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.

What responsibilities are common for Claims Processor jobs?
  • Effectively manage a portfolio of various type of claims.
  • Update and maintain claim files to ensure complete records.
  • Respond timely to internal and external inquiries for information relative to claims.
  • Review, prepare, create, and/or send letters, reports, and forms.
  • Communicate claim action/processing with claimant, client and appropriate medical contact.
  • Identify notification issues, coordinates resolution and takes corrective actions as needed.
  • Engage and address any customer inquiries related to lien/bond claim notices sent to property owners, general contractors, and subcontractors.
  • Collaborate with the claim handlers in preparing the claim notices.
  • Maintain action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. escalates issues as needed.
  • Provide support and assistance in updating reinsurance systems and information.
What are the typical qualifications for Claims Processor jobs?
  • Bachelor's Degree in business or computer science.
  • Exhibit strong critical thinking and problem solving skills.
  • Demonstrated careful attention to detail.
Education--
Work/Life Balance
3.4 ★
Salary Range--
Career Opportunity
3.2 ★
Avg. Experience2-4 years

Claims Processor Salaries

Average Base Pay

₹17,314 /month
Same as national average
Not including cash compensation
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₹12T
Median: ₹17T
₹32T
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Glassdoor Estimated Salary

Claims Processor Career Path

Learn how to become a Claims Processor, what skills and education you need to succeed, and what level of pay to expect at each step on your career path.

Claims Processor

Years of Experience Distribution

0 - 1
24%
2 - 4
55%
5 - 7
4%
8+
17%
Not including years spent in education and/or training

Claims Processor Insights

Read what Claims Processor professionals have to say about their job experiences and view top companies for this career.
NFU MutualNFU Mutual
Motor Claims Handler
30 Mar 2021

“No career opportunities and if you do get on your put on secondment which they can revoke at any minute”

Direct Line GroupDirect Line Group
Motor Claims Handler
12 Oct 2021

“level job was becoming ridiculous and because of these problems I know many good handlers who also left.”

State Farm Mutual Automobile InsuranceState Farm Mutual Automobile Insurance
Auto Claims Associate
28 Jan 2022

“The pay is decent and when I first started we got a lot of raises.”

HealthCompHealthComp
Claims Processor Trainee
7 Mar 2022

“Not sure if this is because I'm in training or if this happens even afterward.”

Collective HealthCollective Health
Member Claims Associate
30 Nov 2020

“If you don't give a weeks notice when trying to use your accrued PTO you receive disciplinary points.”

PrudentialPrudential
Claims Processor
27 Jan 2022

“Pay is good but as a human with bill I will always want more pay.”

GallagherGallagher
Claims Assistant
15 Apr 2021

“People are fun and good”

SedgwickSedgwick
Claims Assistant
28 Jan 2021

“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.”

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Claims Processor Interviews

Frequently asked questions about the role and responsibilities of a Claims Processor

The most similar professions to Claims Processor are:
  • Claims Analyst
  • Claims Adjuster
  • Claims Examiner
  • Claims Manager

Related Careers

Claims Analyst
₹3,95,071
No skills overlap
Claims Adjuster
₹3,13,339
No skills overlap
Claims Examiner
₹4,52,542
No skills overlap
Claims Manager
₹7,46,186

Claims Processor jobs