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Claim Configuration Analyst Jobs in Baltimore, MD

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Claim Configuration Analyst information

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$15

$41

$68

How much do claim configuration analyst jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for claim configuration analyst in Baltimore, MD is $41.05, according to ZipRecruiter salary data. Most workers in this role earn between $30.34 and $52.55 per hour, depending on experience, location, and employer.

What is a claim configuration analyst?

Claim Configuration Analysts are professionals who specialize in setting up and maintaining the rules, processes, and systems that handle insurance claims within an organization. They ensure that claim processing systems are configured accurately to follow policy guidelines, regulatory requirements, and company procedures. Their role often involves analyzing data, troubleshooting issues, and collaborating with IT, claims, and business teams to optimize claim workflows. By ensuring correct system configurations, they help reduce errors, improve operational efficiency, and support timely claim resolutions.

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

To thrive as a Claim Configuration Analyst, you need a strong understanding of healthcare claims processing, benefits administration, and analytical problem-solving, often supported by a degree in business, information systems, or a related field. Familiarity with claims adjudication systems (such as Facets or QNXT), SQL, and potentially industry certifications like Certified Claims Professional (CCP) are commonly required. Attention to detail, effective communication, and the ability to work collaboratively with cross-functional teams are crucial soft skills. These competencies ensure accurate claim system configuration, regulatory compliance, and efficient operations within health insurance organizations.

What are some common challenges faced by claim configuration analysts, and how can they be addressed?

Claim Configuration Analysts often encounter challenges such as interpreting complex insurance policies, ensuring accurate system configuration to minimize claim errors, and keeping up with frequent regulatory changes. Addressing these challenges requires strong analytical skills, attention to detail, and effective collaboration with cross-functional teams like IT, compliance, and claims processing. Regular training and open communication channels help analysts stay updated and maintain high-quality configurations, ultimately reducing errors and improving efficiency.

What is the difference between Claim Configuration Analyst vs Claims Processor?

AspectClaim Configuration AnalystClaims Processor
Primary ResponsibilitiesDesigns and manages claim system setups, analyzes configuration issues, and optimizes claim workflows.Processes individual claims, verifies information, and ensures accurate claim adjudication.
Required Skills & CertificationsKnowledge of insurance systems, data analysis, and possibly certifications like CPCU or similar.Attention to detail, familiarity with claims software, and basic insurance knowledge.
Work EnvironmentTypically office-based, working with IT teams and claims systems.Office or remote, handling claims directly or via claims processing platforms.

The Claim Configuration Analyst focuses on configuring and optimizing claim systems and workflows, while the Claims Processor handles the day-to-day processing of individual claims. Both roles require insurance knowledge, but the analyst role emphasizes system setup and analysis, whereas the processor role emphasizes claim review and verification.

Is claims processing a stressful job?

Claims processing as a Claim Configuration Analyst can be stressful due to tight deadlines, high accuracy requirements, and the need to resolve complex issues efficiently. The role often involves detailed data analysis and communication with stakeholders, which can contribute to work-related stress. However, workload and stress levels vary depending on the organization and individual workload management skills.

What are popular job titles related to Claim Configuration Analyst jobs in Baltimore, MD?

For Claim Configuration Analyst jobs in Baltimore, MD, the most frequently searched job titles are:

What job categories do people searching Claim Configuration Analyst jobs in Baltimore, MD look for?

The top searched job categories for Claim Configuration Analyst jobs in Baltimore, MD are:

What cities near Baltimore, MD are hiring for Claim Configuration Analyst jobs?

Cities near Baltimore, MD with the most Claim Configuration Analyst job openings:

Claim Configuration Analyst jobs near you
Infographic showing various Claim Configuration Analyst job openings in Baltimore, MD as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 100% In-person job distribution, with an average salary of $85,388 per year, or $41.1 per hour.

LOGISTICS MANAGEMENT SPECIALIST

Naval Sea Systems Command

Upper Marlboro, MD • On-site

Full-time

Posted 2 days ago

New

Job description

Duties
  • You will manage, monitor, evaluate and coordinate the execution of Integrated Product Support (IPS) to ensure desired outcomes.
  • You will resolve complex product support problems by developing, initiating and overseeing the implementation of unique corrective actions, new programs, program enhancements and/or policy changes.
  • You will conduct cost benefit analyses, business case analysis, trade-off studies, and analysis of alternatives prior to changes in the product support strategy; and measure, evaluate and report on program accomplishments, effectiveness, compliance.
  • You will ensure product support strategy elements are incorporated into acquisition documentation, procurement specifications, contracts, and engineering documents to include but not limited to: Life Cycle Sustainment Plan.
  • You will support the Logistics Lead to plan, coordinate and evaluate the product support actions required to support a specified mission, weapons system, or other designated program.
Requirements
Conditions of employment
  • Must be a US Citizen.
  • Must be determined suitable for federal employment.
  • Must participate in the direct deposit pay program.
  • New employees to the Department of the Navy will be required to successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit e-verify.gov
  • Within the Department of Defense (DoD), the appointment of retired military members within 180 days immediately following retirement date to a civilian position is subject to the provisions of 5 United States Code 3326.
  • Males born after 12-31-59 must be registered for Selective Service.
  • You will be required to obtain and maintain an interim and/or final security clearance prior to entrance on duty. Failure to obtain and maintain the required level of clearance may result in the withdrawal of a job offer or removal.
  • This position is covered under the Defense Acquisition Workforce Improvement Act (DAWIA). Certification in the Functional Area and Tier assigned to the position, along with Continuous Learning (CL) points, are required within established timeframes.
  • Successful completion of a pre-employment drug test (including marijuana) is required. A tentative offer of employment will be rescinded if you fail to report to the drug test appointment or fail the test. You will be subject to random testing.
  • This position may require travel from normal duty station to CONUS and OCONUS and may include remote or isolated sites. You must be able to travel on military and commercial aircraft for extended periods of time.
Qualifications
Your resume must also demonstrate at least one year of specialized experience at or equivalent to the NH-II pay band (GS-11 equivalent grade level) in the Federal service or equivalent experience in the private or public sector. Specialized experience must demonstrate the following: technical experience and acumen in Navy logistics management; experience developing Lifecycle Support Plans, Life Cycle Sustainment Plans, Integrated Logistics Assessments, Configuration Management Plans, and Systems Safety Plans; and the ability to communicate status, analyses, and recommendations clearly to stakeholders through written products and briefings.
Additional qualification information can be found from the following Office of Personnel Management website: https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/0300/logistics-management-series-0346/
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.
Education
This job does not have an education qualification requirement.
Additional information
This announcement uses the AcqDemo Business and Technical Management direct hire authority to recruit and appoint qualified candidates to positions in the competitive service.
This position is part of the Department of Defense Civilian Acquisition Workforce Personnel Demonstration Project. The NH-3 broadband level encompasses positions equivalent to GS-12 and GS-13.
This position is covered by the Department of Defense Priority Placement Program.
Several vacancies may be filled.
A tentative offer of employment will be rescinded if the selectee fails to meet the pre-employment requirements, including failure to report to any of the scheduled appointments.
Federal annuitant information: The selection of an annuitant is subject to the Department of Defense and Department of the Navy policy on the employment of annuitants. Policy information may be found at: http://www.secnav.navy.mil/donhr/Documents/CivilianJobs/FedCivAnnuitants.pdf .
Veteran's preference does not apply when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation with your application as described in the Required Documents section below.

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