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Claims Recovery Analyst Jobs (NOW HIRING)

Counsels and assists claims personnel in appropriate recovery investigation and file documentation ... This includes analysis, documentation of results and suggestions for improvement. Assist team on ad ...

Counsels and assists claims personnel in appropriate recovery investigation and file documentation ... This includes analysis, documentation of results and suggestions for improvement. Assist team on ad ...

Counsels and assists claims personnel in appropriate recovery investigation and file documentation ... This includes analysis, documentation of results and suggestions for improvement. Assist team on ad ...

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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 1, 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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What are the most commonly searched types of Claims Recovery Analyst jobs?

The most popular types of Claims Recovery Analyst jobs are:

What job categories do people searching Claims Recovery Analyst jobs look for?

The top searched job categories for Claims Recovery Analyst jobs are:

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.

Medical Claims Recovery Specialist (Subrogation) - Tucker, GA - Hybrid

Gainwell Technologies

Tucker, GA • Hybrid

$43K - $48K/yr

Full-time

Medical, Life, Retirement, PTO

Re-posted 28 days ago


Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

138th of 247 rated software companies


Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

We are seeking a Medical Claims Recovery Specialist to manage all casualty and estate functions involving state Medicaid beneficiaries or deceased Medicaid beneficiaries. This role is responsible for the intake, maintenance, claims review, case management, settlement, and all related activities within the assigned caseload.

Your role in our mission
  • Ensure all processes meet HIPAA and government security requirements regarding the sharing and storage of Personal Health Information (PHI).
  • Utilize strong analytical and case management skills to oversee 700-1,000 subrogation cases simultaneously.
  • Communicate professionally-primarily via inbound and outbound calls-with attorneys, insurance adjusters, medical providers, court staff, recipients, family members, and clients.
  • Prepare and manage required correspondence, liens, claims, and related documentation throughout the recovery process.
  • Meet departmental goals for customer service, settlements, and case handling standards.
  • Perform both basic and advanced document and legal reviews to determine case status, ensure accuracy, and support workflow progression.
  • Verify beneficiary eligibility and maintain accurate documentation.
  • Confirm and validate third-party liability, probate, and asset research findings.
  • Compile and analyze information from multiple sources to determine case status and recovery potential.
  • Process and resolve claim or lien disputes; collaborate with attorneys and relevant stakeholders as needed.
  • Conduct periodic follow-ups on case status, payments, and settlement updates.
  • Negotiate and finalize claim or lien settlement amounts according to established contract guidelines.
  • Execute and file notarized documents with applicable county offices.
  • Prioritize case events, payment issues, and revenue-impacting deadlines to ensure timely resolution.
  • Maintain accuracy, timeliness, and productivity standards for file management and phone metrics
What we're looking for
  • 2+ years of relevant professional experience in subrogation, claims, or case management.
  • Proficiency in Microsoft Word and Excel; basic knowledge of Microsoft Access is preferred.
  • Experience in a legal or insurance office setting (paralegal, legal assistant, casualty, or health insurance experience preferred).
  • Familiarity with Medicaid and/or Medicare programs is preferred
What you should expect in this role

   Hybrid work arrangement based in the Tucker, GA office - onsite 2 days per week.
   Schedule: Monday-Friday, 8:00 AM - 5:00 PM.
   Video cameras are required during all interviews and throughout the first week of orientation.
   To work effectively as a teleworker or hybrid employee, you must have broadband internet with a minimum speed of 24 Mbps download and 8 Mbps upload (higher speeds recommended for optimal performance).

This posting is intended for pipelining. We will accept applications on an ongoing basis.


#LI-HYBRID #LI-JA1 #LI-CM1

The pay range for this position is $43,500.00 - $48,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.


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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US