1

Claims Research Associate Jobs (NOW HIRING)

Dental Billing and Collections Associate

Howard, SD · On-site

$17.50 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Successful candidates for the Billing and Collections Associate should be passionate about ... Prepare and file insurance claim forms including electronic claims. * Research insurance denials ...

Claims Examiner

Louisville, KY · On-site

$17 - $20/hr

  • Medical

Perform claim research to identify discrepancies, missing information, eligibility concerns ... Associate's or Bachelor's degree preferred. * Minimum of 2 years of experience in US Healthcare ...

Claims Examiner

$17 - $20/hr

  • Medical

Perform claim research to identify discrepancies, missing information, eligibility concerns ... Associate's or Bachelor's degree preferred. * Minimum of 2 years of experience in US Healthcare ...

Claims Examiner

$17 - $20/hr

  • Medical

Perform claim research to identify discrepancies, missing information, eligibility concerns ... Associate's or Bachelor's degree preferred. * Minimum of 2 years of experience in US Healthcare ...

Be Seen First

Associate's degree preferred. 2+ years grievance or appeals, claims or related managed care ... researching information * Assist with HEDIS production functions including data entry, calls to ...

Business Claims Associate

Tampa, FL · On-site

$16.75 - $22.75/hr

  • Medical

Research and resolve provider inquiries. * Performs other duties as assigned. * Storing and maintenance of multiple electronic documents. * Ability to multi-task Business Claims Associate - Minimum ...

The Senior Associate, Claims is responsible for evaluating disability claims and determining ... Strong research, analytical, and problem-solving skills, including the ability to identify and use ...

Showing results 21-40

Claims Research Associate information

See salary details

$13

$20

$30

How much do claims research associate jobs pay per hour?

As of Aug 18, 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:

(Hybrid) Research Associate - Health Affairs Institute

West Virginia University

Morgantown, WV • On-site

Other

Medical, Retirement, PTO

Re-posted 21 days ago


West Virginia University rating

6.9

Company rating: 6.9 out of 10

Based on 61 frontline employees who took The Breakroom Quiz

460th of 618 rated colleges and universities


Job description

Description

The Health Affairs Institute at West Virginia University is currently accepting applications for a (Hybrid) Research Associate position.

About the Opportunity

West Virginia University's Health Affairs Institute frequently engages in collaborative efforts with West Virginia's Department of Health Human Services (DoHS). Ideal candidates will have work experience that aligns with the mission of DOHS's Bureau for Medical Services, Bureau for Children and Families, Bureau for Behavioral Health, and Bureau for Public Health.

The Research Associate is a key participant in the emerging State-University partnership between the West Virginia University Health Sciences Center and the West Virginia Department of Human Services. Overarching responsibilities include working with the state to leverage their data and support analytic and policy needs, conducting relevant policy and evaluation research, participating in interdisciplinary research and evaluation teams, and providing oversight and support to other data analysts and personnel embedded within the Department for Human Services. The Research Associate will be an employee of the West Virginia University; however, this individual will be embedded within the Health Affairs Institute and will work full-time out of the office located in Charleston, West Virginia.

We strongly believe in work-life balance and keeping time for things we love outside our work. WVU offers generous benefits, including:
* 37.5-hour work week
* 13 paid holidays (staff holiday calendar)
* 24 annual leave (vacation) days per year (employee leave)
* 18 sick days per year (for when you're ill, for when you need time to care for sick family, for your own, or your family's, regularly scheduled medical appointments. Who is family for the purpose of this leave? A lot of people in your life including immediate relatives and in-laws as well as others considered to be members of your household living under the same roof)
* WVU offers a range of health insurance and other benefits
* 401(a) retirement savings with 6% employee contribution match, eligibility to continue health insurance, and other retiree perks. Looking for more retirement benefits information? Check out retirement health insurance benefits, retirement income, and FAQ's.
* Wellness programs

What You'll Do

  • Serves as a University representative and liaison to the West Virginia Department of Human Services for the planning and performance of projects, programs and activities involving health data analytics and program evaluation.
  • Work as part of a team to advance the partnership between the West Virginia University Health Sciences Center and the West Virginia Department of Human Services
  • Facilitates communication and efficient collaboration between research partners at the West Virginia University Health Sciences Center and the staff of the West Virginia Department of Human Services.
  • Oversee and conduct analyses of Medicaid claims data using SAS and other statistical analysis packages at the direction of the Director of Health Data Analytics or leadership within the Department for Human Services.
  • Support both West Virginia University faculty as well as leadership within the Department for Human Services in using Medicaid claims data as well as other state data sources to answer research questions of interest to the state.
  • Train other West Virginia University faculty in analyzing Medicaid claims data and other state data sources using SAS or other statistical analysis packages.
  • Ensure that data analytic and research/evaluation activities are compliant with university-level policies for the responsible conduct of research as well as federal, and state policies.
  • Provides consultation to faculty and government partners regarding preparation of research proposals, design and methodology, data analytics and interpretation of results.
  • Identify opportunities for potential collaborations between the Health Sciences Center and the West Virginia Department of Human Services.
  • Prepares reports as required by the University, the Health Sciences Center administration, and external agencies. Communicates results of analytic projects and program evaluations with relevant staff of the West Virginia Department of Human Services.
  • Conducts or directs special projects as assigned. Acts in other matters and capacities as delegated by the Associate Vice President for Health Affairs or the Director of Health Data Analytics.
  • Assist with the publication of peer-reviewed manuscripts
Qualifications
  • PhD in health or data science-related field.
  • A minimum of three (3) years of experience:
    • Record of research and achievement in health outcomes and policy research (health services research, public health informatics, health policy, clinical outcomes) as evidenced by publications and / or sustained involvement in a research program.
    • Experience conducting research/evaluation using large health data sources within the healthcare industry or academic or governmental sectors
  • All qualifications must be met by the time of employment

Knowledge, Skills and Abilities

  • Extensive knowledge and experience in utilizing large health databases for research, program evaluation, and policy development.
  • Experience analyzing Medicaid administrative claims data.
  • Extensive knowledge in the use of standard statistical analysis packages such as SAS or R
  • Experience designing and overseeing large research projects using administrative claims data.
  • Record of successfully publishing peer-reviewed manuscripts in the field of health services research
  • Experience training and / or supervising other individuals in using statistical analysis packages to analyze administrative claims data.
  • Ability to project and maintain a positive and collaborative attitude.
  • Record of accomplishments in health data analytics.
  • Strong ability to communicate goals, methods, and results of research initiatives with key stakeholders.
  • Proficiency presenting the results of data analyses to diverse groups of stakeholders.
Requirements
  • Valid Driver's License and ability to travel on an intermittent basis if/when required.
About WVU

West Virginia University is a place of purpose and community. We take pride in our profound impact on the state of West Virginia and are committed to the personal and professional growth of our employees.

From the groundbreaking R1 research at our flagship campus in Morgantown to the career-oriented programs at WVU Potomac State in Keyser, and the technology-intensive programs at WVU Tech in Beckley, the contributions of WVU employees resonate across the state, touching lives and shaping futures.

At WVU, you will discover a supportive community that champions work-life balance and fosters a collaborative atmosphere. Our core values - service, curiosity, respect, accountability and appreciation - unite us as Mountaineers.

Join us at West Virginia University, where your work will make a lasting impact. To learn more about WVU, visit wvu.edu.

West Virginia University is an Equal Opportunity Employer. We invite all qualified applicants regardless of race, color, religion, sex, national origin, age, disability, genetic information, or Veteran status.

Job Posting: May 27, 2026
Posting Classification: FE/AP
Exemption Status: Exempt
Benefits Eligible: Yes
Schedule: Full-time

What West Virginia University employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom