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Claims Process Analyst Jobs (NOW HIRING)

Strong analytical skills with demonstrated root cause problem-solving ability. * Ability to ... Demonstrates superior claims/process knowledge/experience * Advanced business operations knowledge ...

Business Process Analyst

Boston, MA ยท On-site

$66K - $89K/yr

Boston, MA looking for an Analyst from health Insurance Claims Processing background. The role is part of Strategic Operations team that is driving strategic initiatives that have enterprise-wide ...

Business Process Analyst

Boston, MA ยท On-site

$66K - $89K/yr

Boston, MA looking for an Analyst from health Insurance Claims Processing background. The role is part of Strategic Operations team that is driving strategic initiatives that have enterprise-wide ...

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 ...

Conducts analysis around various claims payment processes to ensure accuracy of system configuration and provider payments. Investigates problem claims to determine root cause of problem and/or error ...

Business Process Analyst

Elgin, IL ยท Hybrid

$50 - $75/hr

Skills Business analysis, Process improvement, Process mapping, Requirements gathering, Project Management, Implementation, warranty claims, CRM, Data, jde Top Skills Details Business analysis ...

Business Process Analyst

Elgin, IL ยท Hybrid

$50 - $75/hr

Skills Business analysis, Process improvement, Process mapping, Requirements gathering, Project Management, Implementation, warranty claims, CRM, Data, jde Top Skills Details Business analysis ...

Worker Compensation - Claims process 10+ years of business analysis experience, with 3+ years within the space of Workers Comp Claims. Must have a clear understanding and experience with the ...

A degree in insurance, healthcare, or a related field and/or extensive work experience handling and processing disability claims. * The ability to analyze complex information from various sources ...

A degree in insurance, healthcare, or a related field and/or extensive work experience handling and processing disability claims. * The ability to analyze complex information from various sources ...

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Claims Process Analyst information

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How much do claims process analyst jobs pay per hour?

As of Jun 23, 2026, the average hourly pay for claims process 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.

How does a Claims Process Analyst typically collaborate with other departments to resolve complex claims issues?

Claims Process Analysts frequently work cross-functionally, engaging with teams such as underwriting, customer service, and legal to resolve complex or disputed claims. This collaboration often involves gathering additional documentation, clarifying policy details, and ensuring compliance with regulations. Effective communication and problem-solving skills are essential, as analysts act as the liaison between internal teams and sometimes external stakeholders to facilitate timely and accurate claim resolutions.

What does a claims analyst do?

A claims analyst reviews insurance claims to determine their validity and ensure accurate processing. They analyze claim details, verify documentation, and assess coverage to resolve discrepancies, often using specialized software and adhering to company policies. Strong attention to detail and knowledge of insurance policies are essential for this role.

What does a Claims Process Analyst do?

A Claims Process Analyst is responsible for reviewing, analyzing, and processing insurance claims to ensure they are accurate and comply with company policies and regulations. They investigate claim details, verify documentation, and work with other departments to resolve discrepancies or issues. Their role often involves identifying trends in claims data, recommending process improvements, and ensuring timely resolution of claims to provide a positive customer experience.

How much do claims analysts make in the US?

Claims analysts in the US typically earn a median annual salary of around $50,000 to $65,000, depending on experience, location, and industry. Entry-level positions may start lower, while experienced analysts or those with specialized skills can earn higher salaries, often supplemented with benefits and bonuses.

What jobs pay 2000 a day?

Claims Process Analysts typically do not earn $2,000 a day; such high daily earnings are more common in specialized roles like high-level consultants, senior executives, or certain freelance professionals. Most jobs with this pay rate require extensive experience, advanced skills, or working in high-stakes environments, often with additional bonuses or commissions. These roles may also involve long hours or high responsibility levels.

What is the difference between Claims Process Analyst vs Claims Adjuster?

AspectClaims Process AnalystClaims Adjuster
CredentialsTypically requires a bachelor's degree in business, insurance, or related field; certifications like CPCU or ARM are commonRequires a high school diploma or equivalent; certifications such as AIC or CPCU are advantageous
Work EnvironmentOffice-based, analyzing claims data, process improvement, and policy reviewField or office-based, investigating claims, inspecting damages, and negotiating settlements
Employer & IndustryInsurance companies, third-party administrators, and corporate claims departmentsInsurance companies, adjusting firms, and independent agencies

While both roles work within the insurance industry, Claims Process Analysts focus on analyzing and improving claims processes, whereas Claims Adjusters handle the investigation and settlement of individual claims. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What job makes $10,000 a month without a degree?

A Claims Process Analyst typically earns less than $10,000 per month, but some high-level or specialized roles in insurance claims, such as senior claims managers or those with extensive experience and certifications, can reach or exceed this income level. These positions often require strong analytical skills, industry knowledge, and sometimes professional certifications but not necessarily a college degree.

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

To excel as a Claims Process Analyst, you need strong analytical skills, attention to detail, and a background in insurance or finance, often supported by a relevant degree. Familiarity with claims management software, data analysis tools, and regulatory compliance systems is typically required. Excellent problem-solving, communication, and organizational skills help distinguish top performers in this role. These abilities ensure accurate claims assessment, efficient processing, and regulatory compliance, which are vital to maintaining customer trust and minimizing organizational risk.
More about Claims Process Analyst jobs
What states have the most Claims Process Analyst jobs? States with the most job openings for Claims Process Analyst jobs include:
Infographic showing various Claims Process Analyst job openings in the United States as of June 2026, with employment types broken down into 14% Locum Tenens, 14% As Needed, and 72% Full Time. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

Claims Process Innovation Manager

Aspire General Insurance Company

Rancho Cucamonga, CA โ€ข On-site

$100K - $150K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago


Job description

Description:

Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service.

Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success.


JOB SUMMARY:

The Claims Process Innovation Manager is responsible for leading the design, implementation, and continuous improvement of claims processes across the organization while remaining actively involved in hands-on execution. This role combines strategic process leadership, people leadership, and direct process work to ensure sustainable improvements that drive efficiency, quality, compliance, and customer experience.

This role manages and prioritizes a portfolio of process and innovation initiatives, oversees testing and validation of new vendor solutions and technology capabilities, and maintains governance of standard claims processes. The Process Innovation Manager partners closely with Claims leadership, frontline operations, Shared Services, Data Analytics, and Technology teams to ensure solutions are practical, measurable, and successfully adopted.


DUTIES AND RESPONSIBILITIES:

  • Lead the design, governance, and continuous improvement of claims processes across multiple business lines.
  • Manage and prioritize a portfolio of process innovation and automation initiatives aligned to business strategy and operational priorities.
  • Oversee and actively participate in testing and validation of new vendor solutions, automation tools, and technology functionality.
  • Collaborate with Claims leadership, frontline operations, Casualty, and Shared Services (Training, Quality, SIU, Subrogation, Appraisal, TL and Salvage) to identify and implement process improvements.
  • Maintain governance of standard claims processes, ensuring documentation, communication, change management, and adoption across the organization.
  • Partner with Technology teams and Product Owners to validate new functionality, support implementation, and ensure sustainability of changes.
  • Conduct and oversee vendor quality and performance reviews to ensure service delivery aligns with contractual, compliance, and performance expectations.
  • Partner with Analytics to quantify efficiencies, track ROI, and monitor the impact of new processes, automation, and vendor solutions.
  • Provide leadership, prioritization, and guidance to assigned process resources or matrixed project contributors.
  • Support organizational redesign and transformation initiatives by ensuring process alignment and operational readiness.
  • Serve as a subject matter expert and thought leader in claims process design and innovation, influencing decision-making and change adoption across Claims.
  • Perform hands-on process analysis, workflow mapping, root cause analysis, and validation activities as needed.
  • Other duties as assigned.
Requirements:

QUALIFICATIONS AND SKILLS:

Required

โ€ข 7+ years of experience in claims operations or process improvement.

โ€ข Strong knowledge of claims operations.

โ€ข Demonstrated ability to lead initiatives and influence stakeholders.

โ€ข Experience with vendor solutions and system testing.

โ€ข Strong analytical and facilitation skills.

Preferred

โ€ข Prior people or project leadership experience.

โ€ข Lean, Six Sigma, Agile, or Change Management certification.

โ€ข Experience with governance or compliance oversight.

INTER-RELATIONSHIP COMPONENT:

  1. Partner with Claims leadership, shared services and frontline personnel to identify workflow challenges and opportunities.
  2. Collaborate with Technology and Product Owners to test and validate new system functionality.
  3. Work with Claims and Shared Services to align process changes with organizational standards.
  4. Coordinate with FP&A and to measure performance, vendor quality, and ROI of implemented changes.
  5. Serve as an influential partner and bridge across business, operations, and vendor teams.

Benefits: Medical, Dental, Vision, PTO, 401k, Company observed Holidays


Individuals seeking employment at Aspire General Insurance Services LLC are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation in accordance with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.


Compensation may vary based on several factors, including candidate's individual skills, relevant work experience, location, etc.