ZipRecruiter

Log In

1

Business Analyst Claims Jobs (NOW HIRING)

Iberdrola

Analyst - Claims Management

Rochester, NY · On-site

Job Title: Analyst - Claims Management Location: Rochester, NY; Albany, NY; Kirkwood, NY or ... to business operations and risk. Responsibilities: * Investigates, manages and reports on all ...

Allcat Claims Service

Business Analyst

San Antonio, TX · On-site

$75K - $90K/yr

Business Analyst Location : San Antonio, Texas (On-site) Job Type : Full-Time Industry : Insurance ... insurance claims or adjusting industry is a plus Comfortable handling and resolving customer ...

Forhyre

Claims Business Analyst

Charlotte, NC

We are looking for a Claims Business Analyst who will be the vital link between our information technology capacity and our business objectives by supporting and ensuring the successful completion of ...

Iberdrola

Analyst - Claims Management

Rochester, NY · Hybrid

Job Title: Analyst - Claims Management Location: Rochester, NY; Albany, NY; Kirkwood, NY or ... to business operations and risk. Responsibilities: * Investigates, manages and reports on all ...

Iberdrola

Analyst - Claims Management

Kirkwood, NY · Hybrid

Job Title: Analyst - Claims Management Location: Rochester, NY; Albany, NY; Kirkwood, NY or ... to business operations and risk. Responsibilities: * Investigates, manages and reports on all ...

Iberdrola

Analyst - Claims Management

New York, NY · Hybrid

Job Title: Analyst - Claims Management Location: Rochester, NY; Albany, NY; Kirkwood, NY or ... to business operations and risk. Responsibilities: * Investigates, manages and reports on all ...

next page

Showing results 1-20

All JobsBusiness Analyst Claims Jobs

Business Analyst Claims information

See salary details

$20

$47

$64

How much do business analyst claims jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for business analyst claims in the United States is $47.89, according to ZipRecruiter salary data. Most workers in this role earn between $40.87 and $54.81 per hour, depending on experience, location, and employer.

What does a Business Analyst Claims do?

A Business Analyst Claims is responsible for analyzing and improving the claims process within an insurance or healthcare company. They gather and interpret data related to claims, identify trends or issues, and recommend solutions to enhance efficiency and accuracy. Their role often involves collaborating with IT, operations, and claims teams to implement new systems or process improvements. Ultimately, they help ensure that claims are processed quickly, correctly, and in compliance with regulations.

What are the key skills and qualifications needed to thrive as a Business Analyst Claims, and why are they important?

To thrive as a Business Analyst Claims, you need strong analytical skills, knowledge of insurance claims processes, and typically a degree in business, finance, or a related field. Familiarity with claims management systems, data analysis tools like Excel or SQL, and relevant certifications such as CBAP or insurance-specific credentials are commonly required. Exceptional communication, problem-solving, and attention to detail help you effectively bridge gaps between technical teams and business stakeholders. These skills are essential for optimizing claims processes, ensuring accuracy, and driving operational improvements within insurance organizations.

What is the difference between Business Analyst Claims vs Claims Adjuster?

AspectBusiness Analyst ClaimsClaims Adjuster
Required CredentialsBachelor's degree in business, finance, or related field; certifications like CBAP are commonBachelor's degree in related field; licensing or state certification often required
Work EnvironmentOffice setting, collaborating with claims teams and stakeholdersField and office work, inspecting damages and interviewing claimants
Industry UsageUsed across insurance companies to analyze claims processes and dataPrimarily in insurance companies, handling claim assessments and settlements

Business Analyst Claims focus on analyzing and improving claims processes and data, while Claims Adjusters evaluate individual claims to determine coverage and settlement. Both roles are essential in the insurance industry but differ in their primary responsibilities and work environment.

How does a Business Analyst Claims professional typically interact with claims adjusters and IT teams to improve claims processing?

Business Analyst Claims professionals act as a bridge between claims adjusters, who handle the day-to-day claim assessments, and IT teams responsible for system enhancements. They gather feedback from adjusters regarding pain points or inefficiencies in current workflows and translate these into technical requirements for IT. Regular meetings, process mapping sessions, and user acceptance testing are common collaboration points. This teamwork ensures that system updates or new features align with both operational needs and business goals, ultimately streamlining claims processing.
More about Business Analyst Claims jobs
What cities are hiring for Business Analyst Claims jobs? Cities with the most Business Analyst Claims job openings:
What states have the most Business Analyst Claims jobs? States with the most job openings for Business Analyst Claims jobs include:
What job categories do people searching Business Analyst Claims jobs look for? The top searched job categories for Business Analyst Claims jobs are:
Business Analyst Claims jobs near you
Infographic showing various Business Analyst Claims job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $99,617 per year, or $47.9 per hour.
Senior Business Analyst - Claims module

Senior Business Analyst - Claims module

Carman Solutions Group

Malvern, PA • Remote

$94K - $122K/yr

Contractor

Posted 15 days ago

Job description

Title: Senior Business Analyst – Claims module

Location: Remote

Duration: Long Term

Visa- Only Independent visa holders

Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers. Works in team environment and provides guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the application and assisting customers in implementation decisions.

  1. Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare.
  2. Candidate should have hands-on experience on claims processing and Adjudication processes.
  3. Must have good experience in Reference code/data sets required in Claims adjudication.
  4. Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.
  5. Should be able to run queries and perform basic system analysis, RCA etc.,
  6. Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos
  7. Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks

Technical Skills

  • SQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan).
  • EDI Tools: Validating X12 files.
  • Interface Testing: Understanding how data flows between systems and formats and use tools like postman

Preferred skills:

  • Minimum of 8+ years of experience in health care experience especially in MMIS domain.
  • Capability to think out-of-the-box to create new solutions as needed.
  • Ability to validate Test scenarios and test plans, test data.
  • Should be able to Review requirements, documentation and create Requirements Traceability matrix (RTM)
  • Should have excellent communication (written and spoken ) skills to engage with different stake holders like QA/dev team, clients, end users of Clients and Business Units.
  • Ability to assess current functionality available in a product vis a vis market trends, regulatory requirements to be implemented in future version of the product.
  • Ability to drive and share the requirements with Technical and Architects regarding product features to be implemented.
  • Communication: Collaborate with cross-functional teams
Regards,
Himanshu Rawat
himanshu@carmansg.com