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Medical Claims Analyst Jobs in Indiana (NOW HIRING)

SIHO HOLDING INC

Claims Analyst

Columbus, IN · On-site

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

Tmhcc

CTP Claims Examiner

Carmel, IN · Hybrid

As a global leader in specialty travel medical and trip protection insurance, we are passionate ... Analyze claim information to identify discrepancies, missing documentation, or issues requiring ...

Tokio Marine HCC

CTP Claims Examiner

Carmel, IN · On-site

As a global leader in specialty travel medical and trip protection insurance, we are passionate ... Analyze claim information to identify discrepancies, missing documentation, or issues requiring ...

Elevance Health

Research Scientist Senior

Indianapolis, IN · On-site +1

$94K - $119K/yr

... medical claims. * Designs and develops machine learning, predictive modeling, and reinforcement ... Partners closely with engineering, architecture, analytics, product, and business teams to deploy ...

Odyssey

Claims Specialist

Indianapolis, IN · On-site

$75K - $150K/yr

The Claims Specialist is responsible for the coverage analysis, investigation, negotiation and ... Additional experience handling D&O, E&O (medical, employers, architects, engineers, insurance ...

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All JobsMedical Claims Analyst JobsMedical Claims Analyst Jobs in Indiana

Medical Claims Analyst information

See Indiana salary details

$14

$23

$39

How much do medical claims analyst jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for medical claims analyst in Indiana is $23.90, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $24.04 per hour, depending on experience, location, and employer.

What does a medical claims analyst do?

As a medical claims analyst, your responsibilities revolve around healthcare reimbursement, where you audit medical claims to ensure company reimbursement payments are accurate and reprice claims according to hospital payment schedules and Medicare reimbursement, which can be done manually or using computer software. You monitor electronic claims utilizing a processing system and provide detailed reporting on data such as claims volume, savings, and billed charges. You are expected to provide excellent customer service when working with customers and hospitals to resolve insurance claim issues, answer questions, and provide solutions to other problems related to medical claims. Other duties include abiding by all healthcare industry policies and regulations, staying updated on changing laws, and collaborating with the claims team to identify process gaps and improve your procedures.

What does a medical claims analyst do?

A Medical Claims Analyst reviews and processes medical insurance claims submitted by healthcare providers or patients. Their main role is to ensure claims are accurate, complete, and comply with policy guidelines and regulations. They investigate discrepancies, verify patient and provider information, and determine the amount of coverage or reimbursement. Additionally, they may communicate with healthcare providers, insurance companies, and patients to resolve issues or request additional information. Their work helps prevent fraud and ensures that claims are paid correctly and efficiently.

What are the key skills and qualifications needed to thrive as a medical claims analyst, and why are they important?

To thrive as a Medical Claims Analyst, you need a solid understanding of medical terminology, health insurance policies, and claims processing, often supported by a degree in healthcare administration or a related field. Familiarity with claims management software, medical coding systems (such as ICD-10 and CPT), and sometimes certification like Certified Professional Coder (CPC) is typically required. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately reviewing and processing claims. These skills ensure the correct adjudication of claims, minimize errors or fraud, and contribute to efficient healthcare reimbursement processes.

What are some common challenges faced by medical claims analysts and how can they be addressed?

Medical Claims Analysts often encounter challenges such as interpreting complex medical codes, identifying discrepancies in claims, and navigating frequent changes in insurance policies and regulations. Staying current with coding standards (like ICD-10 and CPT) and maintaining strong attention to detail are crucial for accuracy. Effective communication with healthcare providers and insurance companies also helps resolve ambiguities quickly. Regular training and collaboration with experienced colleagues can further enhance problem-solving skills and adaptability in this dynamic role.

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

AspectMedical Claims AnalystMedical Billing Specialist
CredentialsTypically requires a certification like CPC or CCSOften requires certification but less frequently
Work EnvironmentInsurance companies, healthcare providers, or third-party administratorsMedical offices, clinics, or billing companies
Job FocusAnalyzing and processing insurance claims, ensuring accuracyPreparing and submitting patient bills, following up on payments
Common UsageUsed in insurance and healthcare administrationUsed in healthcare provider billing departments

While both roles involve handling healthcare financial processes, Medical Claims Analysts focus on reviewing and processing insurance claims for accuracy and reimbursement, often requiring analytical skills and certifications. Medical Billing Specialists primarily handle the creation and submission of patient bills and follow-up, emphasizing billing procedures and customer service. Understanding these differences helps job seekers identify the right career path in healthcare finance.

Is claims processing a stressful job?

Medical Claims Analysts often work in fast-paced environments where accuracy and attention to detail are essential, which can lead to stress, especially when handling high volumes of claims or resolving complex issues. The job requires strong organizational skills and familiarity with claims processing software, and workload fluctuations can impact stress levels.
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Medical Claims Analyst jobs near you
Infographic showing various Medical Claims Analyst job openings in Indiana as of August 2026, with employment types broken down into 95% Full Time, 3% Part Time, and 2% Nights. Highlights an 90% In-person, 2% Hybrid, and 8% Remote job distribution, with an average salary of $49,706 per year, or $23.9 per hour.

Claims Analyst

SIHO HOLDING INC

Columbus, IN • On-site

Full-time

Medical, Dental, Vision

Re-posted 20 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

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