What does a Claims Processor do?
Claims processors work in the insurance industry and handle insurance claims. They review claims submissions, obtain and verify information, correspond with insurance agents and beneficiaries, and process claim payments. They communicate with insurance agents and beneficiaries and prepare claims forms and related documentation. They are responsible for reviewing claims submissions and verifying the information contained therein.
Claims processors record and maintain insurance policy and claim information in database systems and determine policy coverage while calculating claim amounts. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. Claims processors need at least two years of experience as a claims processor or similar and working knowledge of the insurance industry and relevant federal and state regulations.
Claims Processor Salaries
Average Base Pay
Claims Processor Insights
“No career opportunities and if you do get on your put on secondment which they can revoke at any minute”
“level job was becoming ridiculous and because of these problems I know many good handlers who also left.”
“Cleanliness of the offices and surrounding areas is top notch and you cannot fault it.”
“If you don't give a weeks notice when trying to use your accrued PTO you receive disciplinary points.”
“The training plan at SGSM has by far been the best plan I have experienced throughout my working life.”
“People are fun and good”
“Some managers seem nice but when your stuck in a position because your boss doesn’t like you don’t get to experience anything else.”
“Team was great to work with and hours were good.”
Claims Processor Interviews
Claims Processor Jobs
Frequently asked questions about the roles and responsibilities of a claims processor
When working as a claims processor, the most common skills you will need to perform your job and for career success are Excellent Communication, Microsoft Office Software, Typing, Logical Thinking, and Microsoft Office Suite.
- Claims Analyst
- Claims Adjuster
- Claims Examiner
- Claims Manager
The most common qualifications to become a claims processor include a minimum of a Bachelor's Degree and an average of 0 - 1 years of experience not including years spent in education and/or training.