Claims Processor Salary

Claims Processors in the United States can expect wages of $14.68 per hour on average. Geographic location is the main element affecting pay for this group — the specific employer and tenure are driving factors as well. Most enjoy medical while a strong majority get dental coverage. Vision coverage is also available to the greater part. Job satisfaction for Claims Processors is high. Participants in PayScale's salary questionnaire provided the particulars of this report.

$25,558 - $43,689
(Median)
$26K
$34K
$44K
MEDIAN: $33,564
10%
50%
90%

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$11.07 - $18.50
(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
$25,558 - $43,689  
   
Bonus
$0.00 - $1,905  
Profit Sharing
$350.00 - $850  
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).
)
$24,806 - $41,846  
Country: United States | Currency: USD | Updated: 2 Jul 2015 | Individuals Reporting: 178
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
$11.07 - $18.50  
   
Overtime
$13.29 - $27.69  
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 - $1,905  
   
Profit Sharing
$350.00 - $850  
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).
)
$24,806 - $41,846  
Country: United States | Currency: USD | Updated: 2 Jul 2015 | Individuals Reporting: 317
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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 all popular places to work. Claims Processors seeking a sizable paycheck can earn the most at Allstate Insurance Company, where the average salary comes to $35K.

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, Customer Service, Insurance, and Claim Handling are correlated to pay that is above average. Skills that are correlated to lower pay, on the other hand, include Data Entry and Data Processing. Most people who know Customer Service also know Medical Coding and Billing. Those proficient in Claim Handling are, more often than not, also skilled 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.


For Claims Processors, more experience in the field does not usually mean bigger paychecks. In this position, someone who has worked for fewer than five years can expect a median salary of $30K. The median for people with five to 10 years of experience is only a little bit higher at $32K. People with 10 to 20 years of experience make an average of about $35K in this role. After two decades in the workforce, the average Claims Processor generally earns more than ever; median pay for this group is estimated at $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%

Insurance
up arrow 2%

Claim Handling
up arrow 1%

National Average
$32,000

Typing
up arrow 1%

Billing
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: 76%
vision benefits Vision: 65% employee benefits None: 12%
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