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Claim Analyst Jobs in California (NOW HIRING)

Brookfield

SIU Analyst

Los Angeles, CA · On-site

SIU Analyst Employment Type: Full-Time FLSA Status: Exempt Location: In-Office: Any employee, in ... claim presentations. * Initiates proactive data investigations and identifies emerging fraud ...

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NorthBay Health

Claims Analyst II (On-Site)

Fairfield, CA · On-site

$33.29 - $40.44/hr

Addresses corrections in the claim system and in operational processes. * Oversees grievances and ... Assists Senior Analyst IV and Director and other staff as requested * Interacts and communicates ...

Cisco

Analyst Relations Manager

San Jose, CA · On-site +1

$145K - $182K/yr

Remote United States Meet the Team Join Cisco's Analyst Relations team as a key member of the Networking Analyst Relations program. This role offers the opportunity to shape how industry analysts ...

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Claim Analyst information

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$14

$27

$51

How much do claim analyst jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for claim analyst in California is $27.03, according to ZipRecruiter salary data. Most workers in this role earn between $19.90 and $31.06 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a claim analyst?

To thrive as a Claim Analyst, you need strong analytical skills, attention to detail, and a background in finance, insurance, or a related field, often supported by a relevant degree or certificate. Familiarity with claims management software, data entry systems, and sometimes industry-specific regulations or certifications like AIC is typical. Strong communication, problem-solving abilities, and customer service skills help you resolve issues efficiently and build trust with clients. These competencies are crucial for ensuring accurate claim evaluations, minimizing errors, and providing excellent service in a fast-paced environment.

What is a claim analyst?

A claims analyst works for an insurance company, government agency, or medical billing department. As a claims analyst, your responsibilities include reviewing insurance claims filed by policyholders to ensure they are accurate and complete, that the individual understands their benefits, and that the policies cover the claims. Your duties include monitoring each claim throughout the process, determining reimbursement eligibility, negotiating payments to each party, and following up to ensure the parties make their payments. You then provide documentation and report the necessary information to each party. You are the primary contact for groups and members to answer questions and solve any issues. You may work in a variety of medical and insurance subsets in the claims industry, like dental or vision health, disability, and even construction.

How does a claim analyst typically collaborate with other departments during the claims review process?

Claim Analysts frequently work closely with teams such as underwriting, customer service, and legal to ensure accurate and timely resolution of claims. They often need to clarify policy details with underwriters, gather additional information from customer service representatives, and consult with legal advisors on complex or disputed cases. Effective communication and teamwork are essential, as these collaborations help ensure that claims are processed in compliance with company policies and regulatory requirements. This cross-functional interaction also provides valuable learning opportunities and can support career advancement within the insurance industry.

How much do claim analysts make in the US?

Claim analysts in the US typically earn a median annual salary of around $50,000 to $70,000, depending on experience, location, and industry. Entry-level positions may start lower, while experienced analysts or those with specialized skills can earn higher salaries and bonuses.

What does a claim analyst do?

A claim analyst reviews insurance claims to determine their validity and ensure accurate processing. They analyze documentation, assess coverage, and identify discrepancies, often using specialized software and industry knowledge to make informed decisions. Strong attention to detail and understanding of policy terms are essential for this role.

Is being a claim analyst hard?

Claim analysts review insurance claims to determine coverage and payout amounts, which requires attention to detail, analytical skills, and knowledge of insurance policies. The job can involve repetitive tasks and working under deadlines, but it generally depends on the complexity of claims and the individual's experience. Training and familiarity with claims processing software are also important factors in job difficulty.
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Claim Analyst jobs near you
Infographic showing various Claim Analyst job openings in California as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 8% Part Time, 2% Temporary, and 6% Contract. Highlights an 81% Physical, 9% Hybrid, and 10% Remote job distribution, with an average salary of $56,228 per year, or $27 per hour.

Claims Business Analyst

Abode Techzone LLC

San Francisco, CA • On-site

Contractor

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Claims Business Analyst

Onsite at SFO CA

12 Months Contract

Looking for 10 plus years of overall experience

  • 5+ years Medicare/Medicaid regulatory healthcare experience.
  • 5+ Years experience in IQVIA Claims, DDD sales, 867, and 852 inventory, marketing and calls datasets.
  • Proficiency in Agile Project Management (Jira or ADO Board) is essential, and experience with AWS Cloud is preferred
  • Knowledge of claim adjudication processes and Facets platform experience preferred
  • Experience transforming complex technical requirements into an easily understood summary
  • Analytical skills including critical thinking and problem solving
  • Clear and concise verbal and written communication skills
  • PC proficiency to include Microsoft Word, Excel, and Outlook
  • Organizational skills including attention to detail and multi-tasking skills
  • Experience working both independently and in a team environment
  • Experience with Mass Health governing policies and procedures and procedural knowledge of the CMR and Bulletin releases and forums
  • Behavioural Health requirement understanding in both Medicare, dual and Mass Medicaid required
Abode TechZone logo

About Abode TechZone

Sourced by ZipRecruiter

Abode is fast-growing staffing corporation, business growth depends on putting the right people in place — the professional talent that sets your organization apart from the competition. Abode’s vision is to provide best ever IT’s Staff Solutions services with an effective strategy which can address market fluctuations in key areas, such as time, cost, risk, flexibility, control, and expertise. We target to connect our partners with the best professional talent you need.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

New York, NY, US

Year founded

2019

Social media

Facebook

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