Claims Processor Salary

The average Claims Processor in the United States earns approximately $14.72 per hour. Location is the biggest factor affecting pay for this group, followed by the specific employer and experience level. Most report receiving medical coverage from their employers and a strong majority collect dental insurance. Women make up the vast majority of Claims Processors (81 percent) who answered the questionnaire. Most Claims Processors like their work and job satisfaction is high.

$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 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 UnitedHealth Group. Cigna Corporation leads the field in terms of pay, with a median salary of $35K. Soaring salaries can also be found at Allstate Insurance Company, State Farm Insurance Company, and UnitedHealth Group, where earnings of $35K, $34K, or $31K are standard for Claims Processors.

Allstate, WellPoint, Inc., and UnitedHealth Group also rank near the bottom for pay, handing out $29K, $30K, and $31K-paychecks on average.

Popular Skills for Claims Processor


Survey results suggest that Claims Processors put a wide range of professional skills to use. 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. The majority of those who know 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. Respondents with less than five years' experience take home $30K on average. In contrast, those who have been around for five to 10 years earn a noticeably higher average of $33K. The average pay reported by folks with 10 to 20 years of experience is around $35K. After two decades in the workforce, the average Claims Processor generally earns more than ever; median pay for this group is estimated at $37K.

Claims Processor Reviews

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.

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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