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Claims Research Associate Jobs (NOW HIRING)

... claims, EHR, hospital billing, and/or national survey data sets. In doing so, Senior Research ... In doing so, Senior Research Associates may draft model plans, program models, confirm model ...

Specialty Claims Associate

Lincoln, NE · On-site

$48K - $60K/yr

Position Summary The Specialty Claims Associate processes and adjudicates FSA and HRA claims, research claim information, and delivers exceptional member service while meeting productivity and ...

Specifications Education : Bachelor's degree preferred; associate degree in healthcare ... Research and resolve claims discrepancies including payment variances, benefit application issues ...

Specifications Education : Bachelor's degree preferred; associate degree in healthcare ... Research and resolve claims discrepancies including payment variances, benefit application issues ...

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Claims Research Associate information

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How much do claims research associate jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for claims research associate in the United States is $20.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $23.08 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 are hiring for Claims Research Associate jobs?

Cities with the most Claims Research Associate job openings:

What states have the most Claims Research Associate jobs?

States with the most job openings for Claims Research Associate jobs include:

What are popular job titles related to Claims Research Associate jobs?

For Claims Research Associate jobs, the most frequently searched job titles are:

Senior Research Associate

Santa Monica, CA • On-site

Stratevi
Biotechnology Research and Development • 11 - 50 employees

$95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago


Job description

Stratevi Job Opening 

Senior Research Associate 

Who We Are  

As the name 'Stratevi' suggests, we seamlessly combine Strategy and Evidence. We are a boutique firm that partners with biotechnology, pharmaceutical and medical device companies to strategically develop and creatively communicate evidence to drive value and ensure optimal access to therapy for patients. Our team of HEOR & Market Access experts provides a premium level of service for our client partners' value strategy, evidence generation & access communication needs. Watch our 2-minute video to learn more! 

As part of Assembled Intelligence, a uniquely integrated healthcare communications and commercialization platform, we are able to support our client partners across every stage of the product journey.  

The Opportunity 

Stratevi is experiencing an exciting period of growth and is looking for great talent with experience or interest in HEOR (Health Economics & Outcomes Research) to join our team at the Senior Research Associate level. This opportunity is based in our Boston, MA or Santa Monica, CA office.

This Senior Research Associate role may work across the HEOR team, supporting our RWE and/or Health Economic homebases.

  • Within the RWE division, the role will support primary and secondary research activities, consisting of patient, caregiver, and/or HCP surveys and secondary data analytics of administrative claims, EHR, hospital billing, and/or national survey data sets. In doing so, Senior Research Associates may draft research and/or statistical analysis plans, assist with questionnaire development, and conduct data analytics. 
  • Within the Health Economics division, the role will support health economic modeling and strategic initiatives. In doing so, Senior Research Associates may draft model plans, program models, confirm model calculations and functionality, and contribute to strategic initiatives eliciting the value of novel therapies. 
  • Activities common to both divisions may include drafting sections of proposals, performing literature reviews, drafting summary or technical reports, contributing to medical writing (abstracts, posters, manuscripts), and providing quality control of deliverables. 

While we work with many large biopharma and medical device companies, we also support many smaller and mid-size biotech companies who look to us as their partners throughout their development and commercialization process, which gives you an opportunity to help support and bring some of the most innovative products to market. 

Who You Are 

You have an advanced degree (PhD, MA, or MS) in life sciences, economics, data science, statistics, or a related field, or a Bachelor's degree with 1–3 years of consulting experience within life sciences, preferably in the HEOR or RWE space. Expertise in R, Python, SAS, STATA, or Excel/VBA is a plus. You are an enthusiastic advocate of AI, using it daily to enhance your work and moving beyond basic chat-based tools to explore and apply AI more broadly.

You have a strong academic record, excellent problem-solving abilities, oral and written communication skills, quantitative skills, attention to details, and personal maturity. You bring passion, curiosity & creativity to everything you do and are eager to work in a flexible, high-growth environment. 

We have offices in the heart of Santa Monica, CA and Boston, MA, and you are excited to work closely and collaborate with colleagues within our dynamic office environment. 

Why Stratevi 

We love solving challenging problems for the most innovative products and take pride in the impact that our work has on patients. We work across a broad range of disciplines such as HEOR, market access, and access communications. Within the Assembled Intelligence platform, we also collaborate with colleagues across medical, medical communications, commercial, creative, social media and patient engagement.  

We are focused on continually cultivating a strong culture of innovation, and we love to collaborate while having fun together as a team. In addition to bringing innovative branded offerings to the market, we have also invested heavily in AI for our team members and client partners. We are looking for someone who is excited about joining and contributing to the growth of Stratevi and Assembled Intelligence. We are recruiting high performing talent with the potential of taking on leadership roles of increasing responsibility over time.  

Compensation 

The annual base salary for this position starts at $95,000. An individual's base salary is commensurate with their skills, work experience, education, and training.  

In addition to salary, we offer annual bonus incentives, health/dental/vision/life insurance, a 401k retirement with match, 3 weeks of vacation (increasing by one additional day per year of service) in addition to a winter break shut down, annual company retreat, and a flexible work environment, among other benefits. 

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to these job classifications and are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. All positions are at will, which means that they can be terminated by the employee holding the position or by Stratevi, LLC at any time with or without cause or notice. Stratevi, LLC is an Equal Opportunity Employer. Stratevi participates in the E-Verify (Employment Eligibility Verification) Program and if hired for employment will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the US. 


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About Stratevi

Sourced by ZipRecruiter

Industry

Biotechnology research and development

Company size

11 - 50 Employees

Headquarters location

Santa Monica, CA, US

Year founded

2015