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Claims Recovery Analyst Jobs (NOW HIRING)

Network Health WI

COB & Recovery Analyst

Menasha, WI · On-site +1

Network Health is seeking a COB and Recovery Analyst who will use their advanced knowledge of ... Assumes responsibility for accuracy, timeliness and efficiency of COB claims following established ...

Cna

Claims Recovery Director

Wyomissing, PA · On-site

Regularly uses data analytics to monitor team(s) performance, and develops strategies to drive ... Typically minimum of ten years of claims and/or recovery related experience. * Three or more years ...

CNA

Claims Recovery Director

Wyomissing, PA · On-site

Regularly uses data analytics to monitor team(s) performance, and develops strategies to drive ... Typically minimum of ten years of claims and/or recovery related experience. * Three or more years ...

Cna

Claims Recovery Director

Littleton, CO · On-site

Regularly uses data analytics to monitor team(s) performance, and develops strategies to drive ... Typically minimum of ten years of claims and/or recovery related experience. * Three or more years ...

Network Health, Inc

COB & Recovery Analyst

Menasha, WI · On-site +1

Network Health is seeking a COB and Recovery Analyst who will use their advanced knowledge of ... Assumes responsibility for accuracy, timeliness and efficiency of COB claims following established ...

Network Health

COB & Recovery Analyst

Menasha, WI · On-site +1

Network Health is seeking a COB and Recovery Analyst who will use their advanced knowledge of ... Assumes responsibility for accuracy, timeliness and efficiency of COB claims following established ...

prosperity

Reinsurance Specialist

Austin, TX

Support claims recovery efforts and coordinate with reinsurance partners as needed * Assist with month-end reinsurance processes and reporting requirements Reporting & Analysis * Perform technical ...

Prosperity

Reinsurance Specialist

Austin, TX · On-site

Support claims recovery efforts and coordinate with reinsurance partners as needed * Assist with month-end reinsurance processes and reporting requirements Reporting & Analysis * Perform technical ...

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Claims Recovery Analyst information

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How much do claims recovery analyst jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for claims recovery 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 is a claims recovery analyst?

Claims Recovery Analysts are professionals who review, analyze, and process insurance or healthcare claims to identify overpayments, duplicate payments, or other recoverable funds. They work with insurance companies, healthcare providers, or third-party administrators to ensure accurate claims processing and pursue reimbursement where appropriate. Their role involves investigating discrepancies, communicating with stakeholders, and following up on recovery opportunities to minimize financial losses for their organization.

What are the key skills and qualifications needed to thrive as a claims recovery analyst, and why are they important?

To thrive as a Claims Recovery Analyst, you need strong analytical skills, knowledge of insurance claims processes, and typically a bachelor’s degree in finance, business, or a related field. Familiarity with claims management software, data analysis tools, and sometimes certification such as Certified Claims Professional (CCP) is valuable. Attention to detail, problem-solving ability, and effective communication are crucial soft skills for excelling in this role. These competencies ensure accurate recovery of funds, compliance with regulations, and efficient collaboration with internal teams and external partners.

What are the typical challenges faced by a claims recovery analyst when working with external stakeholders?

Claims Recovery Analysts often work closely with insurance companies, healthcare providers, and third-party vendors to resolve and recover overpaid or incorrectly processed claims. One common challenge is navigating varying documentation standards and response times among these stakeholders, which can slow down the recovery process. Building strong communication skills and persistence is key to overcoming these hurdles and ensuring timely and accurate claim resolutions. Collaborating effectively within a multidisciplinary team also helps to address complex cases and streamline recovery efforts.

What is the difference between Claims Recovery Analyst vs Claims Adjuster?

AspectClaims Recovery AnalystClaims Adjuster
Primary FocusRecovering funds for overpaid or denied claimsEvaluating and settling insurance claims
CertificationsMay include insurance or recovery certificationsInsurance licenses often required
Work EnvironmentOffice-based, often in recovery or finance departmentsField and office-based, in insurance companies
Industry UsageInsurance, finance, legal recoveryInsurance, claims processing

While both roles involve insurance processes, Claims Recovery Analysts focus on recovering funds after claims are paid or denied, whereas Claims Adjusters evaluate and settle claims initially. The roles often overlap in industry and certifications but differ in their primary responsibilities and work environment.

How much do claims recovery analysts make in the US?

Claims recovery 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 positions may start lower, while experienced analysts with specialized skills or certifications can earn higher salaries. Compensation often includes benefits such as health insurance and paid time off.
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The top searched job categories for Claims Recovery Analyst jobs are:

Claims Recovery Analyst jobs near you
Infographic showing various Claims Recovery Analyst job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 19% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

COB & Recovery Analyst

Network Health WI

Menasha, WI • On-site, Remote

Full-time

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

Network Health rating

7.9

Company rating: 7.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

187th of 315 rated insurance

Job description

Network Health's success is rooted in its mission to create healthy and strong Wisconsin communities. Network Health is seeking a COB and Recovery Analyst who will use their advanced knowledge of refunds and recoveries and Medicare Part D coordination of benefits to maintain and drive improvements to our refund and recovery operations and Medicare Part D COB process.
Individuals in this role will help develop departmental policies and procedures to be followed. Investigates potential refunds and processes requests from Providers and Members due to overpayment or inaccurate payments due to COB or various other reasons. Medicare Part D COB is responsible for accurate coordination to ensure our PBM has correct information, preventing members from prescription delays.
Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required). Travel to the corporate office in Menasha will be required occasionally for the position, including on first day.
Hours: 1.0 FTE, 40 hours per week, 8am-5pm Monday through Friday
Check out our 2025 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.
Job Responsibilities:
  • Maintain reports for tracking voluntary refunds, recoup requests and the negative vendor report
  • Keeps current on all business programs, including, products offered, group contracts and certificates, provider discounts, percentages and per diems, authorizations, and other utilization management policies, etc.
  • Acts as a liaison between Payment Integrity and other operational departments for claim recovery issue resolution.
  • Reviews and follows up on open work items to ensure resolution is within established timeframes
  • Works closely with refunds and recoveries to identify root-cause for COB related refunds and recoveries
  • Assumes responsibility for accuracy, timeliness and efficiency of COB claims following established guidelines
  • Assist other departments with COB/Medicare Part D appropriate claims payment questions and helps resolve claims adjudication disputes related to COB
  • Identifies and reports issues with COB/MSP identification or processing training and assists in addressing COB training opportunities.
  • Works professionally with members, employers, providers, other insurance carriers and CMS with regard to verification and update of member information to ensure accuracy
  • Manage monthly and annual Medicare Part D letters and corresponding updates with ESI
  • Responsible for complete and accurate documentation of all information received in all applicable member records and databases
  • Assists leadership in decision-making and provides all relevant information accurately and timely
  • Ensures department desk procedures related to role are current and complete
  • Review and respond to CMS Demand Letters for group health plans
  • Assists in addressing training opportunities
  • Actively participates in shared accountability and commitment for departmental and organization-wide results. Support departmental/team goals and objective

Job Requirements:
  • Minimum of 3 years combined operations/customer service experience within the health insurance industry
  • 1-3 years COB, Claims, Refunds and Recoveries or related work
  • Excellent communication, critical thinking, and decision-making skills
  • Knowledge of process improvement/maximum operational efficiency preferred
  • Proficiency in MS Word, Excel, Outlook
  • Working knowledge of COB, MSP and Medicare Part D

Network Health is an Equal Opportunity Employer.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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