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Claims Processor Salary

Pay for Claims Processors in the United States sits in the ballpark of $14.47 per hour. Earnings for this group are mostly affected by geography, followed by the company and experience level. Women account for the majority of Claims Processors who took the survey — 81 percent to be exact. A large number enjoy medical while a fair number get dental coverage. Vision coverage is also available to the larger part. Job satisfaction is reported as high by the vast majority of workers.
$25,414 - $43,446
(Median)
$25K
$33K
$43K
MEDIAN: $33,181
10%
50%
90%

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$11.01 - $18.23
(Median)
$11
$14
$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
$25,414 - $43,446  
   
Bonus
$0.00 - $1,621  
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).
)
$24,762 - $41,613  
Country: United States | Currency: USD | Updated: 11 Dec 2014 | Individuals Reporting: 157
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
$11.01 - $18.23  
   
Overtime
$12.96 - $27.17  
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 - $1,621  
   
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).
)
$24,762 - $41,613  
Country: United States | Currency: USD | Updated: 11 Dec 2014 | Individuals Reporting: 251
United States (change)

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


Many Claims Processors can be found at State Farm Insurance Company, Allstate Insurance Company, Blue Cross and Blue Shield of South Carolina, Inc. (BCBSSC), WellPoint, Inc., and Allstate, firms that are at the top of the field. Allstate Insurance Company attracts talent by shelling out the biggest paychecks in the area — the median in that office is $34K.

Popular Skills for Claims Processor


Claims Processors generally report applying a varied skill set to their work. Most notably, skills in Medical Coding, Billing, Claim Handling, and Customer Service are correlated to pay that is above average. Skills that pay less than market rate include Data Entry, Typing, and Data Processing. Those who learned Customer Service also tend to know Medical Coding and Billing. For most people, competency in Claim Handling indicates knowledge of 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, level of experience appears to be a somewhat less important part of the salary calculation — more experience does not correlate to noticeably higher pay. Folks with fewer than five years of experience take home $30K on average, and those who have worked for five to 10 years see a bigger median salary of $32K. After working for 10 to 20 years, Claims Processors make a median salary of $35K. Individuals who report more than two decades of experience seem to make only slightly more than folks in the 10-to-20 year range; the more senior group sees median earnings in the comparatively modest ballpark of $36K.

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

Experience Affects Claims Processor Salaries

Late-Career
up arrow 15%



National Average
$32,000


Skills That Affect Claims Processor Salaries


Claim Handling
up arrow 2%

Billing
up arrow 2%

Customer Service
up arrow 1%

Insurance
0%

National Average
$32,000

Microsoft Office
up arrow 2%

Data Processing
up arrow 3%

Typing
up arrow 8%

Data Entry
up arrow 14%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 83 votes.

Gender

Female
81 %
Male
19 %

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%