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 ...
Field Residential and Commercial Property Adjuster: Daily Claims
New York, NY · Remote
$1.0K - $20K/mo
Participate in appraisal and dispute resolution processes when applicable. Qualifications * Active ... Strong analytical, investigative, and problem-solving abilities. * Self-motivated with the ability ...
Quick apply
Field Residential and Commercial Property Adjuster: Daily Claims
New York, NY · Remote
$1.0K - $20K/mo
Participate in appraisal and dispute resolution processes when applicable. Qualifications * Active ... Strong analytical, investigative, and problem-solving abilities. * Self-motivated with the ability ...
Claims Processor Analyst
$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 ...
Claims Processor Analyst
$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 ...
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 ...
Accounts Receivable Process Analyst
$17.50 - $22.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
$17.50 - $22.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
$14 - $16/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
$14 - $16/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Claims Analyst I
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 ...
Claims Analyst I
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 ...
Accounts Receivable Process Analyst
$14 - $16/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
$14 - $16/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Field Residential and Commercial Property Adjuster: Daily Claims
New York, NY · Remote
$1.0K - $20K/mo
Participate in appraisal and dispute resolution processes when applicable. Qualifications * Active ... Strong analytical, investigative, and problem-solving abilities. * Self-motivated with the ability ...
Quick apply
Field Residential and Commercial Property Adjuster: Daily Claims
New York, NY · Remote
$1.0K - $20K/mo
Participate in appraisal and dispute resolution processes when applicable. Qualifications * Active ... Strong analytical, investigative, and problem-solving abilities. * Self-motivated with the ability ...
Accounts Receivable Process Analyst
Valdosta, GA · On-site
$14/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Valdosta, GA · On-site
$14/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Valdosta, GA · On-site
$17.50 - $22.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Valdosta, GA · On-site
$17.50 - $22.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Nashville, TN · On-site
$23.25 - $29.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Nashville, TN · On-site
$23.25 - $29.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Nashville, TN · On-site
$23.25 - $29.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Nashville, TN · On-site
$23.25 - $29.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Nashville, TN · On-site +1
$23.25 - $29.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Nashville, TN · On-site +1
$23.25 - $29.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Valdosta, GA · On-site
$14 - $16/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Valdosta, GA · On-site
$14 - $16/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
$14 - $16/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
$14 - $16/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Senior Analyst, Claims Research
Long Beach, CA · On-site
$45K - $88K/yr
Leverages deep understanding of medical claims processing, analytical skills, root-cause analysis, and regulatory interpretation to effectively triage issues to facilitate complex/high priority ...
Senior Analyst, Claims Research
Long Beach, CA · On-site
$45K - $88K/yr
Leverages deep understanding of medical claims processing, analytical skills, root-cause analysis, and regulatory interpretation to effectively triage issues to facilitate complex/high priority ...
Leverages deep understanding of medical claims processing, analytical skills, root-cause analysis, and regulatory interpretation to effectively triage issues to facilitate complex/high priority ...
Leverages deep understanding of medical claims processing, analytical skills, root-cause analysis, and regulatory interpretation to effectively triage issues to facilitate complex/high priority ...
Accounts Receivable Process Analyst
Valdosta, GA · On-site
$17.50 - $22.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Accounts Receivable Process Analyst
Valdosta, GA · On-site
$17.50 - $22.50/hr
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Quick apply
As an A/R Process Analyst you will play an important part of our team with managing and analyzing ... Complete follow up process to ensure full adjudication of claims. * Identifies adjustments ...
Claims Process Analyst information
See salary details
$14.66 - $18.05
14% of jobs
$20.07 is the 25th percentile. Wages below this are outliers.
$18.05 - $21.44
19% of jobs
The median wage is $23.67 / hr.
$21.44 - $24.83
26% of jobs
$24.83 - $28.21
9% of jobs
$29.98 is the 75th percentile. Wages above this are outliers.
$28.21 - $31.60
13% of jobs
$31.60 - $34.99
11% of jobs
$34.99 - $38.37
2% of jobs
$38.37 - $41.76
2% of jobs
$41.76 - $45.15
1% of jobs
$45.15 - $48.54
2% of jobs
$48.54 - $51.92
1% of jobs
$14
$27
$51
How much do claims process analyst jobs pay per hour?
How does a Claims Process Analyst typically collaborate with other departments to resolve complex claims issues?
What does a claims analyst do?
What does a Claims Process Analyst do?
How much do claims analysts make in the US?
What jobs pay 2000 a day?
What is the difference between Claims Process Analyst vs Claims Adjuster?
| Aspect | Claims Process Analyst | Claims Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in business, insurance, or related field; certifications like CPCU or ARM are common | Requires a high school diploma or equivalent; certifications such as AIC or CPCU are advantageous |
| Work Environment | Office-based, analyzing claims data, process improvement, and policy review | Field or office-based, investigating claims, inspecting damages, and negotiating settlements |
| Employer & Industry | Insurance companies, third-party administrators, and corporate claims departments | Insurance 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?
What are the key skills and qualifications needed to thrive as a Claims Process Analyst, and why are they important?
- Senior Workers' Compensation Claims Adjuster
- Senior Insurance Tpa
- Work From Home 1099 Claims Adjuster
- Risk Management Workers Compensation Remote
- Claims Associate Workers Compensation
- Weekend Usaa Claims Adjuster
- Remote Claims Associate
- Subrogation Associate
- Disability Claims Adjuster
- On Call Disaster Relief Insurance Claims Adjuster

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.Â
- The Director will review medical records, policy guidelines, contract language and financial information to assess claim validity and determine financial liability.Â
- 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.Â
- 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. Â
- Director acts as a point of contact for Claimant, providing updates on claim status, explaining the claims process, and addressing related Claimant inquiries.Â
- Ensures that the claims are processed in accordance with relevant legal regulations and applicable company policies is a core responsibility.Â
- Director is involved in identifying potential fraud within the claims process.Â
- 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.Â
- Director implements best practices to enhance efficiency and effectiveness in claims processing.Â
- 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.
About Amalgamated Life Insurance
Sourced by ZipRecruiter
Company size
51 - 200 Employees
Headquarters location
White Plains, NY, US
Year founded
1943