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Claims Analyst Jobs (NOW HIRING)

Verida Inc

Claims Analyst

Villa Rica, GA · On-site

SUMMARY: The Claims Analyst is responsible for analyzing a percentage of processed claims for accuracy according to the provider contract and company policies and procedures by performing the ...

Integrated Resources INC

Claims Analyst

Syracuse, NY · On-site

Claims Analyst Duration: 1+ months contract Location: Syracuse , New York 13212 Hours: Mon- Fri 9 am to 5:30 : Conducts analysis around various claims payment processes to ensure accuracy of system ...

SkySource Solutions

Claims Analyst

Cleveland, OH · On-site

$28 - $44/hr

SkySource Solutions Inc. -- NOW HIRING 5 Remote Licensed Claims Analysts 6-12 month assignment Company: SkySource Solutions Inc. Positions: 5 Openings Location: 100% Remote (U.S.) Schedule: Full-Time ...

New Hire Solutions

Claims Analyst

Thomasville, GA

$15 - $20/hr

Claims Analyst Thomasville, GA | $15.00 - $20.00 / Hour An insurance company is seeking a detail-oriented and analytical Claims Analyst to support the accurate and timely review of life insurance ...

PSG Global Solutions

Claims Analyst

Newark, DE · On-site

Claims Analyst (Level II) Resolves customer merchant, credit, or ATM claims within the bank's policies and procedures. Responsibilities include: investigate and decision daily incoming claims using ...

Primma, LLC

Claims Analyst Trainee

Roslyn, NY · On-site

A Claims Analyst Trainee will join an entry‑level program that provides structured training and hands‑on experience to prepare participants to review, investigate, and process insurance claims.

University Health

Claims Analyst

San Antonio, TX

We are looking for an experienced Claims Analyst for our Claims department with Community First Health Plans ! POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ...

Primma, LLC

Claims Analyst Trainee

Roslyn, NY · On-site

A Claims Analyst Trainee will join an entry‑level program that provides structured training and hands‑on experience to prepare participants to review, investigate, and process insurance claims.

University Health

Claims Analyst

San Antonio, TX

We are looking for an experienced Claims Analyst for our Claims department with Community First Health Plans ! POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ...

INNOVATIVE INTEGRATED HEALTH

Claims Analyst

Fresno, CA · Remote

... Claims Analyst is responsible for accurate and timely processing, auditing, and reconciliation of medical and ancillary claims for services provided to PACE participants. The analyst ensures ...

OdysseyRe

Claims Analyst

Stamford, CT · On-site

Summary The Claims Analyst supports the claims organization by handling transactional claims activities and performing basic coverage review under supervision. The analyst will develop foundational ...

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How much do claims analyst jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for claims 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 is the difference between Claims Analyst vs Claims Processor?

AspectClaims AnalystClaims Processor
Required credentialsHigh school diploma or equivalent; sometimes certifications in insurance or claims processingHigh school diploma or equivalent; often basic insurance or claims processing training
Work environmentOffice setting, analyzing complex claims, collaborating with adjusters and underwritersOffice setting, reviewing and entering claim data, processing claims efficiently
Employer and industry usageInsurance companies, third-party administrators, healthcare providersInsurance companies, healthcare providers, government agencies

Claims Analysts focus on evaluating complex claims, analyzing data, and making decisions, while Claims Processors handle the day-to-day entry and processing of claims. Both roles are essential in the insurance industry, but Claims Analysts typically require more analytical skills and sometimes additional certifications.

What does a Claims Analyst do?

A Claims Analyst is responsible for reviewing, evaluating, and processing insurance claims to determine their validity and ensure that payouts are accurate and comply with policy terms. They gather and verify information, communicate with policyholders, and work with other professionals such as adjusters or medical experts when needed. Their goal is to protect the interests of both the insurance company and its clients by making fair and timely decisions on claims. Claims Analysts also help identify potential fraud and may recommend improvements to claims processes.

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

To thrive as a Claims Analyst, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies, often supported by a relevant degree in finance, business, or a related field. Familiarity with claims management software, data analysis tools, and knowledge of regulatory compliance are typically required. Excellent communication, problem-solving skills, and the ability to manage time effectively help you stand out in this role. These skills ensure accurate claim evaluations, efficient processing, and high-quality service to both clients and the organization.

What are some common challenges a Claims Analyst faces when handling complex claims, and how are these typically addressed?

Claims Analysts often encounter complex cases that involve ambiguous documentation, multiple parties, or unusual policy details. Navigating these situations requires strong investigative skills, attention to detail, and effective communication with policyholders, healthcare providers, or other stakeholders. To address these challenges, Claims Analysts typically collaborate closely with senior team members, legal counsel, or specialized departments and use claims management software to track progress. Ongoing training and knowledge sharing within the team also play a key role in resolving complex claims efficiently.
More about Claims Analyst jobs
What cities are hiring for Claims Analyst jobs? Cities with the most Claims Analyst job openings:
What are the most commonly searched types of Claims Analyst jobs? The most popular types of Claims Analyst jobs are:
Who are the top companies hiring for Claims Analyst jobs? The top employers for Claims Analyst jobs are:
What states have the most Claims Analyst jobs? States with the most job openings for Claims Analyst jobs include:
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Claims Analyst jobs near you
Infographic showing various Claims Analyst job openings in the United States as of June 2026, with employment types broken down into 91% Full Time, 5% Part Time, and 4% Contract. Highlights an 81% Physical, 8% Hybrid, and 11% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

Claims Analyst

Verida Inc

Villa Rica, GA • On-site

Full-time

Posted 12 days ago

Verida rating

5.0

Company rating: 5.0 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description

SUMMARY: The Claims Analyst is responsible for analyzing a percentage of processed claims for accuracy according to the provider contract and company policies and procedures by performing the following and other duties that may be assigned.

ESSENTIAL FUNCTIONS

  • Conduct audits and reviews of claims. Document the findings and recommendations.
  • Request all information from internal or outside sources to ascertain completeness and validity of claims.
  • Analyze claim trends to determine any necessary refinement of business rules and workflows in order to improve the overall claims process.
  • Contribute to the development of claims analysis reports.
  • Research claims as needed.

REQUIRED SKILLS AND ABILITIES

  • Displays written and verbal communication skills with administration and external parties.
  • Able to work collaboratively, diplomatically, maintain confidentiality, and with integrity in problem identification and problem solving activities.
  • Displays knowledge of ethical principles and compliance issues in an accounting setting.
  • Knowledge of claims processing.
  • Possesses good organizational skill, ability to focus on assigned tasks.

QUALIFICATION

  • High School Graduate or equivalent. Some college preferred.
  • Minimum 2 years of relevant claims processing experience, preferably in a health care environment or a minimum of six months of internal claims processing experience.
  • Strong written and verbal communication skills.
  • Basic working knowledge of excel and Microsoft office.

What Verida employees say

Pay

Hours and flexibility

Workplace

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