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Claim Analyst Forensic Jobs (NOW HIRING)

... forensic vendors and public relation vendors as necessary. * Work with other areas of the Company ... Prepare claim summaries and other reports as necessary for management. * Meet with existing or ...

Forensic Accounting Employment Type: Permanent - Full Time Location: Boston, MA Reporting To: Ryan ... Analyze and reconcile claim to final calculation * Research, data analysis and evaluation * Ensure ...

With forensic accounting professionals in over 40 offices on 5 continents, MDD has global resources ... Analyze and reconcile claim to final calculation * Research, data analysis and evaluation * Ensure ...

$125 - $150/hr

... and claim materials. * Complete and review financial analyses and loss measurements related to: * Lost wages and earning capacity * Partnership and shareholder disputes * Fraud and forensic ...

$100 - $125/hr

TRC Forensic Engineering is seeking a licensed StructuralForensic Engineer toperform forensic ... claim investigations. * Structural damage assessments and failure analysis. * Roofing and building ...

Coordinate with expert investigators to ensure timely site inspections, analysis, and report ... Provide proactive, timely status updates to all parties involved in the claim process * Monitor ...

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Claim Analyst Forensic information

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$45K

$86.5K

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How much do claim analyst forensic jobs pay per year?

As of Sep 9, 2026, the average yearly pay for claim analyst forensic in the United States is $86,474.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,000.00 and $100,500.00 per year, depending on experience, location, and employer.

What is a claim analyst forensic?

Claim Analyst Forensic professionals are specialists who investigate and analyze insurance claims for signs of fraud, discrepancies, or unusual activity. They gather evidence, review documentation, and collaborate with legal and investigative teams to determine the validity of a claim. Their work ensures that only legitimate claims are paid, protecting companies from financial losses due to fraudulent activities. These professionals often use specialized forensic techniques and databases to identify patterns and inconsistencies.

How does a claim analyst forensic typically collaborate with legal and investigative teams during a case review?

Claim Analyst Forensics often work closely with legal and investigative teams to analyze complex claims, gather evidence, and interpret data related to potential fraud or disputed cases. They provide detailed reports, clarify technical findings, and may participate in meetings or depositions to explain their analyses. This collaborative effort ensures that all parties have a clear understanding of the evidence, which is critical for reaching informed decisions or supporting legal proceedings. Frequent communication and documentation are key aspects of this teamwork.

What are the key skills and qualifications needed to thrive as a claim analyst forensic, and why are they important?

To thrive as a Claim Analyst Forensic, you need strong analytical skills, attention to detail, and a background in insurance, finance, or accounting, often supported by relevant degrees or certifications like CFE (Certified Fraud Examiner). Familiarity with forensic analysis software, claims management systems, and data analytics tools is typically required. Exceptional problem-solving abilities, critical thinking, and effective communication skills help you excel in investigating and interpreting complex claim scenarios. These competencies are essential for accurately detecting fraud, ensuring compliance, and supporting fair claim resolutions.

What is the difference between Claim Analyst Forensic vs Claim Analyst Fraud Detection?

AspectClaim Analyst ForensicClaim Analyst Fraud Detection
CertificationsAdjuster licenses, forensic accounting certificationsFraud examination certifications, adjuster licenses
Work EnvironmentInvestigative settings, forensic labs, insurance companiesClaims departments, fraud investigation units
Industry UsageInsurance, legal, forensic accountingInsurance, risk management, fraud prevention

Claim Analyst Forensic and Claim Analyst Fraud Detection roles both focus on investigating insurance claims. Forensic analysts specialize in detailed investigations, often involving legal and forensic accounting skills, while fraud detection analysts focus on identifying and preventing fraudulent claims. Both roles require similar certifications and work within insurance and legal environments, but their specific focus areas differ slightly, with forensic analysts emphasizing legal evidence and fraud analysts emphasizing prevention strategies.

Are claim forensic analysts in demand?

Claim forensic analysts are in demand due to the increasing need for fraud detection and claims investigation in insurance and financial sectors. The role often requires strong analytical skills, attention to detail, and familiarity with investigative tools, with job growth expected to align with the broader forensic and claims industries.

What do claim analysts forensic get paid?

Claim forensic analysts typically earn between $50,000 and $80,000 annually, depending on experience, location, and employer. Salaries can increase with certifications, specialized skills, and years of experience in the field.

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

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

Infographic showing various Claim Analyst Forensic job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $86,474 per year, or $41.6 per hour.

Forensic Regulatory Data Analyst

New York, NY • Remote

UtiliSave LLC
Finance and Insurance • 11 - 50 employees

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 27 days ago


Job description

Forensic Regulatory Data Analyst – Utility Cost Recovery

UtiliSave's forensic billing analysts find actionable savings in 94% of the accounts they audit — including clients who were previously reviewed by another firm and believed nothing remained. If you have the instincts to absorb complex rules, spot the flaw no one else noticed, and relentlessly pursue a claim you know is right, you will thrive here.

Consider this: a large commercial building billed for peak electricity demand on the wrong interval meter. A university's water charges calculated under a rate code that hasn't applied to its account type for three years. A hospital's natural gas tariff with a weather normalization adjustment misapplied for 18 months. These are not hypotheticals — they are the types of claims our analysts have made, won, and been paid for. Join the team that has recovered over $700 million for large commercial and industrial clients across the U.S. and help us break through One Billion.

UtiliSave has been an industry leader in utility bill auditing services for over 35 years and is still growing rapidly. We are seeking curious, analytical action-takers with strong Python skills to join the team at the heart of our success — playing a key role in deep, forensic utility bill analysis for large commercial and industrial clients.

The core talent this role demands is the ability to rapidly absorb and master detailed billing rules, tariff schedules, demand charge structures, rider provisions, regulatory codes, and client usage data — and then deploy that knowledge creatively to find refunds and savings others miss. The ideal candidate thinks beyond established frameworks: constructing novel, sustainable claim theories that withstand regulatory scrutiny, and expressing those claims persuasively in writing and verbally to utilities, regulators, and clients.

On a typical day, you might write a Python script to flag demand charge anomalies across 40 accounts in the morning and draft a formal claim letter to a state utility commission in the afternoon. This is an ideal entry-level role for someone who wants to become an expert in a rare, financially consequential discipline and to see that expertise translates directly into personal earnings.

What You Will Build Here

UtiliSave is not a lateral move — it is a launchpad:

·         3–6 months: Generating your first confirmed refund claims on live client accounts, guided by senior analysts and our proprietary platform.

·         12–18 months: Independently managing a portfolio across multiple utility jurisdictions with a growing track record of recoveries.

·         24+ months: High performers advance to Senior Analyst, Practice Lead, or Client Relationship Manager — with expanded compensation and client ownership.

The expertise you build here — utility tariff law, regulatory billing, forensic financial analysis — is rare and directly monetizable. Few entry-level roles put this much earning power in your own hands this quickly.
To apply, email your resume and optional cover letter to recruiting@utilisave.com with the job title in the subject line. Please include your state of residence, work authorization status, and compensation expectations.

Requirements

Please confirm you meet all the following before applying:

·         Full-time remote; core hours 9:00 AM – 6:00 PM Eastern Time.

·         Must reside in the Eastern Time Zone or Central Time Zone (Missouri, Arkansas, Mississippi, Alabama).

·         U.S. Citizens and active Green Card holders only. Visa sponsorship is not available.

·         Python proficiency required.
Responsibilities

·         Apply analytical skills and general business knowledge to identify cost savings using UtiliSave's proprietary tools and those you help build in real time — then initiate action to recover those savings for clients.

·         Rapidly absorb and master the billing rules, tariff schedules, demand calculations, rider provisions, tax codes, and regulatory frameworks across each client's utility jurisdictions — using that knowledge to uncover billing errors, misapplied rates, and overlooked credits.

·         Conduct retroactive audits across the full statute of limitations — often six years or more — to maximize the recoverable amount on every client account.

·         Interface with clients, utility companies, tax authorities, and regulatory agencies to implement savings. When utilities dispute or delay valid claims, pursue every available administrative and regulatory channel until the matter is resolved. When escalation is warranted, coordinate with UtiliSave's outside utility-specialized law firm retained at no additional cost to clients to bring the full weight of the firm's resources to bear.

·         Develop novel but defensible claim theories going beyond standard audit playbooks by combining deep tariff knowledge with creative pattern recognition across billing history, meter data, and account classifications.

·         Draft clear, persuasive written claim submissions, client summaries, and regulatory correspondence that make complex billing issues accessible to non-technical readers.

·         Pivot quickly across accounts, jurisdictions, and claim types as opportunities surface, deadlines shift, or utility responses require a change in approach.

·         Maintain meticulous records of all open claims, supporting data, utility correspondence, and recovery outcomes from identification through payment.

·         Collaborate with our MIS group to build tools that improve account review and drive revenue.
Requirements

·         1–3 years of experience — or equivalent academic, project, or internship work — demonstrating the ability to rapidly master complex rule-based systems (regulatory codes, tariff schedules, tax law, legal frameworks, accounting standards) and translate that mastery into actionable opportunities.

·         Undergraduate degree completed (or within six months of completion). STEM, economics, finance, regulatory affairs, or pre-law preferred — but candidates from any field are welcome. What matters most: a proven ability to absorb dense, rule-laden material and apply it creatively. Strong hires have included engineers who spot meter anomalies, accountants who catch tax misclassifications, and economists who identify misapplied rate tiers.

·         Proficiency in Python — used daily to extract, clean, and interrogate billing data and to automate anomaly detection across large client portfolios. UtiliSave has invested over $10 million in proprietary analytics infrastructure; your Python skills will extend these systems. Other languages a plus.

·         Intellectually tenacious: you pursue a well-founded claim until it is resolved, do not accept a utility's first "no" as final, and find alternative angles when the obvious path is blocked.

·         Creative and analytically precise: able to construct novel but technically sound claim theories that hold up under regulatory scrutiny — not just surface-level billing corrections.

·         Strong written and oral communicator: persuasive claim letters, client reports, and regulatory filings on the written side; confident presenting findings to utility representatives, regulators, and senior client personnel verbally.

·         Comfortable with ambiguity: utility tariff language is often dense, contradictory, or silent on the precise situation. The best analysts are energized by that gap — because it is often where the opportunity lives.

·         Agile: able to shift rapidly between accounts, jurisdictions, and issue types without losing precision or momentum.

·         Experience with a regulated public utility — especially in rate billing analysis or customer interaction — is a material advantage.

·         Ability to prioritize and meet deadlines.


Additional Information

·         Training: New analysts complete a paid three-month intensive onboarding process, one of the most comprehensive programs in the utility auditing industry. It is a paid apprenticeship in one of the most arcane and financially valuable corners of regulatory billing law. The pipeline is rigorous by design: every claim we make must be technically sound and built to withstand utility scrutiny. Analysts who commit fully emerge with a rare, market-differentiated skill set.

·         Growth: High-performing analysts have advanced to Senior Analyst, Practice Lead, and Client Relationship Manager within two to three years.

Benefits

Compensation & Benefits:

o    Base: $40,000/year, increasing to $45,000 upon successful completion of auditing skills benchmarks

o    Monthly performance bonus beginning after onboarding completion: UtiliSave's bonus is tied directly to the refund and savings claims you generate. Successful established analysts regularly earn $1,000–$3,000+ per month in bonuses — bringing total annual compensation for strong performers to $55,000–$76,000 or more. Earning potential grows directly with the depth of your knowledge and the creativity of your claims.

o    Health, dental, and vision insurance

o    401(k) with company match

o    3 weeks PTO plus 11 paid holidays

o    Full-time remote