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Claims Research Analyst Jobs (NOW HIRING)

$49K/yr

... operations research knowledge to apply scientific methods and techniques to analyze systems ... You MUST provide transcripts to support your educational claims. Education must be accredited by an ...

$49K/yr

... operations research knowledge to apply scientific methods and techniques to analyze systems ... You MUST provide transcripts to support your educational claims. Education must be accredited by an ...

... to claims research and resolution. The process includes the review and/or testing of claims ... Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large ...

... to claims research and resolution. The process includes the review and/or testing of claims ... Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large ...

... to claims research and resolution. The process includes the review and/or testing of claims ... Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large ...

... to claims research and resolution. The process includes the review and/or testing of claims ... Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large ...

Research Analyst Summer Intern Truveta is the world's first health provider led data platform with ... Familiarity with healthcare data, including EHR or claims data. * Exposure to medical terminologies ...

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Claims Research Analyst information

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How much do claims research analyst jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for claims research 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 does a claims research analyst do?

A Claims Research Analyst reviews, investigates, and analyzes insurance claims to determine their validity and accuracy. They gather and assess relevant documentation, such as policy information and supporting evidence, to ensure claims are processed correctly and in compliance with regulations. Analysts also communicate with claimants, providers, and other stakeholders to clarify information and resolve discrepancies. Their primary goal is to identify errors, prevent fraud, and help ensure fair claim settlements.

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

AspectClaims Research AnalystClaims Adjuster
Primary RoleResearches and analyzes insurance claims data to identify trends and support decision-makingEvaluates and settles insurance claims by investigating damages and determining coverage
Required SkillsData analysis, research, attention to detailInvestigation, negotiation, customer service
Work EnvironmentOffice-based, research-focusedField and office-based, claims investigation
CertificationsTypically none required, but industry certifications can helpAdjuster licenses often required

While both roles work within the insurance industry, Claims Research Analysts focus on data analysis and research to support 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 are the key skills and qualifications needed to thrive as a claims research analyst?

To succeed as a Claims Research Analyst, you need strong analytical abilities, attention to detail, and a background in finance, insurance, or a related field, often supported by a bachelor’s degree. Familiarity with claims management systems, data analysis tools like Excel or SQL, and knowledge of regulatory compliance are frequently required. Excellent problem-solving skills, effective communication, and the ability to manage time efficiently will set candidates apart. These competencies are crucial for accurately investigating claims, ensuring compliance, and maintaining organizational integrity.

What are some common challenges faced by claims research analysts, and how can they effectively address them?

Claims Research Analysts often encounter challenges such as interpreting complex policy language, verifying the authenticity of supporting documents, and meeting tight deadlines. To address these, it's important to develop strong analytical and organizational skills, utilize available claims management software, and maintain clear communication with both internal teams and external parties. Proactively seeking clarification from experienced colleagues and participating in ongoing training can also help analysts stay updated on industry practices and regulatory changes.
More about Claims Research Analyst jobs
What job categories do people searching Claims Research Analyst jobs look for? The top searched job categories for Claims Research Analyst jobs are:
Infographic showing various Claims Research Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

$49K/yr

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Re-posted 22 hours ago


Job description

The PALACE Acquire Program offers you a permanent position upon completion of your formal training plan. As a Palace Acquire Intern you will experience both personal and professional growth while dealing effectively and ethically with change, complexity, and problem solving. The program offers a 3-year formal training plan with yearly salary increases. Promotions and salary increases are based upon your successful performance and supervisory approval.Qualifications:BASIC REQUIREMENTS: degree in operations research; or at least 24 semester hours in a combination of operations research, mathematics, probability, statistics, mathematical logic, science, or subject-matter courses requiring substantial competence in college-level mathematics or statistics. At least 3 of the 24 semester hours must have been in calculus.
You may qualify if you meet one of the following:
1. GS-7: You must have completed or will complete a 4-year course of study leading to a bachelor's from an accredited institution AND must have documented Superior Academic Achievement (SAA) at the undergraduate level in the following:
a) Grade Point Average 2.95 or higher out of a possible 4.0 as recorded on your official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of curriculum; OR 3.45 or higher out of a possible 4.0 based on the average of the required courses completed in your major field or the required courses in your major field completed during the final 2 years of your curriculum.
2. GS-9: You must have completed 2 years of progressively higher-level graduate education leading to a master's degree or equivalent graduate degree:
a) Grade Point Average - 2.95 or higher out of a possible 4.0 as recorded on your official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of curriculum; OR 3.45 or higher out of a possible 4.0 based on the average of the required courses completed in your major field or the required courses in your major field completed during the final 2 years of your curriculum. If more than 10 percent of total undergraduate credit hours are non-graded, i.e. pass/fail, CLEP, CCAF, DANTES, military credit, etc. you cannot qualify based on GPA.
KNOWLEDGE, SKILLS AND ABILITIES (KSAs): Your qualifications will be evaluated on the basis of your level of knowledge, skills, abilities and/or competencies in the following areas:
1. Professional operations research knowledge to apply scientific methods and techniques to analyze systems, process and/or operational problems and procedures.
2. Ability to analyze, interpret and apply operations research rules and procedures in a variety of situations and recommend effective solutions to senior analysts.
3. Ability to perform extensive inquiry into basic data to discover facts or fundamental relationships.
4. Ability to communicate effectively, both orally and in writing.
5. Knowledge of computer operations and standard software applications.
PART-TIME OR UNPAID EXPERIENCE: Credit will be given for appropriate unpaid and or part-time work. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.
VOLUNTEER WORK EXPERIENCE: Refers to paid and unpaid experience, including volunteer work done through National Service Programs (i.e., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student and social). Volunteer work helps build critical competencies, knowledge and skills that can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.Education:IF USING EDUCATION TO QUALIFY: You MUST provide transcripts to support your educational claims. Education must be accredited by an accrediting institution recognized by the U.S. Department of Education.
This position has an education requirement. You MUST provide transcripts to support your educational claims. Education must be accredited by an accrediting institution recognized by the U.S. Department of Education. http://www2.ed.gov/admins/finaid/accred/index.html
Please submit copies of all transcripts to include transferred hours. Official copies are not required at the time of application, but if selected you will be required to provide official copies of all transcripts.***NOTE*** Degree Audits are not accepted.
If you qualify based on undergraduate education, but you have not graduated prior to applying for this position, you may be offered a position contingent upon your final grade point average or class ranking.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying.
Employment Type: OTHER