What is a claims coordinator and how to become one

Updated January 8, 2025
4 min read
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Claims coordinators are in charge of overseeing activities that are related to handling and processing insurance claims for an organization. They act as liaison officers between the organization, insurance providers, and policyholders. They inform them about the status and eligibility of all relevant claims. Also, they review insurance claims to ensure that billing requirements are met. Additionally, they attend to all the inquiries of their clients. Likewise, they recommend ways by which claim issues can be resolved.

Employers seek applicants with a bachelor's degree in business, insurance, or a related field and must have previous experience in a related role. You must possess interpersonal, analytical, problem-solving, organization, time management, communication, and customer service skills. You must be familiar with industry trends and governmental regulations. Also, you must be proficient in Microsoft Office. Claims coordinators earn an average salary of $40,723 per year. This varies between $29,000 and $57,000.

ScoreClaims CoordinatorUS Average
Salary
3.0

Avg. Salary $38,620

Avg. Salary $59,228

Stability Level
9.3

Growth Rate -6%

Growth Rate 0.3%

Diversity
4.7
Race

American Indian and Alaska Native 0.50%

Asian 5.26%

Black or African American 11.20%

Hispanic or Latino 16.99%

Unknown 4.41%

White 61.65%

Gender

female 75.42%

male 24.58%

Age - 43
Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 43
Stress Level
9.3

Stress level is very high

7.1 - high

Complexity Level
9.7

Complexity Level is advanced

7 - challenging

Work Life Balance
3.7

Work Life balance is poor

6.4 - fair

Claims Coordinator career paths

Key steps to become a claims coordinator

  1. Explore claims coordinator education requirements

    Most common claims coordinator degrees

    Bachelor's

    47.7 %

    Associate

    25.7 %

    High School Diploma

    11.4 %
  2. Start to develop specific claims coordinator skills

    Skills
    ascdesc
    Percentages
    ascdesc
    Customer Service22.98%
    Patients8.79%
    Data Entry8.10%
    Phone Calls5.93%
    Insurance Claims4.66%
  3. Complete relevant claims coordinator training and internships

    Accountants spend an average of 1-2 years on post-employment, on-the-job training. New claims coordinators learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a claims coordinator based on U.S. Bureau of Labor Statistics data and data from real claims coordinator resumes.
  4. Research claims coordinator duties and responsibilities

    • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
    • Process and adjust Medicare claims, provide feedback to providers on proper CPT, ICD-9 coding for billing purposes.
    • Serve as point of contact for all legal issues relate to HIPAA.
    • Streamline audit procedures of TPA and maintain extremely high production rate which help in keeping staffing requirements lower.
  5. Prepare your claims coordinator resume

    When your background is strong enough, you can start writing your claims coordinator resume.

    You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a claims coordinator resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

    Choose From 10+ Customizable Claims Coordinator Resume templates

    Build a professional Claims Coordinator resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your Claims Coordinator resume.
    Claims Coordinator Resume
    Claims Coordinator Resume
    Claims Coordinator Resume
    Claims Coordinator Resume
    Claims Coordinator Resume
    Claims Coordinator Resume
    Claims Coordinator Resume
    Claims Coordinator Resume
    Claims Coordinator Resume
  6. Apply for claims coordinator jobs

    Now it's time to start searching for a claims coordinator job. Consider the tips below for a successful job search:

    1. Browse job boards for relevant postings
    2. Consult your professional network
    3. Reach out to companies you're interested in working for directly
    4. Watch out for job scams

How Did You Land Your First Claims Coordinator Job

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Average claims coordinator salary

The average Claims Coordinator salary in the United States is $38,620 per year or $19 per hour. Claims coordinator salaries range between $31,000 and $47,000 per year.

Average Claims Coordinator Salary
$38,620 Yearly
$18.57 hourly

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How do claims coordinators rate their job?

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Claims Coordinator reviews

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A zippia user wrote a review on Aug 2021
Cons

When customers are not satisfied even when you know you have delivered the best service you could have and have gone beyond the call of duty in delivering same. They appear to not understand the dynamics of the process even if explained to them


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A zippia user wrote a review on Aug 2019
Pros

I am able to help clients with their claims. I can sympathize with families who have lost their loved one.

Cons

Complaints


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A zippia user wrote a review on May 2019
Cons

That I know I make more money working in many other fields.


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Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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