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Claims Analyst Ii Jobs (NOW HIRING)

Sprouts Farmers Market

Claims Analyst II

Phoenix, AZ ยท Hybrid

The Analyst II serves as a key liaison between injured Team Members, internal stakeholders, and thirdparty administrators (TPAs), ensuring claims are handled efficiently, compliantly, and with a ...

Sprouts Farmers Market

Claims Analyst II

Phoenix, AZ ยท Hybrid

The Analyst II serves as a key liaison between injured Team Members, internal stakeholders, and thirdparty administrators (TPAs), ensuring claims are handled efficiently, compliantly, and with a ...

NorthBay Health

Claims Analyst II (On-Site)

Fairfield, CA ยท On-site

$33.29 - $40.44/hr

At NorthBay Health, the Claims Analyst II is responsible for independently completing all tasks in claims adjudication, including processing adjustments. The position is co-responsible for the ...

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How much do claims analyst ii jobs pay per hour?

As of Jul 29, 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 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.

What is the career progression of a claims analyst?

A claims analyst II can advance to senior claims analyst, claims supervisor, or claims manager roles by gaining experience, developing leadership skills, and obtaining relevant certifications. Progression often involves increased responsibility, specialization, and potential transition into related areas such as underwriting or risk management.

What jobs make $3,000 a day?

Claims Analyst II roles typically do not earn $3,000 a day; such high daily earnings are usually associated with executive, specialized consulting, or high-level investment positions. Highly experienced professionals in finance, law, or executive management may reach this level through bonuses, commissions, or profit sharing. Most standard claims analyst roles have lower daily earning potential, often based on annual salaries rather than daily rates.

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, and why are they important?

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 is a claims analyst II job description?

A Claims Analyst II reviews and processes insurance claims, investigates claim details, and ensures accurate and timely resolution. They often analyze data, communicate with clients and providers, and may use claims management software; some roles require relevant certifications or experience in insurance or healthcare environments.

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 discrepancies, often using specialized software and industry knowledge to make informed decisions efficiently.

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.
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Claims Analyst Ii jobs near you
Infographic showing various Claims Analyst Ii 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.