ZipRecruiter

Log In

1

Benefit Claim Analyst Jobs (NOW HIRING)

SIHO HOLDING INC

Claims Analyst

Columbus, IN · On-site

... claim. Analyst must also assist in determining cause for manual intervention, then assist in ... Determine and apply appropriate health plan benefits and update claims for payment * Ensure timely ...

Luminare Health

Sr Claims Analyst - LHB

Calculate benefit payments and communicate claim decisions on new and continuing claims. Provide ... Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs) * Ability to adapt ...

Health Care Service Corporation

Claim Correction Analyst

$18.07 - $33.92/hr

Job Summary Handles all claim corrections in the system, including Voids, History Corrections, Stop ... From health and wellness benefits, 401(k) savings plan,pension plan, paid time off, paid parental ...

New

SIHO HOLDING INC

Claims Analyst

Columbus, IN · On-site

... claim. Analyst must also assist in determining cause for manual intervention, then assist in ... Determine and apply appropriate health plan benefits and update claims for payment * Ensure timely ...

Luminare Health

Sr Claims Analyst - LHB

Calculate benefit payments and communicate claim decisions on new and continuing claims. Provide ... Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs) * Ability to adapt ...

Integrated Resources INC

Claims analyst

Omaha, NE

Routes and triages complex claims to Senior Claim Benefits Specialist. (*) Proofs claim or referral ... Analytical skills. Technical skills. Oral and written communication skills. Understanding of ...

Luminare Health

Sr Claims Analyst - LHB

Calculate benefit payments and communicate claim decisions on new and continuing claims. Provide ... Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs) * Ability to adapt ...

University Health

Claims Analyst

San Antonio, TX · On-site

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.

University Health

Claims Analyst

San Antonio, TX · On-site

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.

University Health

Claims Analyst

San Antonio, TX · On-site

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.

University Health

Claims Analyst

San Antonio, TX · On-site

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.

University Health

Claims Analyst

San Antonio, TX · On-site

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.

previous pagenext page

Showing results 21-40

All JobsBenefit Claim Analyst Jobs

Benefit Claim Analyst information

See salary details

$38.5K

$72.3K

$113K

How much do benefit claim analyst jobs pay per year?

As of Sep 14, 2026, the average yearly pay for benefit claim analyst in the United States is $72,338.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,000.00 and $82,500.00 per year, depending on experience, location, and employer.

What cities are hiring for Benefit Claim Analyst jobs?

Cities with the most Benefit Claim Analyst job openings:

What states have the most Benefit Claim Analyst jobs?

States with the most job openings for Benefit Claim Analyst jobs include:

What are popular job titles related to Benefit Claim Analyst jobs?

For Benefit Claim Analyst jobs, the most frequently searched job titles are:

Claims Analyst

Columbus, IN • On-site

SIHO HOLDING INC
See more jobs at SIHO HOLDING INCexternal

Full-time

Medical, Dental, Vision

Re-posted 6 days ago

Job description

Job Title: Claims Analyst
Reports To: Supervisor of Claims
This is a non-exempt position responsible for reviewing, analyzing, and adjudicating non-routine health claims that could not be system adjudicated for payment. Analyst must research and interpret summary plan description language and make accurate determination for adjudication or denial of claim. Analyst must also assist in determining cause for manual intervention, then assist in writing logic and workflow automation for future claims.
Brief Description of Duties:
  • Review incoming medical, pharmacy vision and dental claims
  • Determine and apply appropriate health plan benefits and update claims for payment
  • Ensure timely and accurate claims adjudication
  • Follow company guidelines and policies for adjudicating claims and responding to members
  • Act as a resource for questions, opportunities, and research issues for all internal and external customers
  • Responsible for meeting performance measurement standards for productivity and accuracy
  • Identify and resolve operational problems using defend processes, judgment, and expertise
  • Provide feedback to team members regarding process improvement opportunities
  • Asset with training and mentoring of new team members
  • Resolve identified claims issues based on CCI edit repot to comply with CMS guidelines.
  • Represent the department when needed for internal and external company meetings
  • Complete special projects (including research) as assigned by Claims Supervisor or Director of Claims
  • High level understanding of state and federal laws specific to health plan administration (HIPPA, ERISA, MHPAEA, ACA Mandates etc.)
  • Develop and maintain statistical data as required
  • Assist in departmental reporting

Minimum Skills Requirement:
  • Post-secondary education or two years experience in a claims processing environment
  • Experience in Medicare Advantage strongly preferred
  • Excellent communications (oral and written) skills
  • Intermediate skill levels in Microsoft Word, Excel, and Outlook preferred
  • Ability to work at a self-directed pace in a changing, multi-task environment
  • Detail oriented
  • Professional appearance and presence
  • Commitment to support and maintain confidentiality in conformance to HIPAA guidelines

Other:
  • Confirmation of excellent attendance record in current or most recent job
  • General knowledge and understanding of claims processing functions

Apply