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Senior Claims Analyst Jobs in Rochester, NY (NOW HIRING)

Senior Claims Analyst

Rochester, NY · On-site

$85K - $98K/yr

A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...

Senior Claims Analyst

Rochester, NY · On-site

$85K - $98K/yr

A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...

Utilizes accounting systems, Cognos, and SAS to analyze claims and membership data, develop ... Prepares complex analytical schedules for use by senior leadership in decision making process.

Utilizes accounting systems, Cognos, and SAS to analyze claims and membership data, develop ... Prepares complex analytical schedules for use by senior leadership in decision making process.

Reviews complex claims, financial models, test results, and trends with providers and hospital ... Examines corporate wide trends and prepares this information to enable both senior management and ...

Reviews complex claims, financial models, test results, and trends with providers and hospital ... Examines corporate wide trends and prepares this information to enable both senior management and ...

Reviews complex claims, financial models, test results, and trends with providers and hospital ... Examines corporate wide trends and prepares this information to enable both senior management and ...

Utilizes accounting systems, Cognos, and SAS to analyze claims and membership data, develop ... Prepares complex analytical schedules for use by senior leadership in decision making process.

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Senior Claims Analyst information

See Rochester, NY salary details

$14

$27

$51

How much do senior claims analyst jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for senior claims analyst in Rochester, NY is $27.03, according to ZipRecruiter salary data. Most workers in this role earn between $19.90 and $31.06 per hour, depending on experience, location, and employer.

What does a senior claims analyst do?

A Senior Claims Analyst is responsible for reviewing, analyzing, and processing insurance claims to ensure they are accurate and comply with policy terms. They investigate complex claims, assess liability, and determine appropriate settlements or denials. Senior Claims Analysts also mentor junior staff, handle escalated or disputed cases, and collaborate with other departments to resolve issues. Their expertise helps ensure fair claim outcomes and supports the integrity of the insurance process.

What are the key skills and qualifications needed to thrive as a senior claims analyst?

To thrive as a Senior Claims Analyst, you need expertise in claims processing, policy interpretation, and risk assessment, usually supported by a bachelor’s degree in business, finance, or a related field. Familiarity with claims management software, data analysis tools, and relevant industry certifications (such as AIC or CPCU) is often required. Exceptional analytical thinking, attention to detail, and strong communication skills help you resolve complex claims and collaborate across teams. These abilities ensure accurate claim resolution, minimize financial risk, and maintain customer trust in a highly regulated industry.

What types of collaboration can a senior claims analyst expect with other departments?

As a Senior Claims Analyst, you will regularly collaborate with teams such as underwriting, legal, and customer service to ensure accurate claim assessments and efficient resolution. This cross-functional teamwork is essential for verifying policy details, gathering additional documentation, and addressing complex or disputed claims. Building strong relationships with these departments helps streamline processes and ensures that claim decisions are thorough and compliant with company policies.

What is the difference between Senior Claims Analyst vs Claims Adjuster?

AspectSenior Claims AnalystClaims Adjuster
Required CredentialsBachelor's degree, industry certifications (e.g., CPCU)High school diploma or equivalent, some certifications optional
Work EnvironmentOffice-based, analytical, report-focusedFieldwork, on-site inspections, claimant interactions
Employer & Industry UsageInsurance companies, large corporationsInsurance firms, independent adjusters
Common Search & ComparisonYesNo

The main difference is that Senior Claims Analysts focus on analyzing claims data, managing complex cases, and providing insights, often working in an office setting. Claims Adjusters typically handle on-site inspections and direct claimant interactions. Both roles are essential in the insurance industry but differ in responsibilities and work environment.

What are popular job titles related to Senior Claims Analyst jobs in Rochester, NY?

For Senior Claims Analyst jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Senior Claims Analyst jobs in Rochester, NY look for?

The top searched job categories for Senior Claims Analyst jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Senior Claims Analyst jobs?

Cities near Rochester, NY with the most Senior Claims Analyst job openings:

Infographic showing various Senior Claims Analyst job openings in Rochester, NY as of August 2026, with employment types broken down into 82% Full Time, 11% Part Time, and 7% Contract. Highlights an 79% Physical, 8% Hybrid, and 13% Remote job distribution, with an average salary of $56,215 per year, or $27 per hour.

Senior Claims Analyst

Primma, LLC

Rochester, NY • On-site

$85K - $98K/yr

Full-time

Re-posted 5 days ago


Job description

**This role is onsite at our Roslyn, NY, Rochester, NY, or Hamilton, NJ office, with the option for a hybrid schedule after the training period. **

General Summary: A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies.


Essential Duties & Responsibilities:

  • Follow standard claims protocols for documentation, coverage investigations, and file management.
  • Maintain accurate and organized claims files.
  • Investigate and document incident particulars, setting appropriate indemnity and expense reserves
  • Negotiate and bring to resolution directly and through defense attorneys
  • Attend trials and mediations when necessary.
  • Adhere to industry Best Practices for effective claim management.
  • Expand skills through participation in training and professional development courses.
  • Ensure exceptional data integrity
  • Proactive communication with insureds, other departments and claims leadership.
  • Perform additional duties and responsibilities as assigned.

Education & Qualifications:

  • Bachelor’s degree or JD required
  • Three years’ claims handling experience
  • NY adjusters license required within the first 6 – 12 months of employment.
  • Strong analytical and problem-solving skills with attention to detail.
  • Proficient business writing and oral communication skills
  • Ability to work independently as well as collaboratively within a team.
  • Strong ethical judgement and a commitment to maintaining confidentiality.
  • Must be able to work on site
  • Travel required as needed; may include overnight travel

The actual compensation for this position will be determined by experience and other factors permitted by law.