits Medical: 83% dental benefits Dental: 76%
vision benefits Vision: 64% employee benefits None: 13%