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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.
Senior Business Process Analyst

Senior Business Process Analyst

Syms Strategic Group, LLC (SSG)

Ashburn, VA • On-site

$78.17K - $103.86K/yr

Full-time

Posted 18 days ago

Job description

Syms Strategic Group (SSG) is seeking a talented Senior Business Process Analyst
Location: Remote
Department: Veterans Affairs
Type: Full Time
Min. Experience: Experienced
Security Clearance Level: Public Trust (MBI)
Salary Range: $78,167 - $103,855
If you have previously applied to Syms Strategic Group (SSG), there is no need to reapply. Applications are still under review.
Military Veterans are highly encouraged to apply!
Essential Duties and ResponsibilitiesPrevious Federal Government experience and Security Clearance highly desired!
  • Lead the capture of business requirements for software development teams
  • Collaborate with business users, Information Technology (IT), and leadership to elaborate and document requirements in an Application Lifecycle Management (ALM) tool
  • Manage requirements in an ALM tool
  • Perform Agile requirement management activities for a product team
  • Perform the analysis of user needs to determine functional, cross-functional, and technical requirements
  • Conduct user interviews, lead and facilitate sessions, and develop business process models and formal specifications
  • Work with customers, team members, stakeholder users, and other contractors to gather and document business, functional, technical, and non-technical requirements
  • Perform elaboration of user stories and decomposition of stories into backlog items and determine acceptance criteria
  • Use an ALM tool (JIRA) for Requirements Management, Testing, and Defect Management to create and manage requirements, epics, sub-epics, and user stories
  • Perform the collection, tracking, and monitoring of system and business requirements
  • Validate requirements and integration
  • Conduct backlog refinement sessions
  • Coordinate with Systems Engineers to assess impact on technical solutions
  • Manage and coordinate requirements for various projects
  • Write and deliver project documents to the client
  • Identify and manage risks and issues impacting the progress and outcome of the project
  • Develop and maintain the scheduled project/product backlog(s)
  • Own and manage requirements change control
  • Develop Change Requests per established policies and procedures
  • Facilitate accurate configuration management for project-related artifacts
  • Identify, document, verify, and track traceability amongst requirements, test cases, and potential risks and impediments
  • Collect, analyze, manage, and report key Program and Product Team execution status and metrics across all aspects of the Agile product development lifecycle using SAFe
  • Perform analysis to identify required tasks and their interrelationships to establish well-documented stories
  • Become a product functional Subject Matter Expert (SME)
  • Lead and mentor junior analysts in accordance with strategy and direction established by the Team Lead
  • Establish strong relationships with product and business owners
  • Support development team as needed to help everyone understand the requirements' details
  • Follow Agile methodology (Scrum) and deliver requirements/specifications for Sprint teams
  • Remove impediments from team members to achieve successful completion of Sprints
  • Provide clear qualitative and quantitative information to teams and stakeholders
  • Support change control processes established to monitor and control project scope
Required Skills and Experience
  • Must possess a strong background in software development and Agile/Scaled Agile Framework (SAFe) methodologies
  • Must possess excellent oral and written communication skills with the demonstrated ability to communicate complex technical topics to the customer, management, and non-technical audiences
  • Must possess excellent attention to detail, customer service skills, and problem-solving abilities
  • Past experience conducting independent research to support the resolution of complex questions
  • Must possess advanced experience with Microsoft (MS) Office, including Excel
  • Must possess excellent analytical skills, including integrating information from several sources
  • Expertise with JIRA tools
  • Experience in large, Agile software development or data integration projects
Professional CertificationsNone requiredYears of Professional Experience10 years of professional (an additional 10 years of experience may be substituted for education)Desired experienceExperience working in an Agile environment
Working knowledge of VA's Veterans Independence Program (VIP)
VA SQA Testing experience
Certified Scrum Master (CSM) or Professional Scrum Master (PSM)
Experience working for a Federal Health Agency (VA, DHA, HHS, etc.)
Healthcare billing and claims processing application knowledgeFormal EducationMaster's degree in Engineering or a related scientific or technical disciplineCitizenship RequirementU.S. Citizenship required for this specific opportunitySecurity Clearance RequirementsMust possess or qualify for a Public Trust (MBI)CRITICAL NOTES:
  1. SSG will not make assumptions regarding your qualifications. Your answers to the mandatory screening questions must be supported by the information on your resume. Applications with inconsistencies will not be considered.
  2. Recruiters or Third parties will not be considered.
  3. This is a 100% U.S. based remote position. However, candidates from CA, CO, IL, MN, NJ, NY, OR, or WA will not be considered.

U.S Citizenship is required for this specific opportunity. Applicants selected will be subject to a government security investigation and must meet eligibility requirements for access to classified information and be able to obtain a government-granted security clearance. Individuals may also be subject to a background investigation including, but not limited to criminal history, employment and education verification, drug testing, and creditworthiness.
Syms Strategic Group, LLC is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, marital status, disability, veteran status, sexual orientation, or genetic information.

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