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Senior Claims Recovery Analyst Jobs (NOW HIRING)

For over 25 years, we have helped customers and communities recover and build resilience through ... The AVP, Senior Claims Analyst is responsible for, but not limited to analysing, and processing ...

Senior Claims Analyst

New York, NY · On-site

$95K - $125K/yr

For over 25 years, we have helped customers and communities recover and build resilience through ... The Senior Claims Analyst is responsible for, but not limited to analysing, and processing claims ...

Overview Financial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...

Senior Claims Analyst

Roslyn, 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

Trenton, NJ · 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 ...

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Senior Claims Recovery Analyst information

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How much do senior claims recovery analyst jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for senior claims recovery analyst in the United States is $27.39, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $31.49 per hour, depending on experience, location, and employer.

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

AspectSenior Claims Recovery AnalystClaims Recovery Analyst
Required CredentialsBachelor's degree, relevant certifications (e.g., CPCU, ARM)Bachelor's degree often preferred, certifications optional
Work EnvironmentCorporate insurance or claims departments, often in larger organizationsInsurance companies, third-party claims firms, or legal offices
Employer & Industry UsageUsed in insurance and claims industries for complex recoveriesCommon in insurance claims recovery roles across various companies

The main difference is that a Senior Claims Recovery Analyst typically handles more complex cases, requires more experience and certifications, and may oversee junior staff. A Claims Recovery Analyst generally manages standard recovery tasks. Both roles are vital in insurance recovery processes but differ in scope and seniority.

What is the role of a recovery analyst?

A recovery analyst is responsible for identifying, investigating, and recovering funds from claims or losses, often working with insurance companies or financial institutions. They analyze data, negotiate with third parties, and utilize recovery tools to maximize recoveries while ensuring compliance with policies and regulations.

Is a claims analyst a hard job?

A claims analyst role involves reviewing and processing insurance claims, which requires attention to detail, analytical skills, and knowledge of insurance policies. The job can be demanding due to the need for accuracy, meeting deadlines, and handling complex cases, but it is generally manageable with proper training and experience.

How much do claims analysts make in the US?

Claims analysts in the US typically earn a median annual salary of around $50,000 to $70,000, depending on experience, location, and industry. Senior claims recovery analysts may earn higher salaries, often exceeding $80,000 with specialized skills and certifications. Compensation can also include bonuses and benefits based on performance and company size.

What is a senior claims analyst?

A senior claims analyst is a professional responsible for reviewing, investigating, and processing insurance claims to ensure accurate and timely resolution. They often analyze complex cases, utilize claims management software, and may require industry certifications such as CPCU or AIC to perform their duties effectively.
What cities are hiring for Senior Claims Recovery Analyst jobs? Cities with the most Senior Claims Recovery Analyst job openings:
What are the most commonly searched types of Claims Recovery Analyst jobs? The most popular types of Claims Recovery Analyst jobs are:
What states have the most Senior Claims Recovery Analyst jobs? States with the most job openings for Senior Claims Recovery Analyst jobs include:
Senior Specialist, Claims Recovery - Remote

Senior Specialist, Claims Recovery - Remote

Molina Healthcare

Long Beach, CA • Remote

Full-time

Posted 20 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

143rd of 277 rated insurance


Job description

JOB DESCRIPTION Job Summary

Provides senior level support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance.  Collaborates  with health plans and vendors to facilitate recovery of outstanding overpayments.  Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards.

Essential Job Duties

Prepares written provider overpayment notification and supporting documentation such as explanation of benefits (EOB), claims and attachments.
Maintains and reconciles department reports for outstanding payment, uncollectible claims and autopayment recoveries.
Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval.
Researches simple to complex claims payments including researching tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers.
Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC), and diagnosis-related group (DRG) requests.
Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application.
Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claims recovery (refund request letters, refund checks, claims reversals), and reporting and documentation of recovery as explained in department Standard Operating Procedures (SOPs).
Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred.
Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers.
Reviews daily and weekly variance reports to ensure quality and correct processing of claims.
Completes weekly and monthly finance refund check reconciliations.
Maintains accounts payable (AP) check provider add process.
Assists with claims staff audits, inquiries, and training as needed.
Supports claims department initiatives to improve overall claims function efficiency.
Meets claims department quality and production standards.
Completes claims projects as assigned.
 

Required Qualifications

At least 3 years of experience in a clerical role in a claims, and/or customer service setting, and a minimum of 1 year of experience in claims recovery in a Medicaid managed care organization, or equivalent combination of relevant education and experience.
Working knowledge of claims payments, multiple state billing guidelines and claims processing policies and procedures.
Research, analysis and data entry skills.
Organizational skills and attention to detail.
Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Customer service experience.  
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.
 

Preferred Qualifications

Experience in claims adjudication and/or claims examination.
 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V


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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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