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Claim Resolution Analyst Jobs (NOW HIRING)

... The Claims Resolution Analyst is responsible for managing and resolving denied or underpaid ... Communicate with payers to obtain claim information, present appeal arguments, and pursue proper ...

The Claims Analyst partners with internal colleagues, external customers, vendors, and other ... Research claims to determine appropriate action for claim resolution based on warranty, inspection ...

The Claims Analyst partners with internal colleagues, external customers, vendors, and other ... Research claims to determine appropriate action for claim resolution based on warranty, inspection ...

The Claims Analyst partners with internal colleagues, external customers, vendors, and other ... Research claims to determine appropriate action for claim resolution based on warranty, inspection ...

Utilize innovative virtual inspection technology, including the ClaimXperience platform, to efficiently evaluate damages and expedite claim resolution. * Analyze policies, contracts, estimates ...

Claims Analyst IV

Atlanta, GA ยท On-site

$76K - $103K/yr

Join us as a Claims Analyst IV to play your part in that transformation. It's an opportunity to ... Must document facts and maintain evidence to support claim resolution. * Comply with all statutory ...

Claims Analyst IV

Jersey City, NJ ยท On-site

$76K - $103K/yr

Join us as a Claims Analyst IV to play your part in that transformation. It's an opportunity to ... Must document facts and maintain evidence to support claim resolution. * Comply with all statutory ...

... claim validity to for best resolution. The Claims Analyst aids the Cargo Claims Manager in ... achieving the department's goals and initiatives. Job Duties * Manage cargo claims; gather all ...

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Claim Resolution Analyst information

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How much do claim resolution analyst jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for claim resolution analyst in the United States is $27.91, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $34.13 per hour, depending on experience, location, and employer.

What cities are hiring for Claim Resolution Analyst jobs?

Cities with the most Claim Resolution Analyst job openings:

What states have the most Claim Resolution Analyst jobs?

States with the most job openings for Claim Resolution Analyst jobs include:

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

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

Infographic showing various Claim Resolution Analyst job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 90% Full Time, 7% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $58,045 per year, or $27.9 per hour.

Claims Resolution Analyst

Charlotte, NC โ€ข On-site

Other

Posted 9 days ago


Job description

Now HiringClaims Resolution AnalystRecovery

Charlotte โ€“ Hybrid Full Time

The Claims Resolution Analyst is responsible for managing and resolving denied or underpaid insurance claims on behalf of PMMCโ€™s Recovery clients. This role serves as a key liaison between PMMC and insurance payers, advocating for appropriate reimbursement through effective communication, documentation, and payer-specific appeal processes. The position is well-suited for a detail-oriented, analytical professional who can work independently in a performance-driven environment.

Responsibilities:
  • Research, analyze, and resolve denied or underpaid claims by engaging directly with insurance payers
  • Communicate with payers to obtain claim information, present appeal arguments, and pursue proper reimbursement
  • Prepare and submit appeal and reconsideration letters in alignment with payer requirements
  • Perform ongoing follow-up to ensure timely resolution of assigned accounts
  • Maintain accurate, organized documentation in accordance with departmental standards
  • Manage an individual claim pipeline while meeting established performance metrics, including:
  • Maintaining a personal pipeline of $2.4Mโ€“$2.6M
  • Keeping fewer than 60 accounts with more than 21 days since last follow-up
  • Achieving a minimum of $380K in monthly collections
  • Collaborate with internal teams and leadership to share payer insights and resolve complex claim issues
  • Uphold professional standards in all communications with payers, clients, and internal stakeholders
Qualifications & Requirements
  • Bachelorโ€™s degree in Finance, Economics or Healthcare Administration
  • Strong analytical, organizational, and time-management skills
  • Ability to interpret contract language and apply payer-specific appeal processesExcellent written and verbal communication skills
  • Ability to work independently and manage a high-volume workload
  • Comfort working in a performance- and metrics-driven environment
EEO Statement

PMMC is an equal opportunity employer. Weprovideequal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity or expression, veteran status, marital or citizenship status or any other status protected by applicable federal, state, or local law.

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