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Health Insurance Claims Analyst Jobs (NOW HIRING)

SIHO Insurance Services

Claims Analyst

Columbus, IN · On-site

Job Title: Claims Analyst Reports To: Supervisor of Claims This is a non-exempt position ... Determine and apply appropriate health plan benefits and update claims for payment * Ensure timely ...

myPlace Health

Claims Analyst

Los Angeles, CA · On-site

myPlace Health is built around a simple but powerful belief: older adults deserve the support they ... The Claims Analyst is responsible for the accurate, timely, and compliant processing and ...

SkySource Solutions

Claims Analyst

Cleveland, OH · On-site

$28 - $44/hr

We are seeking five experienced, licensed Claims Analysts to join our team and support ... Performance‐based incentives or bonuses. * 100% employer paid Healthcare Benefits * 401(k) with ...

Public Storage

Claims Analyst

Frisco, TX · On-site

This role serves as a key liaison between internal stakeholders, field operations, insurance ... The Claims Analyst helps support cost containment efforts, timely claim handling, and reporting ...

Prosper Services LLC

Claims Analyst

California, MO · On-site

myPlace Health is built around a simple but powerful belief: older adults deserve the support they ... The Claims Analyst is responsible for the accurate, timely, and compliant processing and ...

Public Storage

Claims Analyst

Frisco, TX

This role serves as a key liaison between internal stakeholders, field operations, insurance ... The Claims Analyst helps support cost containment efforts, timely claim handling, and reporting ...

Public Storage

Claims Analyst

Frisco, TX · On-site

This role serves as a key liaison between internal stakeholders, field operations, insurance ... The Claims Analyst helps support cost containment efforts, timely claim handling, and reporting ...

TEKsystems

Claims Analyst

Brookfield, WI · Remote

$19.25/hr

Experience processing or adjudicating healthcare claims preferred. * Strong problem-solving and ... Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term ...

Luminare Health

Sr Claims Analyst

$18.07 - $33.92/hr

In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a ... Health Insurance/Third Party Administrator Experience Preferred: * Four-year college degree in ...

Luminare Health

Sr Claims Analyst

$18.07 - $33.92/hr

In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a ... Health Insurance/Third Party Administrator Experience Preferred: * Four-year college degree in ...

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Health Insurance Claims Analyst information

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$15

$25

$44

How much do health insurance claims analyst jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for health insurance 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.

What is the difference between Health Insurance Claims Analyst vs Medical Billing Specialist?

AspectHealth Insurance Claims AnalystMedical Billing Specialist
CredentialsTypically requires a certification like CPC or CCSOften requires certification such as CPC or CMA
Work EnvironmentInsurance companies, healthcare providers, or third-party administratorsMedical offices, clinics, or billing companies
Primary ResponsibilitiesReview and process insurance claims, ensure compliance, analyze claim dataPrepare and submit billing, follow up on unpaid claims, verify patient information

The main difference is that Health Insurance Claims Analysts focus on analyzing and processing insurance claims, ensuring accuracy and compliance, often working within insurance companies or healthcare organizations. Medical Billing Specialists primarily handle the billing process, submitting claims, and following up on payments. Both roles require similar certifications and work in healthcare settings, but their core functions differ in scope and focus.

How much do health insurance claims analysts make in the US?

Health insurance claims analysts in the US typically earn a median annual salary of around $45,000 to $60,000, depending on experience, location, and certifications. Entry-level roles may start lower, while experienced analysts with specialized skills can earn higher salaries, especially in larger organizations or metropolitan areas.

How to become a health insurance claims analyst?

To become a health insurance claims analyst, typically a bachelor's degree in health administration, finance, or a related field is required. Relevant skills include knowledge of insurance policies, claims processing, and data analysis tools like Excel or specialized software; certifications such as the Certified Professional Coder (CPC) or Certified Claims Professional (CCP) can enhance job prospects.

What is a health insurance claims analyst?

A health insurance claims analyst reviews and processes insurance claims to ensure accuracy and compliance with policies. They analyze claim data, identify discrepancies, and work with healthcare providers and insurance companies, often using specialized software, to resolve issues efficiently.

What cities are hiring for Health Insurance Claims Analyst jobs?

Cities with the most Health Insurance Claims Analyst job openings:

What states have the most Health Insurance Claims Analyst jobs?

States with the most job openings for Health Insurance Claims Analyst jobs include:

What are popular job titles related to Health Insurance Claims Analyst jobs?

For Health Insurance Claims Analyst jobs, the most frequently searched job titles are:

Infographic showing various Health Insurance Claims Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $53,239 per year, or $25.6 per hour.

Claims Analyst

Columbus, IN • On-site

SIHO Insurance Services
Insurance Services • 51 - 200 employees
Learn more about SIHO Insurance Servicesexternal

Full-time

Medical, Dental, Vision

Posted 23 days ago

Job description

Job Title:       Claims Analyst

Reports To:   Supervisor of Claims  

This is a non-exempt position responsible for reviewing, analyzing, and adjudicating non-routine health claims that could not be system adjudicated for payment. Analyst must research and interpret summary plan description language and make accurate determination for adjudication or denial of claim.  Analyst must also assist in determining cause for manual intervention, then assist in writing logic and workflow automation for future claims.

Brief Description of Duties: 

  • Review incoming medical, pharmacy vision and dental claims 
  • Determine and apply appropriate health plan benefits and update claims for payment
  • Ensure timely and accurate claims adjudication
  • Follow company guidelines and policies for adjudicating claims and responding to members
  • Act as a resource for questions, opportunities, and research issues for all internal and external customers
  • Responsible for meeting performance measurement standards for productivity and accuracy
  • Identify and resolve operational problems using defend processes, judgment, and expertise
  • Provide feedback to team members regarding process improvement opportunities
  • Asset with training and mentoring of new team members
  • Resolve identified claims issues based on CCI edit repot to comply with CMS guidelines.
  • Represent the department when needed for internal and external company meetings
  • Complete special projects (including research) as assigned by Claims Supervisor or Director of Claims
  • High level understanding of state and federal laws specific to health plan administration (HIPPA, ERISA, MHPAEA, ACA Mandates etc.)
  • Develop and maintain statistical data as required
  • Assist in departmental reporting

Minimum Skills Requirement:

  • Post-secondary education or two years experience in a claims processing environment
  • Experience in Medicare Advantage strongly preferred
  • Excellent communications (oral and written) skills
  • Intermediate skill levels in Microsoft Word, Excel, and Outlook preferred
  • Ability to work at a self-directed pace in a changing, multi-task environment
  • Detail oriented
  • Professional appearance and presence
  • Commitment to support and maintain confidentiality in conformance to HIPAA guidelines

Other:

  • Confirmation of excellent attendance record in current or most recent job
  • General knowledge and understanding of claims processing functions

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.