Sign upLog in
Business Jobs

Claims Process Analyst

Peyton Resource Group

San Antonio, TX

Apply
JOB DETAILS
SKILLS
Analysis Skills, Backlog Prioritization, Claims Processing, Communication Skills, Continuous Improvement, Detail Oriented, Documentation, Financial Analysis, Financial Operations, Guidewire, Identify Issues, Insurance, Leadership, Problem Solving Skills, Process Analysis, Process Improvement, Reconciliation, Risk Analysis, Root Cause Analysis, Standard Operating Procedures (SOP), Standards Development, System Validation, Systems Analysis, Time Management, Underwriting, Writing Skills
LOCATION
San Antonio, TX
POSTED
30+ days ago

Our client is seeking a detail-oriented Claims Process Analyst to join their Claims Payments team, supporting Property & Casualty (P&C) claims operations. This role focuses on risk identification, compliance, and process integrity to ensure claims payments are accurate, timely, and aligned with operational standards.

You will play a critical role in analyzing claims that require deeper investigation, identifying root causes of payment issues, and recommending process improvements to prevent future errors.
Key Responsibilities
  • Analyze large volumes of claims data (e.G., 500–800+ claims at a time) to validate system accuracy and process effectiveness
  • Conduct root cause analysis to identify whether issues stem from system defects, process gaps, or compliance risks
  • Prioritize and manage backlog reports, focusing on high-impact claims and time-sensitive issues
  • Partner with adjusters, claims operations, and underwriting teams to resolve payment exceptions and discrepancies
  • Identify opportunities to streamline workflows, improve controls, and enhance overall process efficiency
  • Develop and refine standard operating procedures (SOPs) where gaps or inconsistencies exist
  • Complete required documentation, including forms, reports, and member/customer communications (letters)
  • Respond to ad hoc analysis requests and provide clear, actionable insights
  • Deliver summaries and recommendations to leadership, supporting continuous improvement initiatives
Required Qualifications
  • Experience in Property & Casualty (P&C) claims or claims operations
  • Background in claims payments, underwriting support, or financial operations within insurance
  • Familiarity with claims systems such as Guidewire or similar platforms
  • Strong analytical and problem-solving skills with high attention to detail
  • Ability to assess and differentiate system, process, and compliance-related issues
  • Experience working in fast-paced, unstructured environments with shifting priorities
  • Strong written communication skills, including the ability to summarize findings and provide recommendations

About the Company

P

Peyton Resource Group

Established in 2001, Peyton Resource Group is a solution-based staffing company that matches businesses with top talent for short-term, long-term or permanent needs. People are a business’s most valuable asset. Peyton Resource Group is dedicated to helping companies find the best talent, matching professionals with jobs where they will thrive. With locations in Dallas/Fort Worth, San Antonio and Austin, we are available to serve your staffing needs throughout Texas and across the country.
COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
WEBSITE
https://www.prg-usa.com/

Similar Job Searches

Acquisitions Manager JobsAnalytics Consultant JobsAnalytics Manager JobsBusiness Administrator JobsBusiness Advisor JobsBusiness Analyst JobsBusiness Assistant JobsBusiness Coach JobsBusiness Consultant JobsBusiness Development Director Jobs