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Claims Process Analyst Jobs (NOW HIRING)

Spotter

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 ...

Stefanini

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 ...

Amalgamated Life

Manager, Claims

White Plains, NY · Hybrid

A bachelor's 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 ...

Amalgamated Life

Manager, Claims

White Plains, NY · On-site

A bachelor's 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 ...

Amalgamated Life

Manager, Claims

White Plains, NY · Hybrid

A bachelor's 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 ...

Karna, LLC

$20 - $25/hr

Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. * Critical Analysis: Analyze claims and adjudicate them ...

TEKsystems

Mechanical Claims Analyst

Earth City, MO · On-site +1

Review, investigate, and process mechanical warranty claims accurately and efficiently. * Utilize automotive repair knowledge to determine warranty coverage based on established guidelines.

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How much do claims process analyst jobs pay per hour?

As of Aug 6, 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 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 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 opportunities for advancement.

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.

Is being a claims process analyst hard?

Being a claims process analyst involves reviewing insurance claims, analyzing data, and ensuring accuracy, which requires attention to detail and strong organizational skills. The role can be challenging due to the need to interpret policies, handle complex cases, and meet deadlines, but it is manageable with proper training and experience in claims processing systems. Familiarity with industry regulations and certifications can also aid in performing the job effectively.

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.
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 August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 4% Contract, and 1% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

Accounts Receivable Process Analyst

BrightSpring Health Services

Valdosta, GA • On-site

$19.75 - $25/hr

Other

Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

220th of 239 rated social care providers

Job description

Accounts Receivable Process Analyst
Job Locations US-GA-VALDOSTA
ID 2026-191865 Line of Business BrightSpring Health Services Position Type Full-Time
Our Company

BrightSpring Health Services

Overview

BrightSpring Health Services is seeking a highly skilled and detail-oriented Accounts Receivable Process Analyst to join our team. As an A/R Process Analyst you will play an important part of our team with managing and analyzing financial transactions within our billing and collections department. If you like to problem solve, love numbers, and have great analytical skills this is the position for you!

Responsibilities
    Analyze aging for assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.
  • Identify payor issues and report out.
  • Complete follow up process to ensure full adjudication of claims.
  • Identifies adjustments throughout the month for assigned Operations.
  • Timely follow up on insurance claim denials, exceptions, or exclusions.
  • Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.
  • Send cash transfer & check requests to the cash team.
  • Reading and interpreting insurance explanation of benefits.
  • Respond to inquiries from insurance companies, patients, and providers.
  • Works in Waystar to identify denials and timely resolution.
  • Timely follow up of accounts to ensure timely filing limits are met.
  • Performs general accounts receivable functions regarding revenue billing and cash processes.
Qualifications
  • High School diploma or equivalent, Associate's degree or higher preferred.
  • At least 2 years healthcare billing, private insurance and/or federally funded programs, researching aging and claims.
  • Experience in reading and understanding remits for denial reasons and experience with State Billing Portal sites, preferred.
  • Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred.
  • Responsible use of confidential information.
  • Must have strong/professional communication skills (email and phone) as well as computer skills to include Microsoft Excel.
  • Must understand conditions of payment and experience with State billing portals preferred.
  • HCHB (Home Care Home Base) experience preferred.
  • Home Health Hospice related experience preferred.
About our Line of Business
BrightSpring Health Services provides complementary home- and community-based health solutions for complex populations in need of specialized and/or chronic care. Through the Company's service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs.For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X.
Additional Job Information
  • Competitive Pay with Daily Pay options
  • Up to 11 days of PTO during the 1st year
    • Tuition Reimbursement
  • Benefits, Company Provided Life Insurance, 401k Participation
  • Career Growth and advancement opportunities

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