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Premium Reconciliation Analyst Jobs (NOW HIRING)

Trinityhealth

Reconciliation Analyst

Mount Carmel, IL · On-site

In accordance with the Mission, Core Values and Vision; the Reconciliation Analyst plans, organizes ... premium payment reconciliation of the plan's membership. Organizes, conducts and monitors all ...

Trinity Health

Reconciliation Analyst

Mount Carmel, IL · On-site

In accordance with the Mission, Core Values and Vision; the Reconciliation Analyst plans, organizes ... premium payment reconciliation of the plan's membership. Organizes, conducts and monitors all ...

Trinity Health

Reconciliation Analyst

Columbus, OH · On-site

In accordance with the Mission, Core Values and Vision; the Reconciliation Analyst plans, organizes ... premium payment reconciliation of the plan's membership. Organizes, conducts and monitors all ...

Captive Resources

Premium Analyst

Itasca, IL

$65K - $75K/hr

Lead monthly premium reconciliation efforts, including variance analysis and reporting to internal finance leadership * Maintain documentation of monthly premium remittance in Policyholder folder and ...

Captive Resources

Premium Analyst

Itasca, IL · On-site

Lead monthly premium reconciliation efforts, including variance analysis and reporting to internal finance leadership * Maintain documentation of monthly premium remittance in Policyholder folder and ...

Matter Health

Manager, Medical Economics

Nashville, TN · Remote

Fully own both membership and premium reconciliation functions. * Lead gap analysis and process improvement efforts related to medical expense data. QualificationsRequired * Bachelor's degree in ...

Walmart

Merchandise Reconciliation

Doral, FL · On-site

Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. Employment Type: Part-Time Available shifts: Mid-Shift ...

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How much do premium reconciliation analyst jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for premium reconciliation analyst in the United States is $31.19, according to ZipRecruiter salary data. Most workers in this role earn between $28.12 and $34.38 per hour, depending on experience, location, and employer.

What is a premium reconciliation analyst?

A Premium Reconciliation Analyst is a financial professional responsible for ensuring that insurance premium payments are accurately recorded, matched, and reconciled between clients, insurance carriers, and internal records. They investigate and resolve discrepancies, analyze financial data, and prepare reconciliation reports. Their role is crucial in maintaining accurate financial records, supporting audits, and ensuring regulatory compliance within insurance or benefits administration companies.

What are the key skills and qualifications needed to thrive as a premium reconciliation analyst?

To thrive as a Premium Reconciliation Analyst, you need strong analytical skills, attention to detail, and a background in accounting or finance, often supported by a relevant degree. Familiarity with reconciliation software, advanced Excel functions, and experience with financial management systems like SAP or Oracle are typically required. Exceptional organizational skills, problem-solving ability, and effective communication help you resolve discrepancies and collaborate across departments. These skills ensure the accurate processing of premium payments, minimize financial errors, and support compliance within insurance or financial organizations.

How does a premium reconciliation analyst typically collaborate with other departments to resolve discrepancies?

As a Premium Reconciliation Analyst, you will frequently work with teams such as finance, underwriting, and customer service to investigate and resolve discrepancies in premium payments and account balances. Effective collaboration involves regular communication to clarify policyholder information, payment details, and to ensure all records are accurately updated. You may participate in cross-functional meetings or use shared platforms to track issues and coordinate solutions, making teamwork and clear communication essential skills for success in this role.

What is the difference between Premium Reconciliation Analyst vs Insurance Reconciliation Specialist?

AspectPremium Reconciliation AnalystInsurance Reconciliation Specialist
CredentialsTypically requires a bachelor's degree in finance, accounting, or related field; certifications like CPA or CAMS are commonSimilar credentials; often holds degrees in finance or accounting, with certifications like CPCU or CPA
Work EnvironmentWorks in insurance companies, financial institutions, or third-party service providersPrimarily in insurance firms, focusing on claims and policy data reconciliation
Employer & Industry UsageUsed in insurance, banking, and financial services for premium data managementCommon in insurance companies handling policy and claims reconciliation

The Premium Reconciliation Analyst and Insurance Reconciliation Specialist roles share similar credentials and work environments, focusing on data accuracy within insurance and financial sectors. The main difference lies in their specific focus areas: the Premium Reconciliation Analyst emphasizes premium payments and billing data, while the Insurance Reconciliation Specialist often handles broader policy and claims data reconciliation.

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What job categories do people searching Premium Reconciliation Analyst jobs look for?

The top searched job categories for Premium Reconciliation Analyst jobs are:

Premium Reconciliation Analyst jobs near you
Infographic showing various Premium Reconciliation Analyst job openings in the United States as of August 2026, with employment types broken down into 67% Full Time, 19% Part Time, 1% Temporary, 12% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $64,877 per year, or $31.2 per hour.

Reconciliation Analyst

Trinityhealth

Mount Carmel, IL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

Employment Type:Full timeShift:Day ShiftDescription:*REMOTE OPPORTUNITY*
This position is temporary/seasonal through April 2027. The schedule is M-F, 8am-4:30pm EST. Medicare Advantage experience would be helpful along with knowledge of Medicare rules and regulations, specifically around Enrollment and/or sales.

Position Purpose:

In accordance with the Mission, Core Values and Vision; the Reconciliation Analyst plans, organizes, conducts and monitors the enrollment and reconciliation process to ensure the accuracy of Medicare Managed Care membership data and enrollment processing, application and reconciliation of all data and payments from the Centers for Medicare and Medicaid Services (CMS) as well as accurate billing and premium payment reconciliation of the plan's membership.

Organizes, conducts and monitors all transactions to and from CMS, including the special status tracking process, to ensure accurate reporting and payment from CMS for enrollees who fall into a special payment status category. Prepares and summarizes required reporting for enrollment, disenrollment, billing and special status ensuring accurate financial reimbursement to the plan.

Responsible for all eligibility and membership functions relating to enrollment, disenrollment, special status, provider attribution, required communications, billing, premiums, revenue and reconciliation processes for the health plan in accordance with Federal regulatory requirements and (CMS). Responsible for ensuring the eligibility, demographic data, billing, and revenue for membership is accurate. Organizes, conducts, and monitors the enrollment and billing processes to ensure accurate and timely transactions and revenue from CMS and members.

What You Will Do:

  • Reviews and processes election forms, including all required data elements, and establishes group and member enrollment records, in accordance with department standards, policies and procedures.

  • Assures provision of timely and accurate enrollment information (letters, certificates, , Federally required notifications, ID cards, etc.) to members in accordance with Federal requirements and timeframes aligned with department standards, policies and procedures.

  • Receives and reconciles the CMS transaction reply reports against the membership files of the health plan in accordance with department standards, policies, and procedures to ensure accuracy and meet Federal requirements.

  • Audits and reconciles membership data between the enrollment system and other systems and corrects any fallout to ensure accurate membership, claims processing and health care management.

  • Handles sensitive or complex enrollment and disenrollment requests to address customer issues or complaints.

Minimum Qualifications:

  • Education: Associates degree in business or related field preferred or equivalent experience required.

  • Experience: Managed care insurance industry experience required.

Position Highlights and Benefits:

  • Mount Carmel Health System recognized by Forbes in 2025 as one of America's Best State Employers.

  • Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.

  • Retirement savings account with employer match starting on day one.

  • Generous paid time off programs.

  • Employee recognition programs.

  • Tuition/professional development reimbursement starting on day one.

  • RN to BSN tuition 100% paid at Mount Carmel's College of Nursing.

  • Relocation assistance (geographic and position restrictions apply).

  • Employee Referral Rewards program.

  • Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!

  • Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

Ministry/Facility Information:

Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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