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Claims Process Analyst Jobs (NOW HIRING)

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 ...

Claims Processor Analyst

Overland Park, KS

$16.75 - $21.25/hr

Previous Medical Claims Experience * Strong Problem-Solving Skills * Previous Experience Calling Plans & figuring out patient's out of pocket costs for both Medical & Pharmacy Plans Additional ...

This analysis is crucial for determining the appropriate claim amount and ensuring the claims process is efficient. * Documentation and Reporting: Maintain accurate and comprehensive records of all ...

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Claims Process Analyst information

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$27

$51

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.
Director, Claims

Full-time

Posted 20 days ago


Job description

A Disability Claims Director oversees the process of reviewing and managing disability claims, ensuring compliance with applicable company policy, contract language and regulations by evaluating medical records, coordinating with providers, and communicating with claimants to determine eligibility for benefits. They are responsible for managing the entire claims lifecycle, resolving disputes, detecting fraud, and improving operational efficiency through strong analytical and communication skills. 


  • The Director will review medical records, policy guidelines, contract language and financial information to assess claim validity and determine financial liability. 
  • Review AEBA nurse recommendations including referrals for IMEs.
  • They collaborate with healthcare providers, vocational experts, and other resources to gather necessary information (e.g., medical records to verify diagnoses and treatment plans) for a thorough and complete claim evaluation. 
  • The Director reaches out to employers to verify if Claimant is working, appropriate return to work if Claimant is not working, and if possible light duty available.  
  • Director acts as a point of contact for Claimant, providing updates on claim status, explaining the claims process, and addressing related Claimant inquiries. 
  • Ensures that the claims are processed in accordance with relevant legal regulations and applicable company policies is a core responsibility. 
  • Director is involved in identifying potential fraud within the claims process. 
  • Work to resolve issues and disputes that may arise during the claims process including, but not limited to, working with AEBA’s Appeals Department and relevant state regulatory agencies. 
  • Director implements best practices to enhance efficiency and effectiveness in claims processing. 

  • 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, including contract terms, conditions, limitations and exclusions, is crucial for accurate decision-making.
  • A deep understanding of insurance policies, medical terminology, and relevant regulations (i.e., disability laws) is essential.
  • Both written and verbal communication, including empathetic listening and a high level of customer service, is vital for interacting with Claimants and stakeholders.
  • Meticulous attention to detail ensures accuracy in claim assessment, determination and documentation.
  • Compassionate customer service is important when working with Claimants navigating challenging personal circumstances.
  • Familiarity with the software and systems used for disability claims processing is required.