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Claim Jobs (NOW HIRING)

ABOUT THIS POSITION The Claim Data Integrity (CDI) Analyst is responsible for researching, analyzing, and resolving healthcare claim rejections, payer edits, and data integrity issues that impact ...

ABOUT THIS POSITION The Claim Data Integrity (CDI) Analyst is responsible for researching, analyzing, and resolving healthcare claim rejections, payer edits, and data integrity issues that impact ...

Claim Administrator

Manhattan, NY · On-site

$55K - $80K/yr

PURPOSE The Claim Administrator/Client Advocate supports clients throughout the Victim Compensation Fund (VCF) process by serving as their primary point of contact, helping them gather required ...

Claim Administrator

Manhattan, NY · On-site

$55K - $80K/yr

PURPOSE The Claim Administrator/Client Advocate supports clients throughout the Victim Compensation Fund (VCF) process by serving as their primary point of contact, helping them gather required ...

Claim Administrator

Manhattan, NY · On-site

$55K - $80K/yr

PURPOSE The Claim Administrator/Client Advocate supports clients throughout the Victim Compensation Fund (VCF) process by serving as their primary point of contact, helping them gather required ...

Claim Administrator

Manhattan, NY · On-site

$55K - $80K/yr

PURPOSE The Claim Administrator/Client Advocate supports clients throughout the Victim Compensation Fund (VCF) process by serving as their primary point of contact, helping them gather required ...

Claim Administrator

Manhattan, NY · On-site

$55K - $80K/yr

PURPOSE The Claim Administrator/Client Advocate supports clients throughout the Victim Compensation Fund (VCF) process by serving as their primary point of contact, helping them gather required ...

Claim Analyst 2

Des Moines, IA · On-site +1

$20.34 - $36.35/hr

What You'll Do As a Claim Analyst 2, your day will be anything but routine. In this fast-paced environment, every single day offers new challenges and the ability to use your excellent analytical ...

Claim Analyst 2

Des Moines, IA · On-site +1

$27.12 - $36.35/hr

What You'll Do As a Claim Analyst 2, your day will be anything but routine. In this fast-paced environment, every single day offers new challenges and the ability to use your excellent analytical ...

Claim Benefit Specialist

Hartford, CT · On-site

$17 - $31.30/hr

The candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result ...

Claim Specialist

Englewood Cliffs, NJ · On-site

$50K - $100K/yr

Claim * Work Schedule: In-Office * Salary: Based on Experience * Review homeowners insurance claims to determine coverage eligibility based on policy * language, claim facts, and applicable laws ...

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Claim information

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$13

$21

$28

How much do claim jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for claim in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

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

To thrive as a Claims Adjuster, you need analytical skills, attention to detail, and knowledge of insurance policies, typically supported by a bachelor's degree or relevant experience. Familiarity with claims management software, estimating tools, and sometimes industry certifications like AIC (Associate in Claims) is important. Strong negotiation, communication, and customer service skills help manage claimants' expectations and resolve disputes effectively. These abilities ensure accurate claim assessments, regulatory compliance, and a positive customer experience.

What jobs make $3,000 a day?

High-earning jobs such as specialized surgeons, anesthesiologists, and certain corporate executives can earn $3,000 or more per day, often due to high skill levels, certifications, and demanding schedules. Some freelance consultants, legal professionals, and top-tier sales directors may also reach this income level through commissions or billable hours.

What is a job in claims?

A job in claims involves reviewing, investigating, and processing insurance claims to determine coverage and payout eligibility. Claims professionals often analyze documentation, communicate with clients and providers, and use specialized software to ensure accurate and efficient claim handling.

Is a claims job a good career?

A claims job involves evaluating insurance claims, requiring skills in analysis, communication, and attention to detail. It can offer stable employment, opportunities for advancement, and may require certifications such as the Chartered Property Casualty Underwriter (CPCU). The career can be suitable for those interested in insurance, problem-solving, and customer service.

What are claims in the insurance industry?

Claims are formal requests made by policyholders to an insurance company for coverage or compensation for a covered loss or policy event. When an insured event occurs, such as an accident or damage, the policyholder submits a claim to the insurer, who then evaluates it to determine if the loss is covered under the policy and the amount to be paid. The claims process involves documentation, assessment, and often interaction with claims adjusters. The goal is to help the insured recover from their loss as outlined in the insurance agreement.

What is the difference between Claim vs Adjuster?

AspectClaimAdjuster
CredentialsMay require basic insurance knowledge, certifications varyOften requires licensing and specific insurance adjuster certifications
Work EnvironmentTypically involves submitting claims, customer service, administrative tasksInvolves investigating, evaluating, and settling insurance claims
Industry UsageUsed across insurance sectors for filing claimsUsed for assessing and settling claims in insurance companies
Search/Comparison IntentPeople compare Claim roles to understand filing processesPeople compare Adjuster roles to understand claim evaluation

In summary, a Claim generally refers to the process of submitting an insurance request, while an Adjuster is responsible for investigating and evaluating those claims to determine coverage and settlement. Both roles are integral to the insurance industry but focus on different stages of the claims process.

What are some common challenges faced by claims professionals and how can they be effectively managed?

Claims professionals often encounter challenges such as interpreting complex policy language, managing high caseloads, and addressing customer concerns during stressful situations. Staying organized, maintaining clear communication with all parties, and leveraging technology for tracking claims can help manage these challenges. Additionally, collaborating closely with underwriters, legal teams, and customers ensures accuracy and efficiency throughout the claims process.

What claims adjuster makes the most money?

Senior claims adjusters, especially those working in specialized areas like catastrophe or large-loss claims, tend to earn the highest salaries in the field. Factors such as experience, certifications, and the complexity of claims handled influence earning potential, with adjusters in high-demand regions or roles often earning six-figure incomes.
More about Claim jobs
What cities are hiring for Claim jobs? Cities with the most Claim job openings:
What are the most commonly searched types of Claim jobs? The most popular types of Claim jobs are:
What states have the most Claim jobs? States with the most job openings for Claim jobs include:
Infographic showing various Claim job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 75% In-person, 5% Hybrid, and 20% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.
Claim Integrity Analyst

Claim Integrity Analyst

Patientco

Louisville, KY

Full-time

Medical, Retirement, PTO

Posted 21 days ago


Job description

ABOUT THIS POSITION

The Claim Data Integrity (CDI) Analyst is responsible for researching, analyzing, and resolving healthcare claim rejections, payer edits, and data integrity issues that impact claim acceptance and reimbursement. This role serves as a subject matter expert on payer requirements, claim transactions, and industry standards, working across multiple teams to identify root causes, implement scalable solutions, and improve claim quality. The CDI Analyst partners with internal stakeholders, payers, and trading partners to reduce avoidable rejections, enhance client-facing messaging, and improve clean claim performance across the Waystar platform.

WHAT YOU'LL DO

Essential Responsibilities

Claim Analysis & Resolution

Research, analyze, and resolve claim rejections and payer responses.

Interpret payer edits, rejection messages, and industry requirements to determine root causes and corrective actions.

Provide timely updates to case owners and stakeholders throughout the resolution lifecycle.

Contact payers, intermediaries, and trading partners to obtain clarification regarding rejection behavior and submission requirements.

Data Integrity & Edit Management

Proactively map raw payer and intermediary rejection messages into clear, client-friendly responses.

Identify trends and recurring issues impacting claim acceptance.

Participate in payer rejection reviews and clean claim improvement initiatives.

Review and validate claim-edit logic, payer requirements, and supporting documentation.

Cross-Functional Collaboration

Partner with Client Support, Product, Engineering, Analytics, EDI, and Payer Connectivity teams to resolve complex claim issues.

Provide subject matter expertise related to payer requirements, claim edits, and healthcare transaction standards.

Support initiatives that improve claim automation, accuracy, and client outcomes.

Documentation & Reporting

Review and maintain CDI-related documentation, knowledge articles, and operational procedures.

Adhere to data handling, access, and governance standards when working with claim data, reports, and mapping files.

Contribute to reporting, trend analysis, and operational improvement efforts as assigned.

WHAT YOU'LL NEED

Required Qualifications

Bachelor's degree or equivalent combination of education and experience.

Experience in healthcare revenue cycle, claims processing, EDI, clearinghouse operations, payer operations, or healthcare technology.

Working knowledge of healthcare claim transactions and industry standards, including ANSI X12 transactions, 837 Professional and Institutional claims, 999 and 277 acknowledgements, and CMS claim submission requirements.

Strong analytical and problem-solving skills.

Excellent written and verbal communication skills.

Ability to manage multiple priorities in a fast-paced environment.

Proficiency with Microsoft Office applications, particularly Excel.

Preferred Qualifications

Experience with payer edits, rejection management, or claim validation systems.

Familiarity with healthcare coding systems, including ICD, CPT, HCPCS, and revenue codes.

Experience with data analysis, reporting, or operational trend analysis.

Knowledge of healthcare clearinghouse processes and payer connectivity workflows.

Experience working with cross-functional technical and operational teams.

ABOUT WAYSTAR

Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle.

Waystar's healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful,optimistic & fun.

Waystar products have won multiple Best in KLAS or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit waystar.comor follow @Waystaron Twitter.

WAYSTAR PERKS

  • Competitive total rewards (base salary + bonus, if applicable)
  • Customizable benefits package (3 medical plans with Health Saving Account company match)
  • We offer generous paid time off for our non-exempt team members, starting with 3 weeks +13 paid holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 paid holidays
  • Paid parental leave (including maternity + paternity leave)
  • Education assistance opportunities and free LinkedIn Learning access
  • Free mental health and family planning programs, including adoption assistance and fertility support
  • 401(K) program with company match
  • Pet insurance
  • Employee resource groups

Waystar is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.