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Business Analyst Claims Jobs (NOW HIRING)

3B Staffing LLC

Business Analyst

Springfield, IL · On-site

Business Analyst - claims, Medicaid and 837 is mandatory * At least 3 years Medicaid/Healthcare/Insurance industry experience required * Assist with the review of Agency documentation, system design ...

Posted today

3B Staffing LLC

Business Analyst

Springfield, IL · On-site

Business Analyst - claims, Medicaid and 837 is mandatory * At least 3 years Medicaid/Healthcare/Insurance industry experience required * Assist with the review of Agency documentation, system design ...

Posted today

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 ...

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

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 ...

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

Brewster, 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 ...

Allcat Claims Service

Business Analyst

San Antonio, TX

$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 · On-site

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 ...

L.A. Care Health Plan

Business Analyst III

Los Angeles, CA · On-site

$115K - $142K/yr

At least 5 years of successful experience in a quantitative role as a Business Analyst, Data Analyst, Programming Analyst, Claims processing, encounter processing. Skills Required: Competent to work ...

Forhyre

Claims Business Analyst

Charleston, WV · On-site

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 ...

Centivo

Claims Business Analyst

Buffalo, NY · Remote

$80K - $100K/yr

As a Claims Business Analyst, you will be responsible for triaging operational issues and leading projects and tasks to completion. You will use your claims adjudication experience and TPA background ...

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Business Analyst Claims information

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$20

$47

$64

How much do business analyst claims jobs pay per hour?

As of Aug 12, 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?

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 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 August 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $99,617 per year, or $47.9 per hour.

Business Analyst

3B Staffing LLC

Springfield, IL • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Business Analyst - claims, Medicaid and 837 is mandatory
  • At least 3 years Medicaid/Healthcare/Insurance industry experience required
  • Assist with the review of Agency documentation, system design documents, and other reference material to develop user stories to formally document requirements for the new MMIS.
  • Understanding and knowledge of claims processing and adjudication are essential for this role. Candidate must have knowledge of different claim types and different rules are applied to different claim types for payment. This knowledge will be used to create user stories and test cases detailed enough to ensure the new MMIS processes and pays new claims based on the nuances of Illinois Medicaid rules for each claim type.
  • Ability to document test cases utilizing your claims adjudication and Medicaid knowledge and analytical background.
  • Perform User Acceptance Testing as enhancements are made to the MMIS modules in the new system
  • Ability to work independently and be self-motivated to problem solve and find answers on your own.
  • Collaborate with teams and client stakeholders.
  • Strong analytical skills and research capabilities
  • Respond to questions timely, appropriately and proficiently
  • Ability to multi-task and prioritize projects/assignments.

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