ZipRecruiter

Log In

1

Claims Operations Analyst Jobs (NOW HIRING)

System One

Healthcare EDI Claims Analyst

Columbia, MD · On-site

$52.96/hr

This is an operational support and claims analysis position--not a software development, production support, or monitoring role. Responsibilities * Investigate and resolve healthcare claims ...

System One

Healthcare EDI Claims Analyst

Columbia, MD · On-site

$52.96/hr

This is an operational support and claims analysis position--not a software development, production support, or monitoring role. Responsibilities * Investigate and resolve healthcare claims ...

Medica

Director, Claims Operations

Madison, WI · On-site

$113K - $194K/yr

The Director, Claims Operations oversees end-to-end claims functions, including claims processing, payment recovery, claim analysis and issue resolution, and provider appeals. A skilled people and ...

Imedica

Director, Claims Operations

Madison, WI

$113K - $194K/yr

The Director, Claims Operations oversees end-to-end claims functions, including claims processing, payment recovery, claim analysis and issue resolution, and provider appeals. A skilled people and ...

Medica

Director, Claims Operations

Minnetonka, MN · On-site

$113K - $194K/yr

The Director, Claims Operations oversees end-to-end claims functions, including claims processing, payment recovery, claim analysis and issue resolution, and provider appeals. A skilled people and ...

Imedica

Director, Claims Operations

Minnetonka, MN · On-site

$113K - $194K/yr

The Director, Claims Operations oversees end-to-end claims functions, including claims processing, payment recovery, claim analysis and issue resolution, and provider appeals. A skilled people and ...

Medica

Director, Claims Operations

Minnetonka, MN · On-site

$113K - $194K/yr

The Director, Claims Operations oversees end-to-end claims functions, including claims processing, payment recovery, claim analysis and issue resolution, and provider appeals. A skilled people and ...

Chubb

Claims Operations Supervisor

San Juan, PR · On-site

Key Responsabilities Managed a team of analysts working on Claims system and process specific ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...

next page

Showing results 1-20

All JobsClaims Operations Analyst Jobs

Claims Operations Analyst information

See salary details

$14

$27

$51

How much do claims operations analyst jobs pay per hour?

As of Jul 29, 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.
More about Claims Operations Analyst jobs
What job categories do people searching Claims Operations Analyst jobs look for? The top searched job categories for Claims Operations Analyst jobs are:
Claims Operations Analyst jobs near you
Infographic showing various Claims Operations Analyst job openings in the United States as of July 2026, with employment types broken down into 66% Full Time, 4% Part Time, and 30% Contract. Highlights an 61% Physical, 5% Hybrid, and 34% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.
Healthcare EDI Claims Analyst

Healthcare EDI Claims Analyst

System One

Columbia, MD • On-site

$52.96/hr

Contractor

Medical, PTO

Posted 5 days ago

Job description

Healthcare EDI Claims Analyst

Location: Hybrid – Columbia/Baltimore, MD (2-3 days onsite per month) Duration: 12-Month Contract-to-Hire Pay Rate: $52.96/hour W2 (No PTO)

About the Role

We are seeking a Healthcare EDI Claims Analyst to support healthcare claims processing operations. This role focuses on investigating claims issues, resolving incident tickets, analyzing EDI transactions, and coordinating with internal teams and health plans to ensure successful claims processing.

This is an operational support and claims analysis position—not a software development, production support, or monitoring role.

Responsibilities

  • Investigate and resolve healthcare claims processing issues and incident tickets.
  • Analyze EDI 837 claim transactions, XML files, and claim processing errors.
  • Research transaction rejections, data issues, and claim failures.
  • Run SQL queries to support claims analysis and troubleshooting.
  • Partner with internal teams and external health plans/payers to resolve claims-related issues.
  • Support claims adjudication and vouchering processes.
  • Document incidents, resolutions, and support procedures.
  • Identify opportunities to improve claims processing workflows and efficiency.

Required Qualifications

  • 5+ years of healthcare claims processing experience.
  • Experience with EDI 837 healthcare claim transactions.
  • Experience investigating claims processing errors and transaction failures.
  • Incident/ticket management experience.
  • Basic SQL skills for querying and analyzing data.
  • Experience working with healthcare payers, health plans, or insurance organizations.
  • Strong analytical, troubleshooting, and communication skills.

Preferred Qualifications

  • EDI 835 transaction experience.
  • ServiceNow experience.
  • Claims adjudication experience.
  • BCBS or other healthcare payer experience.

Ideal Background

Candidates with experience in the following roles are encouraged to apply:

  • Healthcare EDI Claims Analyst
  • EDI Analyst
  • EDI Support Analyst
  • Healthcare Claims Analyst
  • Claims Systems Analyst
  • Claims Operations Analyst

What We're Looking For

A healthcare claims professional who enjoys investigating issues, resolving claims-related incidents, working with EDI transactions, and collaborating across teams to drive successful outcomes. This is a hands-on role focused on claims operations and issue resolution rather than software development.

Apply today to join a team supporting critical healthcare claims processing operations.

Ref: #851-Rockville-S1