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Entry Level Claims Analyst Jobs (NOW HIRING)

Swinerton Incorporated

Scheduling/Cost Analyst

Concord, CA · On-site

$80K - $100K/yr

... claims analysis for which the Contractor has entitlement for recovery under the Contract. ESSENTIAL RESPONSIBILITIES AND DUTIES: • Able to perform all essential Entry Level/Intern Project Engineer ...

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MSX International

Claims Specialist

Dearborn, MI

... but not required Strong analytical and problem solving skills Strong interpersonal and ... (entry level) Ability to balance changing priorities and to provide regular status reports as ...

MSX International

Claims Specialist

Dearborn, MI

... not required · Strong analytical and problem solving skills · Strong interpersonal and ... (entry level) · Microsoft Excel (entry level) · Ability to balance changing priorities and to ...

MSX International

Claims Specialist

Dearborn, MI · On-site

... required • Strong analytical and problem solving skills • Strong interpersonal and ... Excel (entry level) • Ability to balance changing priorities and to provide regular status ...

Cherokee Insurance Company

Claims Assistant

Wolverine, MI · On-site

$17.75 - $22.75/hr

We are looking for highly detailed, analytical and assertive individuals to assist with the ... Level: Entry level, with increasing responsibility and advancement opportunity based on needs and ...

Cherokee Insurance Company

Claims Assistant

Wolverine, MI

$17.75 - $22.75/hr

We are looking for highly detailed, analytical and assertive individuals to assist with the ... Level: Entry level, with increasing responsibility and advancement opportunity based on needs and ...

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Entry Level Claims Analyst information

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$15

$25

$44

How much do entry level claims analyst jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for entry level claims analyst in the United States is $25.60, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.16 per hour, depending on experience, location, and employer.

Is being a claims analyst hard?

Being an entry-level claims analyst involves reviewing insurance claims, verifying information, and ensuring accuracy, which can require attention to detail and analytical skills. The role may involve handling a high volume of claims and learning industry-specific software, but it generally has manageable complexity for those with basic math and communication skills.

What does an Entry Level Claims Analyst do?

An Entry Level Claims Analyst reviews and processes insurance claims to determine their validity and accuracy. They analyze documentation, verify policyholder information, and ensure claims comply with company policies and regulations. The role often involves communicating with claimants, healthcare providers, or other parties to gather additional information. Entry Level Claims Analysts work under the supervision of more experienced analysts and are trained to identify potential fraud or errors in claims. This position is a great starting point for a career in insurance or risk management.

What are the key skills and qualifications needed to thrive as an Entry Level Claims Analyst, and why are they important?

To thrive as an Entry Level Claims Analyst, you need strong analytical skills, attention to detail, and a bachelor's degree in finance, business, or a related field. Familiarity with claims management software, Microsoft Excel, and basic data entry systems is typically required. Excellent communication, problem-solving abilities, and organizational skills help you stand out in this role. These competencies ensure accurate processing, effective customer service, and compliance with company and regulatory standards.

What are the most common challenges faced by entry level claims analysts, and how can they be successfully managed?

Entry level claims analysts often encounter challenges such as understanding complex policy language, managing a high volume of claims, and balancing accuracy with efficiency. To manage these challenges, it's important to ask questions, seek mentorship from experienced colleagues, and utilize training resources provided by your employer. Developing strong organizational skills and learning to prioritize tasks can also help you stay on track and meet deadlines. Over time, familiarity with claim processes and effective communication with team members will make handling these challenges much easier.

How to become a claim analyst?

To become an entry-level claims analyst, candidates typically need a high school diploma or equivalent, with some roles preferring or requiring a bachelor's degree in fields like business, finance, or insurance. Relevant skills include attention to detail, analytical thinking, and proficiency with computer software such as Excel; obtaining industry certifications like the Certified Claims Professional (CCP) can also enhance job prospects.

What is the difference between Entry Level Claims Analyst vs Claims Processor?

AspectEntry Level Claims AnalystClaims Processor
Required CredentialsHigh school diploma or equivalent; some roles prefer associate degreeHigh school diploma or equivalent
Work EnvironmentOffice setting, analyzing claims data, customer interactionOffice setting, reviewing and processing claims
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers

Entry Level Claims Analysts and Claims Processors often share similar educational backgrounds and work environments. However, Claims Analysts typically perform more analytical tasks and may handle complex claims, while Claims Processors focus on reviewing and processing claims efficiently. Both roles are essential in the insurance industry and often serve as entry points for careers in claims management.

Can I get a claims adjuster job with no experience?

Entry level claims adjuster positions often do not require prior experience, but employers typically look for strong communication skills, attention to detail, and basic knowledge of insurance policies. Completing relevant training or certifications, such as a claims adjusting license, can improve chances of hiring. On-the-job training is common for new hires without experience.

Is claim adjusting a dying field?

Claim adjusting is a stable profession within the insurance industry, with ongoing demand for skilled adjusters to evaluate and process claims. While automation and digital tools are increasingly used, human judgment remains essential, especially for complex or disputed claims, supporting continued employment opportunities for entry-level claims analysts.
More about Entry Level Claims Analyst jobs
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What are the most commonly searched types of Claims Analyst jobs? The most popular types of Claims Analyst jobs are:
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What job categories do people searching Entry Level Claims Analyst jobs look for? The top searched job categories for Entry Level Claims Analyst jobs are:
Entry Level Claims Analyst jobs near you
Infographic showing various Entry Level Claims Analyst job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $53,239 per year, or $25.6 per hour.

Medical Only Claims Spec I/II

Accident Fund Holdings, Inc.

Lansing, MI • On-site

Full-time

Re-posted 10 days ago

Job description


SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job)
The Medical Only Claims Specialist I is an entry level claims role. The incumbent is expected to be proficient with the Claims unit, policies, processes, procedures, and terminology.
The Medical Only Claims Specialist II is an experienced level claims role. The incumbent is expected to perform at a high level with minimum supervision.
Primarily responsible for the investigation and management of workers' compensation claims. Conducts a 1 to 3-point contact on the managed claims, which is dependent on either the facts of the case or the claim type; determines compensability of claims, manages the medical treatment program, and assists in the return-to-work process. This includes calling and discussing potential claim activity and work-related injuries with policyholders, claimants, providers, attorneys, agents, and state agencies. Trains and mentors other team members. Provides backup support to other Claim Handlers.
PRIMARY RESPONSIBILITIES: (Brief bullet points detailing the major duties, not tasks, for this job and the % of time spent on each. Please list them in the order of importance)
  • Investigates workers' compensation claims with a mandatory contact to the employer within the required time frame with additional contacts to the employee or provider, as necessary.

  • Documents claim file.

  • Verifies workers' compensation coverage (statutory and policy) of employers and injured employees.

  • Determines, documents, and manages the on-going medical treatment program including directing care, creating jurisdictional specific panels, and approving provider requests.

  • Remains abreast of new case law decisions affecting claim and medical management.

  • Monitors the work status of the injured workers.

  • Evaluates medical reports and correspondence for appropriate action/documentation

  • Supports the customer service work and processes for the multi-functional claims team; Communicates and collaborates with team members to ensure the appropriate and timely handling of claims in other states.

  • May be required to handle multiple jurisdictions based on team needs.

  • Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Documents in the claim file the basis for reserve calculations.

  • Determines causal relationship between the reported injury and the incident to ensure appropriate payment of benefits.

  • Documents specifics of claims with potential for subrogation recovery

  • Assists Subro representative with investigation.

  • Engages ISU to obtain police reports.

  • Approves, edits, and denies payment based on knowledge of the treatment plan and medical support showing relationship of treatment to the injury.

  • Concludes and closes files following resolution of claims to meet internal performance standards while complying with state legislation to avoid penalties and manage expenses.

  • Coordinates with outside vendors to ensure cost containment efforts.

  • Establishes and maintains effective working relationships with all internal and external customers. Assists with determining appropriate response to regulatory inquiries.

  1. Coordinates all efforts with proprietary technology, including causation investigations, Care Analytics, and future models.

  1. Determines appropriate response to regulatory inquiries and completes statutory filings, including EDI data completion

  • Composes correspondence and various reports in the administration of workers compensation claims; sets appropriate diaries.

  • Reads, routes and keys incoming mail, runs reports and answers/responds to incoming phone calls on both direct and ACD line, faxes, and emails. This may include completing work for peers during absences to provide uninterrupted service to customers.

  • Schedules independent medical evaluations provides synopsis and outlines all questions to IME physician. Upon receipt of results, communicates to all parties, facilitates future treatment, or may result in formal denials being filed

  • Assigns ISU to complete causation investigation

  • Stays abreast of changes in workers' compensation statutes, case law and rehabilitation efforts/advancements to accurately interpret and apply relevant laws.

  • Handles telephonic mediations to avoid litigation.

  • Communicates with plaintiff's attorney and provides limited records to potentially avoid unnecessary litigation. Active litigation is transferred to another team. May handle mediation or teleconference dependent on the circumstances

  • Manages prescription requests, medical treatment, and ongoing return to work options for injured employees

  • Facilitates return to work for the injured employee and monitors work status on medical only claims with a keep at work focus.

  • May serve as an adjuster to the dedicated account representative

  • Supports the team, as required, by acting as a back up to the MOCS, and Claims Representatives.

  • Responsible to set the initial reserve and any subsequent changes on indemnity files.

  • Approves, edits and denies medical bills for non-indemnity and indemnity claims directly associated with the claimed injury based on knowledge of the treatment plan and medical support showing relationship of treatment to the injury.

  • Conducts employee-employer interviews to assist in the return-to-work process.

  • Supports the account management process appropriately for the team's block of business.

ADDITIONAL RESPONSIBILITIES FOR A MEDICAL ONLY CLAIMS SPECIALIST II:
  • Trains and mentors other team members.

  • Mentors fellow team members and assists in their development as a MOCS

  • Works with minimum supervision.

  • May attend agent and/or policyholder visits.

ADDITIONAL PRIMARY RESPONSIBILITIES FOR MAINTENANCE:
  1. Initiates indemnity payments and monitors for items such as age reduction, coordination of benefits, Stozicki, Second Injury Fund, dependent drops and supplemental payments.

  1. Monitors rate of life expectancy and update/monitor reserves accordingly.

  1. Compiles annual CAT assessments and reviewing with appropriate parties.

  1. Evaluates cases for Stokes and PRIUM.

  1. Coordinates with outside vendors to ensure cost containment efforts

  1. Works closely with manager on complex files or files above reserve authority.

This description identifies the responsibilities typically associated with the performance of the job. The percentage of time in any responsibility may vary between positions. Other relevant essential functions may be required.
EMPLOYMENT QUALIFICATIONS:
  1. EDUCATION REQUIRED: (Brief paragraph detailing the minimum education required, including certifications) Do not state preferred qualifications.

MEDICAL ONLY CLAIMS SPECIALIST I:
High school diploma
MI or TX license is required with 180 days of start date*
*see notes below
MEDICAL ONLY CLAIMS SPECIALIST II:
Associate degree in insurance and/or related field with progress towards or completion of Insurance Institute of America (IIA) or other insurance related designation(s). Combinations of education and experience may be considered in lieu of a degree.
MI or TX license required.
  1. EXPERIENCE REQUIRED: (Minimum experience required to perform this job) Do not state preferred experience.

MEDICAL ONLY CLAIMS SPECIALIST I:
Successful completion of Medical Only Claims Specialist training program.
OR
30 credit hours towards an Associate's degree in insurance, business administration, health administration and/or a related field. Minimum of Two (2) years insurance experience, including one (1) year of demonstrated technical knowledge (i.e. applying relevant workers compensation laws, regulations, guidelines, and/or policies that would impact claims and/or underwriting outcomes). Relevant customer service experience exchanging information and answering and resolving inquiries over the phone. Combination of education and experience may be considered in lieu of a credit hours.
OR
Associate's degree in insurance, business administration, health administration and/or related field with progress towards or completion of Insurance Institute of America (IIA) or other insurance related designation(s) and two (2) years of insurance experience including one (1) year experience in a property & casualty claims role (i.e. applying regulations, guidelines, and/or policies that would impact claims and/or underwriting outcomes in a property & casualty environment). Combination of education and experience may be considered in lieu of a degree.
MEDICAL ONLY CLAIMS SPECIALIST II (MOCS II):
1 years' experience as a MOCS I with demonstrated competency in multiple jurisdictions.
OR
Minimum of three (3) years insurance experience. Two (2) years of demonstrated technical knowledge (i.e. applying relevant workers compensation laws, regulations, guidelines, and/or policies that would impact claims and/or underwriting outcomes) including one (1) year managing workers' compensation claims required. Relevant customer service experience exchanging information and answering and resolving inquiries over the phone required.
  1. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: (Brief bullet points detailing the skills, knowledge, and abilities required for this job. SKA's should tie back to the primary responsibilities required)

  1. General knowledge of claims operations specifically claims processes.

  1. Ability to work effectively in a multifunctional business unit.

  1. Excellent verbal and written communication skills.

  1. Ability to use diplomacy, discretion, and appropriate judgment when responding to inquiries from staff and external customers as well as anticipating needs of the department.

  1. Ability to effectively exchange information clearly and concisely, and present ideas, report facts and other information and respond to questions as appropriate.

  • Basic knowledge of Workers Compensation in one or more states including jurisdictional laws.

  • Basic knowledge of statutory standards in multiple states.

  • Ability to apply relevant workers' compensation laws and regulations, including jurisdictional laws.

  • Ability to negotiate, build consensus, and resolve conflict.

  • Excellent organizational skills and ability to prioritize work.

  1. Ability to manage multiple priorities and meet established deadlines.

  1. Ability to perform mathematical calculations.

  • Excellent analytical and problem-solving skills.

  • Ability to use reference manuals.

  • Knowledge of medical terminology.

  • Knowledge of legal terminology.

  • Ability to comprehend various claims issues, address them or refer them for appropriate decision-making.

  • Ability to analyze details of workers compensation claims and as a result able to make competent, independent decisions within authority.

  1. Ability to work with minimal direction.

  1. Ability to travel to locations outside of the office.

  1. Ability to proofread documents for accuracy of spelling, grammar, punctuation, and format.

ADDITIONAL SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED FOR MOCS II:
  • Demonstrated ability to use diplomacy, discretion, and appropriate judgment when responding to inquiries from staff and external customers as well as anticipating needs of the department.

  • Demonstrated ability to effectively exchange information clearly and concisely, and present ideas, report facts and other information and respond to questions as appropriate.

  • Knowledge of Workers Compensation in one or more states including jurisdictional laws.

  • Knowledge of statutory standards in multiple states.

  • Demonstrated ability to negotiate, build consensus, and resolve conflict.

  • Demonstrated ability to manage multiple priorities and meet established deadlines.

  • Demonstrated ability to comprehend various claims issues, address them or refer them for appropriate decision-making.

  • Demonstrated ability to analyze details of workers compensation claims and as a result able to make competent, independent decisions within authority.

  • Demonstrated ability to work with minimal direction.

  1. ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED: (Briefly detail the preferred education, experience, skills, knowledge an

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