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Claims Research Associate Jobs in Utah (NOW HIRING)

Allied Universal

SIU Investigator

Provo, UT · On-site

$21.25 - $27.25/hr

... research and collaboration with other SIU entities, law enforcement and state Departments of ... Associate in Claims (AIC) * Chartered Property Casualty Underwriter (CPCU) BENEFITS: * Medical ...

KIHOMAC

Purchasing Associate/Buyer

Layton, UT

$40K - $55K/yr

Research, evaluate, qualify, and onboard new vendors based on quality, capability, pricing ... claims, and corrective actions * Coordinate closely with Receiving, Property Management, and ...

KIHOMAC

Purchasing Associate/Buyer

Layton, UT · On-site

$40K - $55K/yr

Research, evaluate, qualify, and onboard new vendors based on quality, capability, pricing ... claims, and corrective actions * Coordinate closely with Receiving, Property Management, and ...

KIHOMAC

Purchasing Associate/Buyer

Layton, UT · On-site

$40K - $55K/yr

Research, evaluate, qualify, and onboard new vendors based on quality, capability, pricing ... claims, and corrective actions * Coordinate closely with Receiving, Property Management, and ...

Allied Universal

SIU Investigator

Provo, UT · On-site

$21.25 - $27.25/hr

... research and collaboration with other SIU entities, law enforcement and state Departments of ... Associate in Claims (AIC) * Chartered Property Casualty Underwriter (CPCU) BENEFITS: * Medical ...

University of Utah Health

EDI Analyst I

Murray, UT · On-site

... care, research and education. Success in this mission requires a culture of collaboration ... Responds to inquiries regarding EDI issues with enrollment, claims, payments and/or clearinghouse ...

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Claims Research Associate information

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How much do claims research associate jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for claims research associate in Utah is $19.11, according to ZipRecruiter salary data. Most workers in this role earn between $15.53 and $21.01 per hour, depending on experience, location, and employer.

What is a claims research associate?

Claims Research Associates are professionals who investigate and analyze insurance claims to determine their validity and ensure they comply with policy terms. They gather and review documentation, interview relevant parties, and communicate findings to claims adjusters or insurance companies. Their work helps prevent fraud and ensures that clients receive fair compensation. Claims Research Associates often work in insurance companies, healthcare organizations, or third-party administrators.

What are the key skills and qualifications needed to thrive as a claims research associate?

To thrive as a Claims Research Associate, you need strong analytical abilities, attention to detail, and a background in insurance, finance, or a related field—often supported by a relevant degree or experience. Familiarity with claims management software, databases, and Microsoft Office Suite is typically required, and some positions may value industry certifications like AIC (Associate in Claims). Excellent communication, problem-solving skills, and the ability to manage time effectively help set top performers apart. These skills ensure accurate investigation and resolution of claims, which is essential for minimizing risk and providing excellent customer service.

What are some common challenges faced by claims research associates, and how can they be effectively managed?

Claims Research Associates often encounter challenges such as analyzing incomplete or ambiguous claim information, managing a high volume of cases, and coordinating with multiple departments to resolve discrepancies. Successfully managing these challenges requires strong attention to detail, effective organizational skills, and clear communication with both internal teams and external parties. Utilizing available claims management systems and regularly collaborating with colleagues can help streamline processes and ensure accurate claim resolution.

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

AspectClaims Research AssociateClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer associate degreesHigh school diploma or equivalent; licensing may be required depending on state
Work EnvironmentOffice setting, research-focused tasksField and office settings, investigating claims
Industry UsageInsurance companies, third-party administratorsInsurance companies, public agencies
Common Search/ComparisonClaims Research Associate vs Claims Adjuster

The main difference between a Claims Research Associate and a Claims Adjuster lies in their roles. Claims Research Associates primarily focus on gathering and analyzing information related to insurance claims, often working in an office environment. Claims Adjusters, on the other hand, investigate claims directly, sometimes in the field, and make decisions on claim validity and settlement. Both roles require knowledge of insurance policies, but Claims Adjusters typically need licensing, whereas Claims Research Associates focus more on research skills.

How can I become a claims research associate?

To become a claims research associate, candidates typically need a high school diploma or equivalent, with some roles preferring a bachelor's degree in fields like insurance, business, or related areas. Relevant skills include attention to detail, analytical thinking, and proficiency with data management tools. Gaining experience through internships or entry-level positions in insurance or claims processing can also improve job prospects.

Is claims research a stressful job?

Claims research as a Claims Research Associate involves analyzing insurance claims, which can be demanding due to tight deadlines and the need for accuracy. The job may involve repetitive tasks and detailed data review, but stress levels vary depending on workload, company environment, and individual coping skills.

What cities in Utah are hiring for Claims Research Associate jobs?

Cities in Utah with the most Claims Research Associate job openings:

Claims Research Associate jobs near you

Member Claims Associate (6-month Contract)

Lehi, UT • Hybrid

Collective Health

7.5

Company rating: 7.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

207th of 499 rated business services

Great coworkers

Good employer

Paid breaks

Learn more about Collective Healthexternal

$16.75 - $22.50/hr

Contractor

This job post has expired 3 days ago. Applications are no longer accepted.

Job description

As a Member Claims Associate Contractor, you will drive the core processes behind Collective Health's employer-sponsored medical plans and help our members navigate their most complex claims issues. In this role, you will gain a comprehensive, hands-on understanding of health plan operations-from processing medical claims and deciphering complex coding to managing regulatory requirements and network partner relationships. Everything you do will be through the lens of delivering an exceptional member experience.

This contract is a gateway to becoming an expert in the payer-side of healthcare. Backed by our established, knowledgeable teams, you will play an essential role in scaling our operations and collaborating on a growing team at the forefront of redefining the healthcare industry.

Start Date and Training
  • Contract Start date: September 14, 2026
  • Contract End date: March 5, 2027
  • You must be available for the first 5 weeks of required training. You will not be able to take time off during the training period.
  • This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week.
What you'll do:
  • Execute the daily operations of a health plan, including filing medical claims, researching and responding to the members' most complicated questions, tracking your accuracy around core metrics, and troubleshooting the many operational challenges that affects the business
  • Provide friendly, empathetic, and clear communication to members, treating every interaction as an opportunity to make a stressful process feel easier
  • Think critically and strategically to continually boost teamwork and communication across offices
  • Gain additional skills across different areas of the business over time
  • Develop in-depth industry expertise in the healthcare economy
  • Cultivate a culture that aligns with Collective Health values and incorporates the unique aspects of the team
  • Reporting to the Manager of Member Claims, this is an essential role on the Customer Experience team
To be successful in this role, you'll need:
  • You're customer-service oriented: you listen well, communicate with patience and empathy, and enjoy helping people work through problems
  • You can become proficient with a large volume of information quickly
  • You are a committed team player
  • You are excited to build and adapt to the adventures of working on a growing team
  • You are passionate about being a part of a fast-growing company
  • You have a passion for Collective Health's mission to transform the health insurance experience for employers and their employees
  • Above all, you are driven, curious, and take ownership for everything you do
Nice to have:
  • Bachelor's degree or 1 or more years of work experience
  • Prior experience in customer service, healthcare, or another people-facing role

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