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Claims Research Associate Jobs (NOW HIRING)

Claims Processor II

Orangeburg, SC · On-site

$16.25 - $20.50/hr

Entity University Medical Associates (UMA) Only Employees and Financials Worker Type Employee ... Researching accounts to take appropriate action necessary to resolve. * Keep management aware of ...

New

Medical Billing

Hampton, VA · On-site

$17 - $19/hr

Track all denied claims, research, and appeal/resubmit denials in a timely manner. * Prepare and ... High school diploma or equivalent * (associate degree or certification in medical billing/coding ...

... research skills Excellent written and verbal communication Ability to quickly learn systems ... This job posting is for Associate Bond Claims Attorney - Trainee, and its material job duties ...

Research payments according to plan rules to respond to members requests for payment of claim; call ... Support Plan Manager/Associates as needed. * Regular and predictable attendance is an essential ...

Research payments according to plan rules to respond to members requests for payment of claim; call ... Support Plan Manager/Associates as needed. * Regular and predictable attendance is an essential ...

Research reported claims and determine validity of the claim* Manage the documentation and submission process of each claim in your portfolio* Diligently follow up on claims and insurance companies ...

Job Summary We are seeking an Insurance Claims Associate for a temp-to-hire opportunity in ... assembly, and research. - Maintain claim forms, procedural manuals, files, calendars ...

New

Be Seen First

Monitor claim status and follow up on unpaid claims. * Research and resolve claim denials and ... Associate or bachelor's degree preferred. Schedule & Pay * Part-time: 20-25 hours per week * $21 ...

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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 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:

Principal Research Associate- Long-Term & Post-Acute Care Policy

Westat

Bethesda, MD • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Westat rating

7.5

Company rating: 7.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

54th of 73 rated research


Job description

Westat is a leader in research, data collection and analysis, technical assistance, evaluation, and communications. Our evidence-based findings help clients in government and the private sector accelerate advancements in health, education, transportation, and social and economic policy. Our dedication to improving lives through research and our approach to projects grounded in investigative curiosity, statistical and data rigor, adaptive methods, and advanced technology are why clients find exceptional value in our work.
Job Summary:
Westat has an opening for a Principal Research Associate with demonstrated subject matter expertise in gerontology, specifically in designing and conducting research on topics pertaining to healthcare quality measurement, workforce, and federal regulations as they relate to Medicare, long-term and post-acute care.
The successful candidate will be responsible for conducting healthcare analytics, statistical programming, reporting, and task management, and  will work across multidisciplinary teams to support a variety of health services research projects focused on health care delivery, policy, and quality improvement.
We value regular in-person collaboration, hybrid candidates will work a minimum of 2 days per week at our Bethesda, Maryland office or at one of our other Westat office locations. 

Please include a cover letter when submitting your application.
Job Responsibilities:

  • Serving in various technical roles using quantitative research methods for a variety of large, complex projects for the Centers for Medicare & Medicaid Services (CMS) and other federal clients, such as the Administration for Community Living.
  • Independently conducting data programming and analysis using SAS, SQL, Python, R, Databricks or other statistical packages to ingest, link, clean, create, and manipulate data.
  • Designing and leading projects and tasks using quantitative methods
  • Conducting quantitative analysis, interpreting results, and preparing internal and client-facing reports and deliverables.
  • Providing project leadership, including overseeing project staff.
  • Communicating quantitative results verbally and in writing for a variety of internal and external audiences.
  • Managing projects and tasks, including budgets, deliverables and timelines
  • Serving as a technical lead or writer on proposals for government clients and contributing to strategic growth and business development activities.
Basic Qualifications:
  • A master's degree in a relevant discipline including, but not limited to economics, statistics, public health, or computer science, and 8+ years of experience working in a healthcare-related field with progressively increasing responsibilities or a PhD and 5+ years of experience working in a healthcare-related field with progressively increasing responsibilities.
  • Deep understanding of federal survey and certification and regulations for nursing homes.
  • Quantitative expertise using SAS, SQL, Python, R, Databricks or other programming languages.
  • Ability to summarize or synthesize information for different audiences and purposes.
  • Experience conducting health services research independently and on multidisciplinary teams.
  • Experience managing projects, including budgets, timelines and multidisciplinary staff.
  • Ability to work on multiple projects and tasks simultaneously.
Preferred Qualifications:
  • Experience working with CMS data, including the Minimum Data Set (MDS) and Medicare claims data.
  • Demonstrated track record of expertise in long-term and post-acute care, as evidenced through publications and/or experience securing research funding.

Westat offers a well-rounded and comprehensive benefits program focused on wellness and work/life balance. Subject to plan requirements, employees may participate in:

  • Employee Stock Ownership Plan
  • 401(k) Retirement Plan
  • Paid Parental Leave
  • Vacation Leave  (20 days per year)
  • Sick Leave  (9 days per year)
  • Holiday Leave (7 government holidays and 2 floating holidays per year)
  • Professional Development
  • Health Advocate
  • Employee Assistance Program
  • Travel Accident Insurance
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Short Term Disability Insurance
  • Long Term Disability Insurance
  • Life and AD&D Insurance
  • Critical Illness Insurance
  • Supplemental Life Insurance
  • Flexible Spending Account
  • Health Savings Account

Any offer of employment may be contingent upon receipt of acceptable results from a post-offer background screening, if required for the specific position, which may include, for example, identity verification, employment history, motor vehicle driving record history, and criminal or sexual offender records history. Any background screening results will be evaluated through an individualized assessment based on the individual's specific record and the duties and requirements of the position.

This opportunity will be posted for a minimum of 5 days and applications will be accepted on an ongoing basis.

Employment Eligibility: This is a U.S.-based position. Candidates must be authorized to work in the United States on a full-time basis. Westat does not offer employment-based visa sponsorship (including H-1B sponsorship) for this role. Depending on project requirements, some positions may require employees to meet specific residency criteria.

Westat is an Equal Opportunity Employer and does not discriminate on the basis of race, creed, color, religion, sex, national origin, age, veteran status, disability, marital status, sexual orientation, citizenship status, genetic information, or any other protected status under applicable law. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
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