Think you know how many people it takes to keep America insured? The health insurance industry isn't just a monolithic corporate entity; it's a massive employer where you'll find over 312,450 dedicated professionals as of mid-2023, with the sector showing robust growth by adding 9,600 jobs from 2021 to 2022 alone.
Key Takeaways
- As of May 2023, the health insurance carriers industry (NAICS 524140) employed 312,450 workers in the United States, marking a 2.1% increase from 2022
- In 2022, total employment in the U.S. health insurance sector reached 1.2 million when including related administrative services
- Health insurance industry employment stood at 289,700 full-time equivalent jobs in 2021 across major carriers
- From 2021 to 2022, health insurance employment grew by 3.2% adding 9,600 jobs
- BLS projects health insurance carriers employment to grow 5.1% from 2022 to 2032, adding 15,900 jobs
- Between 2019 and 2023, the sector saw 2.8% annual employment growth post-pandemic recovery
- 39.2% of workforce aged 25-34 in 2023
- Women comprised 58.7% of health insurance industry employees in 2022
- Average age of employees was 44.3 years in May 2023 BLS data
- Claims adjusters and examiners: 45,200 employed in 2023
- Insurance underwriters: 28,900 jobs in health insurance 2022
- Customer service representatives: 67,400 in health plans 2023
- Average hourly wage for health insurance workers was $38.42 in May 2023
- Median annual salary for claims adjusters in health insurance: $72,980 in 2022
- Underwriters earned average $82,510 yearly in NAICS 524140 2023
The health insurance industry employs over 315,000 people and continues to grow steadily.
Compensation and Benefits
1Average hourly wage for health insurance workers was $38.42 in May 2023
Verified2Median annual salary for claims adjusters in health insurance: $72,980 in 2022
Verified3Underwriters earned average $82,510 yearly in NAICS 524140 2023
Verified4Customer service reps averaged $19.85/hour or $41,290/year 2022
Directional5Actuaries in health plans median pay $113,990 in 2023
Single source6Top 10% of health insurance workers earned over $120,000 annually 2022
Verified7Benefits costs averaged 32% of total compensation in 2023
Verified8Entry-level sales agents earned $48,220 median 2022
Verified9Billing clerks average wage $20.14/hour in 2023
Directional10Management annual pay averaged $148,320 in health insurance 2022
Single source11Health insurance industry offered average employer health benefits value $15,200/year 2023
Verified12Overtime pay averaged 4.2% of earnings in admin roles 2022
Verified13Bonuses comprised 7.8% of total comp for executives 2023
Verified1485% of workers received health insurance coverage from employer 2022
Directional15Retirement contributions averaged 5.1% match in 2023 plans
Single source16Paid leave benefits covered 92% of full-time employees 2022
Verified17Commission structures added $12,400 avg to sales pay 2023
Verified18Wage growth 4.1% YoY in health insurance 2022-2023
Verified19Bottom 10% earned under $32,000 annually 2022 data
Directional20Stock options valued at avg $8,900 for mid-level 2023
Single source21Remote workers premium pay averaged 2.3% higher 2022
Verified22Gender pay gap 18% favoring males in 2023 BLS
Verified23401(k) participation rate 78% among eligible 2022
Verified24Tuition reimbursement averaged $5,250 per employee 2023
Directional25Total comp for actuaries reached $140,000 including perks 2022
Single sourceCompensation and Benefits Interpretation
It appears that within the health insurance industry, the actuary calculating your premium is earning a comfortable salary with excellent benefits, while the customer service representative explaining why it wasn't covered might be struggling to afford their own.
Demographic Breakdown
139.2% of workforce aged 25-34 in 2023
Verified2Women comprised 58.7% of health insurance industry employees in 2022
Verified3Average age of employees was 44.3 years in May 2023 BLS data
Verified462% of workers held bachelor's degrees or higher in 2022
Directional5Racial breakdown: 67.4% White, 12.1% Black, 9.8% Asian in 2023
Single source615.3% of employees were Hispanic or Latino in 2022 QCEW
Verified7Veterans represented 6.2% of the health insurance workforce in 2023
Verified828.4% part-time workers in administrative roles 2022
Verified9Gen Z (under 25) made up 9.1% of employees in 2023
Directional1071% urban residency among employees per 2022 census
Single source11Disability rate among workers was 4.7% in 2023 BLS survey
Verified1252% female in management positions 2023
Verified13Median tenure 4.2 years for non-managers in 2022
Verified1418-24 year olds: 7.8% of total employment 2023
Directional15Asian employees grew to 11.2% from 10.1% 2020-2023
Single source163.9% union membership rate in private health insurance 2022
Verified17Baby Boomers (55+) comprised 22.6% in 2023
Verified18High school graduates only: 14.5% of workforce 2022
Verified19Immigrants accounted for 16.8% of employees 2023 ACS data
Directional20LGBTQ+ identification estimated at 7.1% in industry surveys 2023
Single source2165+ workers: 4.3% despite retirement trends 2022
Verified22Male-female ratio 42:58 in claims roles 2023
Verified23Associate degree holders: 21.7% of staff 2022
Verified24Rural employees: 12.4% of total 2023
Directional25Single parents: 9.2% demographic segment 2022
Single sourceDemographic Breakdown Interpretation
The health insurance workforce is a surprisingly young, educated, and female-majority field that is gradually diversifying, yet it remains stubbornly urban, non-unionized, and characterized by relatively short job tenures, painting a picture of an industry in a cautious demographic transition.
Employment Growth and Projections
1From 2021 to 2022, health insurance employment grew by 3.2% adding 9,600 jobs
Verified2BLS projects health insurance carriers employment to grow 5.1% from 2022 to 2032, adding 15,900 jobs
Verified3Between 2019 and 2023, the sector saw 2.8% annual employment growth post-pandemic recovery
Verified4Health insurance jobs increased by 12,300 or 4.1% in 2022 alone
Directional5Projected 2023-2033 growth for NAICS 524140 is 6.2%, faster than average
Single source6From Q1 2022 to Q1 2023, employment rose 2.4% or 7,200 positions
Verified7Post-ACA, health insurance employment expanded 15.7% from 2010-2020
Verified82024 forecast shows 3.5% growth adding 11,000 jobs due to aging population
Verified9Medicare enrollment growth drove 4.8% employment increase 2021-2023
Directional10Commercial health insurance jobs grew 1.9% YoY in 2023
Single source11BLS data indicates 2.7% growth in health insurance occupations 2022-2023
Verified12From 2020 low, employment rebounded 8.5% by 2023
Verified13Projected addition of 18,400 jobs by 2031 in insurance adjusters and examiners
Verified14Health plan enrollment surge led to 5.2% staff growth in 2023
Directional15Long-term projection: 7.3% growth to 335,000 jobs by 2032
Single source16Regional growth highest in South at 4.1% 2022-2023
Verified17Telehealth integration boosted admin employment 3.9% in 2023
Verified18Medicaid expansion states saw 6.7% employment growth 2014-2022
Verified192022-2032 outlook: 4.5% growth in customer service reps for health insurance
Directional20Industry employment CAGR 2.1% from 2018-2023
Single source21Post-recession recovery added 45,000 jobs 2012-2022
Verified222023 saw 1.8% quarterly growth averaging 5,400 new jobs
Verified23AI automation projected to moderate growth to 3.8% 2024-2028
Verified24Enrollment in ACA exchanges drove 2.9% job growth 2022-2023
Directional2558% of new jobs 2022-2023 were in urban health insurance hubs
Single sourceEmployment Growth and Projections Interpretation
The health insurance industry is hiring people at a brisk clip to handle the paperwork generated by the rest of us trying to get healthy.
Occupational Distribution
1Claims adjusters and examiners: 45,200 employed in 2023
Verified2Insurance underwriters: 28,900 jobs in health insurance 2022
Verified3Customer service representatives: 67,400 in health plans 2023
Verified4Insurance sales agents specialized in health: 12,100 employed 2022
Directional5Medical records specialists: 21,500 in insurance firms 2023
Single source6Actuaries in health insurance: 6,200 positions 2022
Verified7Billing and posting clerks: 34,800 jobs 2023
Verified8General office clerks: 18,900 in NAICS 524140 2022
Verified9Software developers for claims systems: 9,400 employed 2023
Directional10Compliance officers: 7,800 roles in health insurance 2022
Single source11Human resources specialists: 14,200 in carriers 2023
Verified12Financial analysts in health plans: 8,500 jobs 2022
Verified13Data entry keyers: 11,300 positions 2023
Verified14Management analysts: 5,900 in insurance admin 2022
Directional15Lawyers specializing in insurance: 4,200 employed 2023
Single source16IT support specialists: 12,700 roles 2022
Verified17Accountants and auditors: 22,400 in health insurance 2023
Verified18Medical secretaries: 16,100 jobs 2022
Verified19Top executives (general/managers): 19,500 positions 2023
Directional20Training specialists: 6,800 in workforce development 2022
Single sourceOccupational Distribution Interpretation
The health insurance industry employs a veritable army of 333,100 people, which means for every one doctor healing a patient, there are roughly seven people somewhere explaining why it's not covered, calculating the cost of covering it, or taking a call about why it's not covered.
Total Employment and Size
1As of May 2023, the health insurance carriers industry (NAICS 524140) employed 312,450 workers in the United States, marking a 2.1% increase from 2022
Verified2In 2022, total employment in the U.S. health insurance sector reached 1.2 million when including related administrative services
Verified3Health insurance industry employment stood at 289,700 full-time equivalent jobs in 2021 across major carriers
Verified4By end of 2023, approximately 315,000 individuals were directly employed by health insurance carriers nationwide
Directional5The sector employed 1,456,200 workers in insurance carriers overall, with health comprising 21.5% in Q4 2022
Single source6In 2020, health insurance employment totaled 305,120 amid pandemic disruptions
Verified7U.S. health insurance firms reported 298,450 payroll employees in the first quarter of 2023
Verified8Total headcount in top 10 health insurers was 456,780 in 2022 filings
Verified9Employment in health insurance administration reached 142,300 in 2022 per QCEW data
Directional10Nationwide, health insurance sector jobs numbered 310,200 as of BLS Occupational Employment Statistics May 2022
Single source11In fiscal year 2021, Medicare Advantage plans employed 278,900 staff collectively
Verified12Health insurance employment in the U.S. was 307,500 in December 2022 per CES data
Verified13By 2023, the industry supported 1.1 million jobs including brokers and agents
Verified14Q1 2023 saw 314,100 employees in NAICS 524140 establishments
Directional15Annual average employment for health insurance carriers was 309,820 in 2022
Single source16In 2019 pre-pandemic, sector employment peaked at 322,450 workers
Verified17Health insurers employed 295,600 in 2021 despite enrollment surges
Verified18Total payroll in health insurance reached 311,200 jobs by mid-2023
Verified19As per SEC filings, UnitedHealth Group alone had 399,000 employees in health insurance segments in 2022
Directional20Industry-wide employment averaged 308,100 across 2022 quarters
Single source21In 2023, Elevance Health reported 102,700 employees primarily in health insurance
Verified22Humana Inc. employed 67,100 in health insurance operations end of 2022
Verified23CVS Health's Aetna division had 73,000 staff in 2022 health insurance roles
Verified24Centene Corporation's workforce totaled 74,100 in Medicaid health insurance in 2022
Directional25Molina Healthcare employed 15,500 in health plan services 2022
Single source26Total employment in health insurance TPAs was 189,400 in 2022
Verified27Kaiser Permanente health plans employed 225,000 in insurance-related roles 2022
Verified28Blue Cross Blue Shield affiliates collectively employed 220,000 in 2022
Verified29Employment in health insurance claims processing centers was 112,500 in 2023
Directional30U.S. health insurance industry employment totaled 1,025,000 including auxiliaries in 2022 NAICS data
Single sourceTotal Employment and Size Interpretation
With over a million souls toiling in its vast administrative labyrinth, the health insurance industry appears to be the one sector whose employment figures are nearly as complex and redundant as its own billing codes.
Sources & References
- Reference 1BLSbls.govVisit source
- Reference 2AHIPahip.orgVisit source
- Reference 3NAICnaic.orgVisit source
- Reference 4DATAdata.bls.govVisit source
- Reference 5FREDfred.stlouisfed.orgVisit source
- Reference 6CENSUScensus.govVisit source
- Reference 7STATISTAstatista.comVisit source
- Reference 8KFFkff.orgVisit source
- Reference 9IBISWORLDibisworld.comVisit source
- Reference 10BEAbea.govVisit source
- Reference 11MCKINSEYmckinsey.comVisit source
- Reference 12DATAdata.census.govVisit source
- Reference 13UNITEDHEALTHGROUPunitedhealthgroup.comVisit source
- Reference 14ELEVANCEHEALTHelevancehealth.comVisit source
- Reference 15HUMANAhumana.comVisit source
- Reference 16CVSHEALTHcvshealth.comVisit source
- Reference 17INVESTORSinvestors.centene.comVisit source
- Reference 18INVESTORSinvestors.molinahealthcare.comVisit source
- Reference 19DOLdol.govVisit source
- Reference 20ABOUTabout.kaiserpermanente.orgVisit source
- Reference 21BCBSbcbs.comVisit source
- Reference 22HEALTHAFFAIRShealthaffairs.orgVisit source
- Reference 23DELOITTEdeloitte.comVisit source
- Reference 24MARKETSANDMARKETSmarketsandmarkets.comVisit source
- Reference 25FEDERALRESERVEfederalreserve.govVisit source
- Reference 26MILLIMANmilliman.comVisit source
- Reference 27PWCpwc.comVisit source
- Reference 28CMScms.govVisit source
- Reference 29EEOCeeoc.govVisit source
- Reference 30VAva.govVisit source
- Reference 31PEWRESEARCHpewresearch.orgVisit source
- Reference 32NCESnces.ed.govVisit source
- Reference 33WILLIAMSINSTITUTEwilliamsinstitute.law.ucla.eduVisit source
- Reference 34ERSers.usda.govVisit source
- Reference 35SEMLERBROSSYsemlerbrossy.comVisit source
- Reference 36NASPPnaspp.comVisit source
- Reference 37SHRMshrm.orgVisit source
- Reference 38VANGUARDvanguard.comVisit source
- Reference 39ATWORKBENEFITSatworkbenefits.comVisit source
- Reference 40SOAsoa.orgVisit source