Claims Analyst Jobs in the United States

Kforce Inc.

$25 - $26

Plano, TX

Help policy holders in claim settlement by reviewing claim payments resulting from duplicate payments, incorrect payee, etc. and ascertain appropriate administration of claims. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.

Talent Software Services

$30 - $33

San Diego, CA

Involvement in general liability claims, including investigation, analysis, and determination of the extent of the insurance company's liability concerning personal, casualty, bodily injury, loss of business, or property loss or damages, and attempt to effect settlement with claimants. Providing consulting opportunities to TALENTed people since 1987, we offer a host of opportunities, including contract, contract to hire, and permanent placement.

Percepta

Melbourne, FL

The claims payment analyst is responsible for the overall handling (reviewing, approving, and denying) of Ford and Lincoln Protect claims submitted by Ford, Lincoln and participating dealerships. • Review claims received in assigned sort groups via Ford Motor Company's claim payment system (OWS) to determine if claim meets Ford and Lincoln Protect policy guidelines.

Diedre Moire Corp.

$110000 - $140000

Newington, CT

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobsDISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Diedre Moire CorporationEducation Requirements: Bachelor DegreeMinimum Experience Requirements: 2-5 yearsJob City Location: NewingtonJob State Location: CTJob Country Location: USASalary Range: $110,000 to $140,000.

Northwestern Mutual

Milwaukee, WI

Bring medical consultations and leadership to a broad spectrum of Company departments (Actuarial, Law, Government Relations, Communications, Philanthropy, Innovation, NM Venture Funds, etc.)Provide medical case consultations/referrals with underwriting and benefits areas (Life, Disability, and Long Term Care)Direct or participate in special projects and committees as designated by the Vice President and Chief Medical Director. Train and onboard Associate Medical Directors new to insurance medicinePerform 2nd sign reviews on Jumbo Life casesCollaborate with the CV Medical Consultants (RNs) for Cardiovascular Risk Assessment.

Jepsen Investments, Inc

$39

Irving, TX

The Claims Examiner will analyze and process commercial auto transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly.

Jepsen Investments, Inc

$26 - $27

Elgin, IL

Our client, a busy Health and Welfare Fund Union located on the northwest side of Elgin, Illinois has a staffing need for an experienced temporary part-time Medical Claims Processor working about (15 to 20 hours per week) to assist with a backlog of BCBS medical claims. Previous experience working for other health & welfare funds or (labor union welfare funds) is also strongly preferred.

Mindlance

$16 - $20

Surfside Beach, SC

Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Determines whether to return, deny or pay claims following organizational policies and procedures.

Mindlance

$110000 - $140000

Eden Prairie, MN

PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? .

Northwestern Mutual

$94640 - $175760

Franklin, WI

Assures the LTC Benefits Division effectively interprets contract provisions, adheres to state regulations, and analyzes facts to reach claim decisions on new and continuing claims, consistent with NLTC's claim philosophy in collaboration with the Assistant Director and the Team Consultants. Directs and monitors the activities of the LTC Benefits service support personnel, analysts, and specialists to ensure optimum efficiency, effectiveness and quality by formulating and overseeing business unit goals, budgets, operating policies and procedures.

CornerStone Staffing

Fort Worth, TX

This role directly supports revenue integrity by identifying discrepancies, resolving payment variances, and safeguarding the accuracy of client financial data. The Revenue Cycle Analyst ensures accurate reimbursement by analyzing, reconciling, and repricing medical claims in accordance with payer contracts and fee schedules.

Jobot

$90000 - $105000

Irvine, CA

This role partners closely with Sales, Account Management, Product, Legal, and Finance to drive competitive pricing strategies, support revenue optimization, and ensure pricing compliance across contracts and new business opportunities. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.

Northwestern Mutual

Milwaukee, WI

Partner with functional and FrontRunner leaders to advance Forge initiatives, aligning claims operations strategy with enterprise transformation efforts to accelerate capability building, drive execution of priority initiatives, and scale new ways of working. In this role, you’ll help shape the strategy and future of Claims across Life/Annuities, Disability Income, and Long-Term Care—partnering with product and operational leaders to deliver a consistent, high-quality experience that strengthens Northwestern Mutual’s brand.

USAA

$80000 - $96000

Phoenix, AZ

Independently applies complex technical and actuarial methodologies, as well as proficient actuarial knowledge, to complete unstructured projects (e.g., selects and ensures quality of data used to perform trend analysis supports rate level indications; translates business problem into technical requirements; runs catastrophe models and interprets and communicates results to support business activities while executing and enhancing a strong control environment with guidance from an experienced catastrophe modeler. As a dedicated Actuarial Analyst I, you will be a near-credentialed analyst responsible for independently applying complex technical and actuarial methodologies as well as requiring expert knowledge in one actuarial practice area (pricing, reserving, modeling, catastrophe risk, claims analytics, product management, etc.) to complete unstructured projects.

USAA

Tampa, FL

Select and ensure quality of data used to perform trend analysis supports rate level indications; translate business problem into technical requirements; run catastrophe models and interpret and communicate results to support business activities while executing and enhancing a strong control environment with guidance from an experienced catastrophe modeler. As a dedicated Actuarial Analyst I, you will be a near-credentialed analyst responsible for independently applying complex technical and actuarial methodologies as well as requiring expert knowledge in one actuarial practice area (pricing, reserving, modeling, catastrophe risk, claims analytics, product management, etc.) to complete unstructured projects.

Health Source MSO

Alhambra, CA

Responsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:Contractual agreement rates. Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners.

Kenan Advantage Group

North Canton, OH

All employees of the Company are expected to: Promote positive work habits including effective and timely communication, teamwork, and respect for co-workers. Exceptional organizational skills; ability to manage workload in a timely manner with minimal supervision.

Jobot

$70000 - $90000

Medina, WA

As an Analyst on this team, you will join a dynamic, growing team at the center of the revenue cycle, and help them continue to drive operations and strategy through data management, project management, a deep understanding of how challenging our revenue cycle can be, and an eye for the future in helping them continue to transform billing. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.

Vaco LLC

$98000 - $120000

Durham, NC

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

Sentry Insurance

Stevens Point, WI

This position can be filled as a Marketing Analyst (Customer Research Analyst) or a Senior Marketing Analyst (Senior Customer Research Analyst), based on the qualifications and experience of the selected candidate. Create reports and data visualization dashboards as necessary, including system-generated reports and additional analysis in excel as needed.

Athenahealth

$30000 - $52000

Belfast, ME

We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.

Penske Truck Leasing Co., L.P.

Breinigsville, PA

Willingness to travel as necessary, work the required schedule, work at the specific location required, complete Penske employment application, submit to a background investigation (to include past employment, education, and criminal history) and drug screening are required. Create and deliver training material and presentations to frontline supervisors, management, human resources, operations safety on workers’ compensation reporting, accident investigation, return to work, and accident prevention.

Pyramid Consulting, Inc

$38 - $42

Philadelphia, PA

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Provide quality assurance through development and review of claims data utilization reports to ensure assigned policies are enforced according to business requirements.

Cambia Health Solutions

Yakima, WA

As a member of the Stop Loss team, this position adjudicates all stop loss claims by developing policies and procedures to ensure consistent claim practices and adherence to policy and contract terms, appropriate laws and regulations - all in service of creating a person-focused health care experience. The expected hiring range for a Stop Loss Claims Analyst is $68,900.00 - $93,150.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location.

Jazz Pharmaceuticals

$151200 - $226800

Philadelphia, PA

Reporting to the head of RWD/A, and positioned within the RWE/A, Global Evidence & Value Generation department, the successful candidate will demonstrate deep expertise in RWD analytics, exceptional programming and analytical capabilities, strong organizational skills and a keen eye for detail, and a proven record of delivering high-quality RWE projects. The Senior Principal Real-World Analyst (RWA) will be responsible for conducting analyses for Real-World Evidence (RWE) studies and analytic projects using diverse Real-World Data (RWD) sources including administrative claims, electronic medical records (EMR), and registry data.

Jazz Pharmaceuticals

$151200 - $226800

Philadelphia, PA

Reporting to the head of RWD/A, and positioned within the RWE/A, Global Evidence & Value Generation department, the successful candidate will demonstrate deep expertise in RWD analytics, exceptional programming and analytical capabilities, strong organizational skills and a keen eye for detail, and a proven record of delivering high-quality RWE projects. The Senior Principal Real-World Analyst (RWA) will be responsible for conducting analyses for Real-World Evidence (RWE) studies and analytic projects using diverse Real-World Data (RWD) sources including administrative claims, electronic medical records (EMR), and registry data.

GEICO

$23.41 - $29.41

Mulberry, FL

We are looking for Personal Injury Protection (PIP) Claims Examiners in our Lakeland, FL office to deliver our promise to be there and assist our customers throughout the often complicated medical aspects of auto insurance claims. This job is a great fit for people who are continuous life learners, as PIP Claims Examiners are consistently challenged to learn more and increase their knowledge of our industry and company.

KOHLER

$60000 - $72000

Kohler, WI

See Kohler Terms & Conditions at https://www.kohlercompany.com/legal/ and Privacy Policy at https://www.kohlercompany.com/privacy/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Fluency in Excel, PowerBI, Salesforce, and PowerPoint is a must, as are excellent oral and written communication skills, and the ability to communicate with leadership confidently and succinctly.

Well Care, LLC

$70000 - $84000

Raleigh, NC

6.0 5% Maintains confidentiality in all professional areas and considers the needs of clients and their families, other employees, physicians, visitors, and all members of the community in an informative, courteous and compassionate manner. Essential Mental Requirements: Ability to concentrate with frequent interruption, handle pressure of deadlines, good judgment and problem-solving skills, ability to follow procedures, ability to work independently.

Tech Providers Inc.

$0.01

Fresno, CA

Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. Duties:Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

Tech Providers Inc.

$0.01

Berkeley Heights, NJ

Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. Duties:Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

Forward Air

Coppell, TX

In addition, we offer truckload brokerage services, including dedicated fleet services, and intermodal, first and last-mile, high-value drayage services, both to and from seaports and railheads, dedicated contract and Container Freight Station warehouse and handling services. Technical: Proficient with common office technologies, including Windows PCs, Microsoft O365 (Outlook, Word, Excel, PowerPoint, etc.), and web conferencing tools (Teams, Zoom, Webex, etc.).

Careers Integrated Resources Inc

Atlanta, GA

Appeal Analyst RN who will train new hire in the clinical role to complete Utilization Management Appeals and act as an RN II on the team. Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings.

Genesis10

$52.7 - $62.7

Appleton, WI

Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. This role operates at the intersection of business, data, and technology, supporting the design, implementation, and optimization of solutions that enable compliant, scalable, and efficient pharmacy benefit operations.

Dialysis Clinic, Inc.

Nashville, TN

Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.

Axelon Services Corporation

Minneapolis, MN

Document reasons for any adjustments made to invoice line items, identifying the billing guideline violated and the rationale for the amount adjusted. Organizational skills, including the ability to organize work in an orderly fashion conducive to the prompt, efficient review of legal invoices.

USAA

$77120 - $147390

Boston, MA

Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures.

USAA

$77120 - $147390

Baltimore, MD

Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures.

A-Line Staffing Solutions LLC

$23.99 - $24

Atlanta, GA

Background in consulting, corporate HR, compensation, or related field (education and/or experience accepted; entry-level candidates welcome). Provide support and administration of compensation programs including sales compensation, annual compensation program review and incentive compensation.

Bering Straits Native Corporation

Anchorage, AK

Manage indirect tax compliance by reviewing transaction-level data, validating taxability, and preparing returns for sales and use tax, excise tax, and gross receipts tax across multiple jurisdictions. The Tax Analyst works closely with accounting, finance, and operations teams to ensure accurate, timely, and compliant tax filings in a multi-entity, government contracting environment.

nLeague

$70 - $80

Richmond, VA

Perform Agile testing activities, including participating in sprint planning and backlog refinement, designing test cases with development teams, validating user stories, and executing continuous integration testing within each sprint. Develop and execute comprehensive Test Strategies, including System Integration Testing (SIT), User Acceptance Testing (UAT), and End to End (E2E) testing for MMIS and MES modules.

USAA

$80000 - $96000

Orlando, FL

Leads high exposure, high profile and critical work assignments, and special investigations involving sophisticated niche fraud referrals, (examples: organized provider rings, staged accidents, large losses of significant exposure and broad scale PIP/Casualty Schemes) across multiple entities or functions. Processes large quantities of unstructured detailed information with high levels of accuracy by collecting evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.

USAA

$77120 - $147390

San Francisco, CA

Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures.

USAA

$77120 - $147390

San Diego, CA

Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures.

Providence St. Joseph Health

Renton, WA

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Join a large, collaborative team supporting Epic Professional Billing, where you'll partner closely with operational leaders to optimize workflows, maximize revenue, and accelerate cash performance across the organization.

US Tech Solutions, Inc.

$47

Columbia, SC

Provides assistance in development of project plans and system life cycle maintenance, performing quality checks on relational database tables, and in the development of focused end-user applications. With leadership responsibilities as assigned by management, participates in development of change requests and testing plans for changes to existing relational database tables.

Genesis10

$72.5 - $82.5

Eagan, MN

Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. As our primary SME, you will lead the functional design for end-to-end payment and reimbursement flows, ensuring our internal team is mentored and prepared to support these integrations long-term.

Aroha Technologies

Florham Park, NJ

Good working knowledge on creating Process workflow or Use Cases, Powerpoint slides, Wireframes, Workflows using Microsoft Visio, Analyze data using Microsoft Excel is needed to be effective at Requirements management, Translating and simplifying requirements. Must be able to document business processes using a combination of tools - Visio, Powerpoint, Excel and Word formats depending on the context and synthesize requirements into user stories, decision tables or other pertinent formats .

University Medical Center of El Paso

El Paso, TX

Five years of experience in managed care applications of which three years should be working with SQL, creation of DTS packages, Stored Procedures, current Windows platforms, Visual Basic, Globalscape EFT, and Microsoft Access required. Proven experience in processing Texas Medicaid Joint Interface plan files, use of Microsoft Biztalk, HIPAA transaction code sets, and other EDI batch processing automation tools.

Percepta

Melbourne, FL

Please note that neither Percepta nor any of the agencies that recruit on our behalf will ever ask for any payments or personal information such as bank account details from applicants at any point in the recruitment process. Percepta requires all employees hired in the United States to successfully pass a background check and depending on location and client program a drug test, as a condition of employment.