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Claims Operations Analyst Jobs (NOW HIRING)

Curative HR LLC

Sr. Director, Claims Operations

Austin, TX · On-site +1

$205K - $235K/yr

Data & Analytics * Leverage advanced analytics to monitor claims trends, identify operational gaps, and drive strategic improvements. * Develop dashboards and performance reporting to support ...

Coalition, Inc.

WV

Partner with technology teams to explore and implement Gen-AI and advanced analytics use cases that ... Ensure claims operations processes meet regulatory requirements and contractual obligations, in ...

Coalition, Inc.

Claims Operations Specialist

WV · On-site +1

$100K/yr

About the role The Claims Operation Specialist plays a critical role in managing our claims ... Partner with technology teams to explore and implement Gen-AI and advanced analytics use cases that ...

Allied

Manager, Claims Operations

Chicago, IL · On-site +1

$70K - $85K/yr

POSITION SUMMARY The Manager, Claims Operations will oversee the Claims Processing department. This ... A minimum of 5 years of medical claims analysis and adjudication experience (including dental and ...

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How much do claims operations analyst jobs pay per hour?

As of Jun 17, 2026, the average hourly pay for claims operations 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 are the key skills and qualifications needed to thrive as a Claims Operations Analyst, and why are they important?

To thrive as a Claims Operations Analyst, you need strong analytical abilities, attention to detail, and a background in finance, business, or a related field, often supported by a bachelor’s degree. Familiarity with claims management software, data analysis tools like Excel, and sometimes certification in insurance or claims processing is typically required. Excellent communication, problem-solving, and organizational skills help you collaborate across teams and manage multiple priorities effectively. These competencies ensure accurate claims processing, regulatory compliance, and efficient operations in a high-volume environment.

What does a Claims Operations Analyst do?

A Claims Operations Analyst is responsible for reviewing, analyzing, and processing insurance claims to ensure accuracy and compliance with company policies and regulations. They work closely with claims adjusters, underwriters, and other teams to streamline workflow, identify trends, and resolve discrepancies. Their role often includes data analysis, report generation, and recommending process improvements to enhance efficiency in claims operations.

What are some common challenges faced by Claims Operations Analysts, and how can they be managed?

Claims Operations Analysts often encounter challenges such as handling large volumes of complex claims data, ensuring accuracy under tight deadlines, and navigating ever-changing regulatory requirements. To manage these effectively, strong organizational skills, attention to detail, and proficiency with data analysis tools are essential. Collaborating closely with claims adjusters, underwriters, and IT teams also helps streamline workflows and resolve issues more efficiently. Continuous learning and staying updated on industry regulations can further support success in this role.
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Claims Operations Analyst jobs near you
Infographic showing various Claims Operations Analyst job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $56,974 per year, or $27.4 per hour.
Claims Operations Analyst

Claims Operations Analyst

Michigan Farm Bureau Family of Companies

Lansing, MI • On-site

$73K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 2 days ago

Job description

OBJECTIVE
Claims Operations Analyst Objective
To serve as an expert for the Claims Division focused on claims systems, processes, file quality and training. To represent Claims on projects to ensure claim systems and processes meet business requirements. To develop, administer and perform examinations on auditable activities. To support all members of management in the effective discharge of their responsibilities by furnishing them with independent reports, analysis, appraisals, recommendations, and pertinent comments concerning the auditable activities reviewed. To monitor and report on vendor performance. To utilize analytics to measure, evaluate, and improve functions. To work with Claims division managers to develop best practices guidelines to drive quality and consistency.
RESPONSIBILITIES
Claims Operations Analyst Responsibilities
Act as a resource for work relating to the implementation of any claims program or process. Implement standards for production, productivity, quality, and customer-experience. Identify and resolve problems. Determine system improvements and implement change.
Develop engaging and informative training materials, online courses, videos, and job-aids.
Assist with content development and maintenance by collaborating with teammates and content area experts to ensure training material is current and accurate. Monitor updates to policies and systems and recognize when updates need to be made to training materials.
Analyze performance and training challenges to determine business goals, gaps between desired and actual results, and implement improvement methods
Act as an organizational change management champion for the Claims division, with an emphasis on training, adaptation and accountability.
QUALIFICATIONS
Claims Operations Analyst Qualifications
Required
Bachelor's degree in accounting, finance, insurance or other related major required, or equivalent experience may be considered.
An AIC or CPCU or other insurance designation earned or pursuing required.
Five years Insurance Claims experience required.
Computer usage and proven skills in Microsoft Office required.
Proven knowledge of claims procedures, audit processes, insurance policy coverages and legal defense.
Effective writing, keyboarding, telephone and analytical skills required.
Must have excellent communication, customer service and strong leadership skills, and ability to deal with people of all levels in all divisions.
Must have access to high-speed Internet at home.
Must possess a valid driver license with an acceptable driving record.
Preferred
Teaching skill for claims technical training preferred.
Note: If a candidate is not selected, a Claims Operations Specialist position may be considered on the level of experience and qualifications.
Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.
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