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Claims Process Analyst Jobs (NOW HIRING)

Altorel LLC

Business Process Analyst

Boston, MA

$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 ...

Altorel LLC

Business Process Analyst

Boston, MA · 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 ...

Integrated Resources INC

Claims Analyst

Syracuse, NY · On-site

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 ...

Starr Companies

Property Process Analyst

Manhattan, NY · On-site

$85.60 - $106.30/hr

Analyze and document existing end-to-end processes across property insurance operational areas (underwriting, policy servicing, claims, loss control, etc.).* Map current and future-state workflows ...

Delaware Claims

Claims Analyst

Wilmington, DE · On-site

Delaware Claims Processing Facility, a leader in mass tort litigation claims processing with over twenty years of industry expertise is currently hiring recent college graduates for our Claim Analyst ...

Delaware Claims

Claims Analyst

Wilmington, DE · On-site

Delaware Claims Processing Facility, a leader in mass tort litigation claims processing with over twenty years of industry expertise is currently hiring recent college graduates for our Claim Analyst ...

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Claims Process Analyst information

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How much do claims process analyst jobs pay per hour?

As of Aug 27, 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 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 are the key skills and qualifications needed to thrive as a claims process analyst?

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 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.

How much do claims process analysts make in the US?

Claims process analysts in the US typically earn a median annual salary of around $50,000 to $70,000, depending on experience, location, and industry. Entry-level roles may start lower, while experienced analysts or those with specialized skills can earn higher salaries, often supplemented with benefits and bonuses.

Is being a claims process analyst hard?

Being a claims process analyst involves reviewing insurance claims, analyzing data, and ensuring accuracy, which can require attention to detail and strong organizational skills. The role may involve handling complex cases and using claims management software, but it generally depends on the individual's experience and the company's expectations.
More about Claims Process Analyst jobs

What states have the most Claims Process Analyst jobs?

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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 August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 2% Hybrid, and 8% 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 • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 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 

• 7+ years of experience in claims operations or process improvement. 

• Strong knowledge of claims operations. 

• Demonstrated ability to lead initiatives and influence stakeholders. 

• Experience with vendor solutions and system testing. 

• Strong analytical and facilitation skills. 

Preferred 

• Prior people or project leadership experience. 

• Lean, Six Sigma, Agile, or Change Management certification. 

• 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.