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Workers Compensation Claims Analyst Jobs (NOW HIRING)

TEEMA

Workers Compensation Claims Examiner

Houston, TX · On-site

$36 - $41/hr

Senior Workers' Compensation Claims Examiner (Texas Licensed ) We are seeking an experienced ... analytical decision-making with strong client and claimant communication. In this role, you will ...

G-TECH Services

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Workers' Compensation Claims Handler

Chicago, IL · On-site

$33.50/hr

Plant-based position. · Analyze and process complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim · Ability ...

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Workers Compensation Claims Analyst information

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How much do workers compensation claims analyst jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for workers compensation claims analyst in the United States is $32.96, according to ZipRecruiter salary data. Most workers in this role earn between $24.04 and $39.42 per hour, depending on experience, location, and employer.

What Does a Workers Compensation Claims Analyst Do?

The job of a workers compensation claims analyst is to analyze claims. Their duties involve the medical bill review process. They often coordinate with insurance companies and examine the TPA relationship with third-party service providers. Other responsibilities consist of investigating claims histories, incident reports, and any additional information. A workers compensation claims analyst may report findings to the corporate counsel or other legal or insurance investigators if necessary.

What are the key skills and qualifications needed to thrive as a Workers Compensation Claims Analyst, and why are they important?

To thrive as a Workers Compensation Claims Analyst, you need a solid understanding of insurance policies, workers' compensation laws, and claims management, often supported by a bachelor's degree in a related field. Familiarity with claims management software, medical billing systems, and regulatory compliance tools is typically required. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for investigating claims and coordinating with stakeholders. These skills ensure accurate claim assessments, regulatory adherence, and efficient case resolution, which are vital for minimizing financial risk and supporting injured employees.

What is the difference between Workers Compensation Claims Analyst vs Claims Adjuster?

AspectWorkers Compensation Claims AnalystClaims Adjuster
CredentialsTypically requires a bachelor's degree in insurance, business, or related field; certifications like CPCU or ARM are commonSimilar credentials; often holds adjuster licenses and relevant certifications
Work EnvironmentOffice-based, analyzing claims, reviewing medical reports, and ensuring complianceOffice or field-based, investigating claims, inspecting damages, and negotiating settlements
Industry UsagePrimarily in insurance companies handling workers' compensation claimsUsed across insurance sectors, including auto, property, and workers' compensation

Both roles involve evaluating insurance claims, requiring similar credentials and work environments. While Claims Adjusters often investigate damages directly, Workers Compensation Claims Analysts focus on analyzing claims related to workplace injuries. The roles are closely related, with overlapping skills and industry usage, but differ mainly in scope and specific responsibilities.

What does a Workers Compensation Claims Analyst do?

A Workers Compensation Claims Analyst is responsible for evaluating and processing claims related to workplace injuries or illnesses. They review documentation, communicate with claimants, employers, and medical professionals, and ensure claims comply with relevant laws and company policies. Their goal is to determine the validity of claims, calculate benefits, and help facilitate fair and timely resolutions. Additionally, they may assist in preventing fraud and managing claim costs for employers.

What are some common challenges faced by Workers Compensation Claims Analysts, and how can they be addressed?

Workers Compensation Claims Analysts often encounter challenges such as managing a high volume of complex cases, keeping up with evolving regulations, and balancing the needs of claimants with company policies. To address these challenges, analysts benefit from strong organizational skills, staying updated on state and federal regulations, and engaging in regular training sessions. Building effective communication with claimants, medical providers, and legal teams also helps ensure accurate and efficient claims resolution, contributing to both employee satisfaction and organizational compliance.
More about Workers Compensation Claims Analyst jobs
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Workers Compensation Claims Analyst jobs near you
Infographic showing various Workers Compensation Claims Analyst job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Hybrid job distribution, with an average salary of $68,548 per year, or $33 per hour.
Workers Compensation Claims Analyst

Workers Compensation Claims Analyst

Optimal Inc.

Chicago, IL • On-site

Contractor

Posted 19 days ago

Job description

Position Description:
Primary Workers' Compensation Claims Handler at the Plant with a focus on excellent customer service, quality claims handling, and loss cost management. Plant-based position. Analyze and process complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim
Ability to handle a full case load, with proven ability to handle cases of increased severity.
Workers' Compensation Lost Time claim handling experience
Manage claims through well-developed action plans to ensure timely and cost-effective resolutions.
Calculate and assign timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculate and pay benefits due; approve and make timely claim payments and adjustments; and settle clams within designated authority level.
Prepare necessary state fillings within statutory limits.
Coordinate vendor referrals for additional investigation and/or litigation management.
Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims.
Manage claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Report claims to the excess carrier.
Communicate claim activity and processing with the claimant and the client.
Skills Required:
Claims, Customer Service
Experience Required:
3-5 years of Illinois Workers' Compensation claims management experience
Education Required:
High School Diploma / GED
Full Onsite

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