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Claim Analyst Jobs (NOW HIRING)

Secure Eclaims LLC

Medical Claim Analyst

Miami, FL

* Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries. * Performs hospital length of ...

SIHO HOLDING INC

Claims Analyst

Columbus, IN

Analyst must research and interpret summary plan description language and make accurate determination for adjudication or denial of claim. Analyst must also assist in determining cause for manual ...

Integrated Resources INC

Claims analyst

Omaha, NE · On-site

Omaha NE 68154 Duration: 12 months Family Summary/Mission Achieve superior claim and member service ... Analytical skills. Technical skills. Oral and written communication skills. Understanding of ...

University Health

Claims Analyst

San Antonio, TX

$20.30 - $33/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

University Health

Claims Analyst

San Antonio, TX · On-site

$19.80 - $31.25/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

University Health

Claims Analyst

San Antonio, TX · On-site

$19.80 - $31.25/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

University Health

Claims Analyst

San Antonio, TX · On-site

$19.80 - $31.25/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

The MH Group

Claims Compliance Analyst

East Longmeadow, MA · On-site

$60K - $70K/yr

The Claims Compliance Analyst is responsible for maintaining a deep knowledge of the claim processes, can process claims, and is expected to comply with internal company policies and procedures. The ...

United Road

Claims Analyst

Romulus, MI · On-site

The primary responsibility of this position is to analyze each cargo claim based on investigation findings and documentation to determine claim validity to for best resolution. The Claims Analyst ...

University Health

Claims Analyst

San Antonio, TX · On-site

$20.30 - $33/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

Sprouts Farmers Market

Claims Analyst II

Phoenix, AZ · Hybrid

Review claim activity and recommend claim closures, reserve changes, and settlements in accordance ... Analyze claim data to identify trends, risks, and opportunities to improve outcomes, duration, and ...

University Health

Claims Analyst

San Antonio, TX · On-site

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

University Health

Claims Analyst

San Antonio, TX · On-site

$19.80 - $31.25/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

Unicon Pharma Inc.

Claims Analyst I

Parsippany, NJ · On-site

$50 - $70/hr

Medicaid Claim processing function; manipulation of large datasets, negotiation/conflict resolution ... Analyst is accountable for submitting payments within deadlines and in compliance with CMS ...

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Claim Analyst information

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How much do claim analyst jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for claim analyst in the United States is $27.39, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $31.49 per hour, depending on experience, location, and employer.

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

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 Claims 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.

What are claim analysts?

Claim analysts are professionals who review, process, and evaluate insurance claims submitted by policyholders. They investigate the details of each claim, assess coverage, determine the validity, and ensure compliance with company policies and regulations. Their work may involve communication with claimants, healthcare providers, or other parties to gather necessary information. Claim analysts play a key role in preventing fraud and making sure claims are settled accurately and efficiently.

What does a claims analyst do?

A claims analyst reviews insurance claims to determine their validity and ensure accurate processing. They analyze documentation, assess coverage, and identify potential fraud or errors, often using specialized software and industry knowledge to make informed decisions.

Is being a claims analyst hard?

Claims analysts review insurance claims to determine coverage and payout amounts, which can involve detailed analysis and attention to accuracy. The job often requires strong communication skills, familiarity with claims processing software, and the ability to handle repetitive tasks, making it moderately challenging depending on experience and workload.

How much do claims analysts make in the US?

Claims 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 jobs pay $500,000 a year in the US?

Claim analysts typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized surgeons, or successful entrepreneurs. In the insurance industry, senior claims executives or those in leadership positions may reach high six-figure or low seven-figure incomes, especially with bonuses and profit sharing. Achieving a $500,000 salary generally requires extensive experience, advanced certifications, or ownership of a business.
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Claim Analyst jobs near you
Infographic showing various Claim Analyst 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 $56,974 per year, or $27.4 per hour.

Medical Claim Analyst

Secure Eclaims LLC

Miami, FL

Full-time

Posted 25 days ago

Job description

  • Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries.
  • Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of stay. Recommends appropriate payments of dispute of billing, as necessary.
  • Provides second review of bills on which providers question the appropriateness of payments authorized.
  • Evaluates claims referred for medical management and makes recommendations for follow-up, further investigation or documentation as necessary.
  • Trains and assists claims staff on quality health care cost containment and utilization reviews.

Company Description

Leading specialty benefits management company in Puerto Rico and South Florida. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substantial millions of dollars savings that keep the cost of healthcare down.
We are building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Through our experience in the healthcare industry, the company aims to improve healthcare outcomes, achieve cost savings and serve as a single point of contact to move into value-based care.