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Medical Claim Analyst Jobs (NOW HIRING)

Crawford and Company

Medical Claim Analyst

Metairie, LA · On-site

$14.88 - $27.22/hr

Medical Claim Analyst This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. ✅ Why Join Crawford & Company? Excellent ...

Crawford and Company

Medical Claim Analyst

Metairie, LA · Hybrid

$3K/mo

Medical Claim Analyst This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. Why Join Crawford & Company? Excellent Crawford ...

Secure Eclaims LLC

Medical Claim Analyst

Miami, FL

* Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries. * Performs hospital length of ...

Secure Eclaims LLC

Medical Claim Analyst

Miami, FL

* Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries. * Performs hospital length of ...

Larkin Community Hospital

Medical Claim Adjuster

Miami, FL · On-site

$63K - $81K/yr

Medical Claim Adjuster DEPARTMENT: Patient Accounts SUPERVISOR: Business Office Director Larkin ... Excellent numerical and analytical skills, with a keen eye to detail. * Ability to interpret ...

The Reny Company

Medical Claim Processor

Plano, TX · On-site

$18.50 - $21/hr

THIS IS NOT A REMOTE POSITION The Reny Company's medical claim processor is a professional who ... analytical and interpersonal skills Company Description The Reny Company is a rapidly growing ...

Curana Health, Inc.

SummaryThe Claim Analyst is responsible for processing insurance claims accurately and efficiently ... Curana also ranked 16th in the "Healthcare & Medical" industry category and 21st in Texas. This ...

Gallagher

Medical Claim Auditor

Rolling Meadows, IL · On-site

The Senior Analyst/Auditor provides strategic insights through advanced data analysis, predictive ... Medical/dental/vision plans, which start from day one! * Life and accident insurance * 401(K) and ...

Sun Life Financial

Stop Loss & Health Claim Analyst

OR · On-site +1

$54K - $81K/yr

Understand where, when and how professional resources both internal and external, e.g. medical ... claim processing * Demonstrated ability to work as part of a cohesive team * Strong written and ...

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All JobsMedical Claim Analyst Jobs

Medical Claim Analyst information

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$15

$25

$41

How much do medical claim analyst jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medical claim analyst in the United States is $25.11, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $25.24 per hour, depending on experience, location, and employer.

What does a Medical Claim Analyst do?

A Medical Claim Analyst reviews and processes medical insurance claims submitted by healthcare providers or policyholders. They examine the accuracy and completeness of the claims, verify patient eligibility and coverage, and ensure that the services billed are covered by the insurance policy. Medical Claim Analysts also identify potential errors, discrepancies, or fraudulent activities in claims and communicate with providers or members to resolve issues. Their work helps ensure timely and accurate reimbursement for medical services and maintains the integrity of the claims process.

What is the difference between Medical Claim Analyst vs Medical Billing Specialist?

AspectMedical Claim AnalystMedical Billing Specialist
CredentialsTypically requires a certification like CPC or similarOften requires certification but less specialized
Work EnvironmentInsurance companies, healthcare providers, or third-party payersMedical offices, clinics, or billing companies
Job FocusAnalyzing and processing insurance claims, ensuring accuracyPreparing and submitting patient bills, following up on payments

While both roles involve handling healthcare financial transactions, Medical Claim Analysts focus on reviewing and processing insurance claims for accuracy and reimbursement, whereas Medical Billing Specialists primarily prepare and submit patient bills and follow up on payments. Both roles require knowledge of medical coding and insurance policies but differ in their core responsibilities and work settings.

What are some common challenges Medical Claim Analysts face when reviewing complex claims?

Medical Claim Analysts often encounter challenges such as interpreting varying coding standards, handling incomplete or ambiguous documentation, and staying updated with constantly changing healthcare regulations. Managing high volumes of claims while ensuring accuracy can also be demanding, especially when claims involve specialized procedures or multi-layered insurance policies. Strong attention to detail, effective communication with providers or patients, and ongoing training help analysts overcome these obstacles and ensure timely, accurate claim processing.

What are the key skills and qualifications needed to thrive as a Medical Claim Analyst, and why are they important?

To thrive as a Medical Claim Analyst, you need a solid understanding of medical terminology, insurance guidelines, and claims processing, often supported by a relevant associate degree or certification. Familiarity with claims management software, ICD-10/CPT coding systems, and electronic health record (EHR) platforms is typically required. Strong attention to detail, analytical thinking, and effective communication skills help analysts resolve discrepancies and collaborate with healthcare providers. These skills ensure accurate claim evaluations, minimize errors, and contribute to efficient reimbursement processes in healthcare organizations.
More about Medical Claim Analyst jobs
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What states have the most Medical Claim Analyst jobs? States with the most job openings for Medical Claim Analyst jobs include:
What job categories do people searching Medical Claim Analyst jobs look for? The top searched job categories for Medical Claim Analyst jobs are:
What are popular job titles related to Medical Claim Analyst jobs? For Medical Claim Analyst jobs, the most frequently searched job titles are:
Medical Claim Analyst jobs near you
Infographic showing various Medical Claim Analyst job openings in the United States as of June 2026, with employment types broken down into 78% Full Time, 15% Part Time, and 7% Contract. Highlights an 81% Physical, 8% Hybrid, and 11% Remote job distribution, with an average salary of $52,237 per year, or $25.1 per hour.
Medical Claim Analyst

Medical Claim Analyst

Crawford and Company

Peachtree Corners, GA • On-site, Remote

$14.89 - $27.22/hr

Full-time

Posted 5 days ago

Job description

Job Description
Now Hiring: Medical Claim Analyst (NEVADA)
Step into a role where precision meets purpose. As a Medical Claim Analyst, you'll manage medical-only and maintenance claims under direct supervision, ensuring seamless administration of medical benefits.
You'll also review and approve payments and claimant reimbursements for lost-time disability claims (within authority) once compensability is established.
This opportunity is perfect for detail-oriented professionals ready to grow their claims expertise while making a real impact every day.
Responsibilities
  • Processes "M" Case claims (medical only) within area of payment authority up to, but not exceeding $3,500.
  • Processes claims, other than "M" cases, where all issues (indemnity, legal, etc.) have been settled and the claim is only open for payment of medical benefits (i.e. maintenance claims not requiring actuarial reserves).
  • Contacts, by telephone, insureds, claimants, and medical providers for additional information or medical verifications to verify and report the status of claims.
  • May verify coverage on claims by following normal coverage confirmation procedures, as requested. Alerts Team Manager of any errors or discrepancies.
  • Reviews and updates data into a computerized system.
  • Approves payments of medical bills on lost time disability claims, within payment authority, after compensability has been determined by the Team Manager or claim technician/handler.
  • Informs Team Manager of all Workers Compensation "M" Case claims to be removed from the "M" Case classification per Claim Best Practice guidelines.
  • Answers routine questions, orally and in writing, from agents, claimants, insureds, or other interested parties.
  • Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction.
  • Consults with other departments and business units.
  • Documents receipt and contents of medical reports. Reviews and handles other correspondence within authority including material from the team member, customer, or State.
  • Processes claims, other than "M" cases, where all medical issues have been settled and the claim is only open for payment of long term Indemnity benefits.
  • Identifies files that no longer meet the administrative criteria along with recommendation to team manager for reassignment.
  • With the team managers guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms.
  • Performs other related duties as required or requested.
  • Upholds the Crawford Code of Business Conduct at all times.
  • Participates in special projects or performs duties in other areas as requested.
  • Upholds the Crawford Code of Conduct

Qualifications
  • College degree or the equivalent education and experience
  • Two or more years of experience as a Claim Clerk or the equivalent, demonstrating a thorough knowledge of computer entry and operations.
  • Demonstrates a thorough working knowledge of claim processing and claim policies and procedures.
  • Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions
  • Demonstrates effective and diplomatic oral and written communication skills.
  • Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others
  • Must be licensed as required by state and local jurisdictions. Must complete designated continuing education courses while in position in order to advance.

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About Us
Why Crawford?
Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
When you accept a job with Crawford, you become a part of the One Crawford family.
Our total compensation plans provide each of our employees with far more than just a great salary
  • Pay and incentive plans that recognize performance excellence
  • Benefit programs that empower financial, physical, and mental wellness
  • Training programs that promote continuous learning and career progression while enhancing job performance
  • Sustainability programs that give back to the communities in which we live and work
  • A culture of respect, collaboration, entrepreneurial spirit and inclusion
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

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