Claims Processor Salary

The average Claims Processor in the United States can expect to rake in roughly $14.72 per hour. The most important factor affecting compensation for this group is residence, followed by the specific employer and years of experience. The vast majority of Claims Processors (81 percent) who participated in the survey are women. Most workers in this position report high levels of job satisfaction. Most enjoy medical while a strong majority get dental coverage. Vision coverage is also available to more than half. This snapshot results from replies to PayScale's salary survey.

$25,674 - $44,176
(Median)
$26K
$34K
$44K
MEDIAN: $33,761
10%
50%
90%

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$11.10 - $18.56
(Median)
$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$15K$30K$45K
Salary
$25,674 - $44,176  
   
Bonus
$0.00 - $2,017  
Profit Sharing
$774  
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).
)
$24,757 - $41,900  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 197
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
$11.10 - $18.56  
   
Overtime
$13.52 - $27.42  
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 - $2,017  
   
Profit Sharing
$774  
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).
)
$24,757 - $41,900  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 380
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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 flock to State Farm Insurance Company, Allstate Insurance Company, Blue Cross and Blue Shield of South Carolina, Inc. (BCBSSC), WellPoint, Inc., and UnitedHealth Group, highly regarded companies that employ a generous number of people in this profession. For Claims Processors, comfortable salaries can be found at Cigna Corporation; in fact, median earnings sit around $35K, the highest in the area. Other big spenders include Allstate Insurance Company, State Farm Insurance Company, and UnitedHealth Group, top-paying firms where Claims Processors see paychecks nearing $35K, $34K, or $31K.

Allstate, WellPoint, Inc., and UnitedHealth Group also scrape the bottom of the pay scale, with median earnings hovering around $29K, $30K, and $31K.

Popular Skills for Claims Processor


Claims Processors seem to require a number of specific skills. Most notably, skills in Medical Coding, Insurance, Customer Service, and Claim Handling are correlated to pay that is above average. Skills that seem to negatively impact pay include Data Entry, Data Processing, and Billing. Those educated in Claim Handling tend to be well versed in 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. Salaries of relatively inexperienced workers fall in the neighborhood of $30K, but folks who have racked up five to 10 years see a notably higher median of $33K. The average pay reported by folks with 10 to 20 years of experience is around $35K. 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 $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.

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Experience Affects Claims Processor Salaries




National Average
$32,000


Skills That Affect Claims Processor Salaries

Medical Coding
up arrow 4%

Insurance
up arrow 3%

Customer Service
up arrow 1%

Claim Handling
0%

National Average
$32,000

Typing
up arrow 2%

Billing
up arrow 3%

Microsoft Office
up arrow 3%

Data Processing
up arrow 6%

Data Entry
up arrow 15%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 92 votes.

Gender

Female
81 %
Male
19 %

Years of Experience

Less than 1 year
8%
1-4 years
42%
5-9 years
21%
10-19 years
20%
20 years or more
8%

Common Health Benefits

medical benefits
Medical: 83%
dental benefits
Dental: 75%
medical benefits
Vision: 65%
dental benefits
None: 13%
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