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Claims Analyst Ii Jobs (NOW HIRING)

Job Title Claims Analyst II and Duties Under the direction of the Fresno Legal Office Claims Manager (Supervisor I) and/or the Deputy Chief Counsel in the Fresno Legal Office, the Claims Analyst II ...

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established ...

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established ...

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established ...

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established ...

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established ...

$62K - $68K/yr

The Claims Analyst II will perform a range of functions around the claims oversight and administration work in the receipt, review, and processing of claims received by Towne. This position will ...

Claims Analyst II

Plymouth Meeting, PA ยท On-site

$62K - $68K/yr

The Claims Analyst II will perform a range of functions around the claims oversight and administration work in the receipt, review, and processing of claims received by Towne. This position will ...

Claims Analyst

Brookfield, WI ยท Remote

$19.25/hr

Claims Analyst II Are you detail-oriented, analytical, and passionate about delivering accurate results? We are seeking a Claims Analyst II to review and process both paper and electronic claims ...

New

Risk and Claims Analyst I or II

Arvada, CO ยท Hybrid

$67K - $92K/yr

Risk and Claims Analyst II: $75,027 - $102,588 Placement at Risk and Claims Analyst I or II will be based on the selected candidate's experience and education. We're hiring a Risk and Claims Analyst ...

New

We are seeking a Claims Analyst with 2+ years of experience in claims processing, operations support, or healthcare administration. The ideal candidate will have strong experience in claims research ...

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 ...

Claims Analyst

Cleveland, OH ยท On-site

$28 - $44/hr

OH & AZ licenses ( preferred ). * 2-5+ years of claims handling experience (property, casualty, auto, liability, or specialized lines). * Strong investigative, analytical, and critical-thinking ...

The Claims Analyst will utilize claims data and reporting to identify opportunities to improve ... At least 2 years of experience in data analysis, reporting, auditing, or related field and ...

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Claims Analyst Ii information

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How much do claims analyst ii jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for claims analyst ii 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 does a Claims Analyst II do?

A Claims Analyst II is responsible for reviewing, analyzing, and processing insurance claims to ensure they are valid and comply with policy guidelines. They investigate claims, verify documentation, communicate with policyholders and providers, and determine the appropriate payout or denial of claims. This role typically requires understanding complex policies, using specialized software, and adhering to regulatory standards. Additionally, a Claims Analyst II may handle escalated or more complex claims compared to entry-level analysts and may help train or mentor junior staff.

What are the key skills and qualifications needed to thrive as a Claims Analyst II?

To thrive as a Claims Analyst II, you need strong analytical skills, attention to detail, and a solid understanding of insurance policies, often supported by a bachelor's degree in business, finance, or a related field. Familiarity with claims management software, Microsoft Excel, and industry-specific platforms like Guidewire is typically expected. Excellent communication, problem-solving abilities, and organizational skills help build rapport with clients and efficiently resolve claims. These competencies ensure accurate claim processing, minimize errors, and support customer satisfaction in a regulated industry.

What are some common challenges faced by a Claims Analyst II, and how are they typically addressed?

A Claims Analyst II often encounters challenges such as interpreting complex policy language, managing large volumes of claims, and balancing accuracy with efficiency. These professionals must stay updated on changing regulations and company policies, and sometimes handle escalated or disputed claims. To address these challenges, Claims Analysts rely on strong analytical skills, effective communication with policyholders and teammates, and ongoing training provided by their employer. Collaboration with other departments, such as legal or underwriting, is also common to ensure thorough and fair claim resolutions.

What is the difference between Claims Analyst II vs Claims Processor?

CriteriaClaims Analyst IIClaims Processor
Required CredentialsBachelor's degree often preferred; certifications like CPC or similar beneficialHigh school diploma or equivalent; on-the-job training common
Work EnvironmentOffice setting, analytical tasks, data reviewOffice or claims department, processing claims and data entry
Employer & Industry UsageInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare organizations, government agencies

Claims Analyst II and Claims Processor roles often overlap in insurance and healthcare industries. While Claims Analyst II typically involves more analytical and review responsibilities requiring some credentials, Claims Processors focus on data entry and claim processing. Both roles are essential in claims management but differ in complexity and required skills.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. Claims analysts often work in fast-paced environments and must handle complex cases, which can contribute to job stress. However, stress levels vary depending on the employer, workload, and individual coping skills.
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What states have the most Claims Analyst Ii jobs?

States with the most job openings for Claims Analyst Ii jobs include:

Infographic showing various Claims Analyst Ii job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 5% Part Time, and 6% Contract. Highlights an 80% Physical, 9% Hybrid, and 11% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

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Job description

Job Title

Claims Analyst II

Job Description and Duties

Under the direction of the Fresno Legal Office Claims Manager (Supervisor I) and/or the Deputy Chief Counsel in the Fresno Legal Office, the Claims Analyst II (commonly known as Claims Officer or District Claims Officer) the incumbent is responsible for directing and coordinating the review and processing of statewide damage claims filed with the Department of General Services (DGS). The incumbent performs a variety of analytical assignments and provides legal support services to Attorneys defending the Department in tort liability claims and lawsuits. The Claims Officer also evaluates and processes tort claims in the amount of $12,500 or less pursuant to Government Code section 937.5 and represents the Department in Small Claims Court. The Claims Officer may monitor the work flow in the unit and make assignments and provide guidance and assistance to other staff in the unit.

Eligibility for hire may be determined by your score on the Analyst II/ Analyst I exam. For those who do not have current eligibility (e.g., transfer, permissive reinstatement, or voluntary demotions) and/or who will be new to state civil services employment, you must be on the state examination list to be eligible for these positions. To apply for the exam, please click here and search by typing in the classification title.