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Claims Process Analyst Jobs (NOW HIRING)

Altorel LLC

Business Process Analyst

Boston, MA

$66.30K - $89.10K/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 ...

Altorel LLC

Business Process Analyst

Boston, MA · On-site

$66.30K - $89.10K/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 ...

Verida Inc

Claims Analyst

Villa Rica, GA · On-site

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 ...

Integrated Resources INC

Claims Analyst

Syracuse, NY

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 ...

Delaware Claims

Claims Analyst

Wilmington, DE · On-site

$50K - $52K/yr

Delaware Claims Processing Facility has openings in its downtown Wilmington, DE location for Claims Analysts Qualifications Ideal candidates will be hard working with a high energy level; the ability ...

Delaware Claims

Claims Analyst

Wilmington, DE · On-site

$50K - $52K/yr

Delaware Claims Processing Facility has openings in its downtown Wilmington, DE location for Claims Analysts Qualifications Ideal candidates will be hard working with a high energy level; the ability ...

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How much do claims process analyst jobs pay per hour?

As of May 31, 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.

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.

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 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.

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.

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:
What job categories do people searching Claims Process Analyst jobs look for? The top searched job categories for Claims Process Analyst jobs are:
Claims Process Analyst jobs near you
Infographic showing various Claims Process Analyst job openings in the United States as of May 2026, with employment types broken down into 3% Locum Tenens, 7% As Needed, 52% Full Time, 3% Part Time, 5% Temporary, and 30% Contract. Highlights an 50% Physical, and 50% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.
Business Process Analyst- Claims Transformation

Business Process Analyst- Claims Transformation

Centric Consulting

Cincinnati, OH • On-site, Remote

$58.50K - $78.70K/yr

Other

Medical, Retirement, PTO

Posted 11 days ago

Job description

Business Process Analyst- Claims Transformation

Job Level: W2T Consultant

Job Location: Hybrid, Cincinnati, OH

Travel Expectations: 10%

Job Classification: Temporary (W2T)

Join Centric Consulting - A Culture You'll Love

At Centric Consulting, we've cultivated a unique approach to business. Our business is built on three fundamental principles: Enjoy the people you work with, have fun, and do great work. These principles define our consulting model and have crafted one of the most vibrant cultures in the consulting industry - celebrating individuals, collaboration, and lifelong friendships.

Our client is undertaking a Claims Transformation initiative focused on modernizing claims business processes and enabling them through improved technology, data, and operating models.

The Business Process Analyst (BPA) will play a critical role in analyzing current-state claims workflows, defining future-state processes, and partnering with business and technology teams to drive sustainable change. This role requires deep collaboration with Claims leadership, frontline adjusters, operations, IT, and external vendors to ensure process improvements are practical, scalable, and aligned with business objectives.

In this role, you will:

Current-State & Future-State Process Analysis

  • Elicit, document, and analyze end-to-end claims processes across multiple lines of business (e.g., property, casualty, workers' compensation)
  • Identify inefficiencies, bottlenecks, rework, and handoffs impacting cycle time, quality, and customer experience
  • Define future-state process models aligned to transformation goals, automation opportunities, and technology capabilities
  • Develop process documentation using standard artifacts (e.g., BPMN, swimlane diagrams, value stream maps)

Business & Technology Enablement

  • Translate business process needs into clear, actionable requirements for technology teams
  • Partner with IT, architects, and vendors to ensure process designs align with system functionality
  • Support initiatives including claims systems modernization, workflow tools, document management, data/analytics, and automation
  • Ensure business rules and operational impacts are fully defined prior to implementation

Stakeholder Engagement & Facilitation

  • Facilitate workshops, interviews, and working sessions with Claims leaders, SMEs, and frontline users
  • Act as a liaison between business and technology teams to ensure alignment and shared understanding
  • Support change management efforts by clearly communicating process changes and impacts

Transformation & Continuous Improvement

  • Support development of transformation roadmaps, business cases, and prioritized improvement backlogs
  • Identify opportunities for standardization, simplification, and automation across claims operations
  • Define and monitor key process metrics (e.g., cycle time, touchless rate, leakage, customer satisfaction)
  • Assist with pilot testing, UAT support, and post-implementation evaluation

Who You Are:

  • 5+ years of experience as a Business Process Analyst, Business Analyst, or Process Improvement Consultant
  • Strong experience within insurance claims operations or property & casualty insurance
  • Proven ability to analyze and redesign complex, cross-functional business processes
  • Experience supporting business transformation or large-scale change initiatives
  • Strong facilitation, documentation, and communication skills
  • Ability to translate business needs into clear requirements and process artifacts

Preferred Qualifications

  • Experience with claims system modernization or core system implementations
  • Familiarity with Lean, Six Sigma, or continuous improvement methodologies
  • Experience working in hybrid business/IT environments or agile delivery models
  • Exposure to automation, workflow management, or analytics in claims operations
  • Consulting experience within insurance or financial services

Key Competencies

  • Claims domain expertise
  • Process modeling and analysis
  • Stakeholder facilitation
  • Systems thinking
  • Change enablement
  • Executive-level communication
  • Detail-oriented with a practical, results-driven mindset

Total Rewards:

We proudly offer competitive compensation, a comprehensive and well-rounded benefits package for full-time employees that have been designed to nourish your well-being, such as health coverage, wellness programs, 401K company match, self-managed PTO, and other unique incentives that celebrate your accomplishments.

  • Remote and Hybrid Work
  • Time Off When You Need It
  • Benefits That Flex
  • Professional Development

While benefits eligibility may vary for roles that are not full-time, we provide unique opportunities for growth, skill development, and more. Regardless of your role, you'll be part of a collaborative environment where every team member contributes to our shared success.

Discover more about our benefits by exploring additional details here benefits.

Who We Are:

Founded in 1999 with a remote workforce, we combine the benefits of experience, flexibility, and cost efficiency to create tailored solutions centered on what's best for businesses. Now numbering more than 1,400 employees in the U.S. and India, we're committed to solving clients' toughest problems and delivering on our mission of providing unmatched experiences.

Our purpose at Centric Consulting is to bringunmatched experiencesto clients and employees. These aren't just words we use - it's how we became a company and who we are today. Providing an unmatched experience means we approach each other as human beings and lead with empathy and humility. It means we work diligently to ensure we are a place where everyone can create a sense of belonging and feel respected for who they are.

What Makes Centric a Great Place to Work?

We know that creating and sustaining an authentically welcoming culture requires that we all play a part inpromotingdiversity, equity, and inclusion, from our business practice to how we show up for employees and communities. This is how we bringour mission and core valuesto life, working together to provide the highestqualityservices to our clients while allowing our employees to reach their full potential. We are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veterans' status, or any other characteristic protected by federal, state, or local laws.

Reasonable accommodations are available for candidates during all aspects of the selection process. Please advise the talent acquisition team if you require accommodations during the application or interview process.

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