How To Become A Claims Reviewer: What It Is and Career Path

What is a claims reviewer and how to become one

Updated January 8, 2025

3 min read

There is more than meets the eye when it comes to being a claims reviewer. For example, did you know that they make an average of $19.72 an hour? That's $41,011 a year! Between 2018 and 2028, the career is expected to grow -4% and produce -105,300 job opportunities across the U.S.

ScoreClaims ReviewerUS Average

Salary

3.2

Avg. Salary $41,011

Avg. Salary $59,228

Stability Level

5.9

Growth Rate -4%

Growth Rate 0.3%

Diversity

9.3

Race

American Indian and Alaska Native 0.62%

Asian 7.17%

Black or African American 15.54%

Hispanic or Latino 16.30%

Unknown 4.96%

White 55.43%

Gender

female 69.82%

male 30.18%

Age - 39

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 - 39

Stress Level

5.9

Stress level is manageable

7.1 - high

Complexity Level

6.6

Complexity Level is challenging

7 - challenging

Work Life Balance

6.5

Work Life balance is good

6.4 - fair

Key steps to become a claims reviewer

Explore claims reviewer education requirements

Most common claims reviewer degrees

Bachelor's

55.2 %

Associate

15.9 %

High School Diploma

10.7 %

Start to develop specific claims reviewer skills

Skills	Percentages
Home Health	50.02%
Insurance Claims	5.48%
Data Entry	4.74%
Medical Terminology	3.09%
CPT	3.00%

Complete relevant claims reviewer training and internships

Accountants spend an average of 6-12 months on post-employment, on-the-job training. New claims reviewers 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 reviewer based on U.S. Bureau of Labor Statistics data and data from real claims reviewer resumes.

Research claims reviewer duties and responsibilities

Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
Review worker comp claims base on state fee schedule and ICD-9 guidelines.
Research ICD-9 codes and verify they are equivalent with customer s diagnoses.
Review accounts per OCC guidelines that all efforts are met and due diligence complete.

Prepare your claims reviewer resume

When your background is strong enough, you can start writing your claims reviewer 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 reviewer 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 Reviewer Resume templates

Build a professional Claims Reviewer 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 Reviewer resume.

Apply for claims reviewer jobs

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

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

How do claims reviewers rate their job?