Claims Analyst Jobs in the United States
CornerStone Staffing
$19
Dallas, TX
By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. • Strong data entry accuracy, attention to detail, and professional phone communication skills in a fast-paced, production-driven setting.
XPO
North Richland Hills, TX
Preferred qualifications: 1 or more years of experience as a cargo claims examiner, analyst or in a similar capacity working with liability and risk . What you’ll do on a typical day: Investigate and analyze incidents and claims for loss, damage and delay to determine company liability while protecting company and customer interests.
AAA Life Insurance Company
Livonia, MI
The ideal candidate is a natural leader with strong communication skills, capable of organizing multiple priorities, inspiring the team to deliver quick, accurate, fair and compassionate service to members. Experience managing people (5+ years experience in leadership roles) with balanced approach to accountability and caring about the wellbeing of associates.
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.
Jobot
$19 - $21
San Antonio, TX
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. This position is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone, and handling various administrative tasks within the claims department.
Vaco LLC
$45000 - $50000
Brookhaven, GA
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. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
USAA
Phoenix, AZ
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.
Encompass Health
Vestavia Hills, AL
Familiarity with systems development life cycle for packaged applications; business requirements definition and documentation; system design; software development; common system and user acceptance testing procedures; system deployment; technical documentation; and/or end user training execution and documentation. This position has active involvement in release management, software configuration & change management, end-user training, and technical documentation associated with various applications, such as revenue cycle applications or corporate systems, in both company corporate offices and remote hospital facilities.
CFS
$55000 - $70000
Naperville, IL
Key Responsibilities Deductions Analyst: The Deductions Analyst will follow up with customers on past-due invoices and apply payments. This role will focus on collecting outstanding payments, resolving customer deductions, and maintaining accurate account records.
OnPoint Medical Group
$65000 - $80000
Highlands Ranch, CO
Reporting to the VP of FP&A, the Financial & Data Analyst will play a key role in supporting company-wide performance through advanced financial analysis, data modeling, and dashboard development. OnPoint Medical Group is a physician-led network with a progressive model of physician leadership across family medicine, internal medicine, OB-GYN, and pediatric practices.
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.
Kelmar
$85000 - $100000
Wakefield, MA
The Software Business Analyst position is well-suited for an experienced analyst who enjoys working directly with customers and cross-functional teams, and who wants to grow their expertise in requirements, testing, and data-driven product improvement while contributing to enterprise-grade applications. # of Openings: 2. The Software Business Analyst will serve as a critical liaison between external clients, business stakeholders, and development teams, ensuring that software requirements are captured with clarity, validated against user needs, and delivered effectively.
Boston Children's Hospital
$111404.8 - $178245.6
Boston, MA
The Lead Analyst for the Professional Billing IT team is responsible for the advanced design, building/configuring, testing, and support of the Epic Professional Billing application. Gold Star Implementation: Champion the implementation of Gold Star and Staying Current functionalities to maintain system performance and improve operational efficiency.
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.
Sentry Insurance
Madison, WI
As an Actuarial Analyst, you will: Compile, validate, and analyze data used in actuarial studies supporting pricing, reserving, and rate adequacy for Small Commercial products. Exposure to or interest in data analytics, AI‑enabled tools, automation, or advanced analytical techniques, with a willingness to learn and apply emerging technologies in an actuarial context.
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.
System One
$85000 - $95000
Lenexa, KS
Develop, optimize, and maintain complex SQL queries, stored procedures, and views to extract, transform, and analyze financial, claims, enrollment, capitation, and utilization data. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.
Kforce Inc.
$53 - $63
Purchase, NY
Key Responsibilities: Partner with enterprise data warehouse and data platform teams supporting P&C insurance data, including enterprise data models, data lineage, and end to end source to report flows . The individual serves as a P&C data subject matter expert and translator, ensuring accurate interpretation of insurance data across systems and reports-without directly developing dashboards or reports.
Sentry Insurance
Stevens Point, WI
Additionally, you will: Maintain industry knowledge of various investments, their characteristics and operational support methodologies by participating in meetings and conference calls with general managers, market update calls, and attending selected industry conferences. As an Investment Operations Analyst on our Alternative Investments team, you will: Review various communications and gather necessary documentation to initiate fund capital calls and distributions in a timely manner and record investment activity and valuations within internal systems.
Spring Health
$97000 - $113500
Washington DC, DC
Serve as a strategic partner to HOPs leadership, providing analytical guidance on their most critical business priorities, including reducing bad debt, improving clean collections rates, reducing aged Accounts Receivable, and improving team efficiency. Analyze operational trends and drivers to surface insights, root causes, and leading indicators—translating findings into clear narratives for leadership across HOPs, as well as cross-functional partners.
Spring Health
$97000 - $113500
Anywhere, NY
Serve as a strategic partner to HOPs leadership, providing analytical guidance on their most critical business priorities, including reducing bad debt, improving clean collections rates, reducing aged Accounts Receivable, and improving team efficiency. Analyze operational trends and drivers to surface insights, root causes, and leading indicators—translating findings into clear narratives for leadership across HOPs, as well as cross-functional partners.
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.
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.
ECLARO
$61.07 - $64.77
Tampa, FL
Build and maintain business relationships with wholesalers and distributors and across matrix teams including Government Price Reporting, Government Contract Operations, Institutional Contract Administration, Customer Operations, Order to Cash Operations, IT, Trade Sales Ops, Finance and Customer Service Ops. Qualifications:Education: Bachelor's degree in accounting, Finance, Business or related subjects is preferred A minimum of 5 years of related experience in business analysis, financial analysis, audit, chargeback administration, contract administration, or master data administration.
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.
Zurich Insurance Company Ltd.
$53400 - $78750
Sioux Falls, SD
span/pul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptInsurance industry knowledge applicable to underwriting rules and procedures /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptKnowledge of agriculture and/or multi-peril crop insurance and specialty programs /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptSuperior skills in relationship building, active listening with customers and co-workers /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptStrong verbal and written communication skills /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptCustomer service experience /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptEnjoys working with details and providing accurate data and/or information in a timely manner /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptProficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint) and Adobe Acrobat /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptAbility to multi-task /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0pt5% /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptCustomer service experience /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptProblem solving experience /span/li/ulul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:arial, helvetica, sans-serifspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptExperience servicing product portfolios for multiple lines of business for insurance or financial industry.
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.
Axelon Services Corporation
San Francisco, CA
Generic Scope: Technical leader with a high degree of knowledge in the overall field and recognized expertise in specific areas; problem-solving frequently requires analysis of unique issues / problems without precedent and / or structure. This includes the Electronic Health Record (APeX), which supports the clinical, revenue cycle, and clinical operational functions of the health system and its affiliates, and approximately 95 other software applications involved in patient care and operations.
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.
University Medical Center of El Paso
El Paso, TX
Two years of experience converting information from specifications to programming code utilizing reporting tools such as Crystal Reports, Microsoft Reporting Services, SQL, Stored Procedures or Data Transformation Packages. Works closely with IS Director, internal and external users, Vendors, and Information Technology programmers on data analysis and/or extracts and system implementation projects.
HTC Global Services Inc
Madison, WI
The role also involves identifying opportunities for process improvements across personal lines workflows, preparing detailed documentation including requirement specifications and process flows, and collaborating with development, quality assurance, product teams, and business users to ensure successful delivery of solutions. Basic technical knowledge of JSON for reading and interpreting API payloads, Postman for API testing and validation, and SQL for writing select queries, joins, and filters to support data validation and analysis.
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.
Bering Straits Native Corporation
El Paso, TX
Track and report workforce staffing levels relative to the supported population to support leadership in assessing daily operational readiness and maintaining safe staffing levels. BSNC became the regional Alaska Native Corporation (ANC) for the Bering Strait region, which encompasses the majority of the Seward Peninsula and the coastal lands of eastern Norton Sound.
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.
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.
A-Line Staffing Solutions LLC
$45
Atlanta, GA
The Analyst will partner closely with business stakeholders, IT teams, vendors, and external partners to ensure Medicaid systems and solutions meet contractual, regulatory, and operational expectations. o Support system testing activities, including test planning, test case development, and user acceptance testing (UAT).
Genesis10
$63 - $65
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. Responsibilities:Lead system and data integration efforts for our client's clinical vendor hub, ensuring reliable, secure, and accurate data exchange across internal platforms, external vendors, and client partners.
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.
HTC Global Services Inc
Madison, WI
Minimum of 4 years of relevant experience, preferably in personal Auto or Property domains, with knowledge of rating/coverages, underwriting rules, policy lifecycle, endorsements, renewals, and billing/claims touchpoints. Experience with Guidewire PolicyCenter, including familiarity with product model, jobs, rules/workflows, entities, UI patterns, configuration lifecycle, and underwriting issues.
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 .
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.
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.
USAA
$93770 - $179240
San Antonio, TX
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.
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.
Vaco LLC
$60000 - $65000
Andover, MA
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. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Shegerian & Associates
$54000 - $58000
San Diego, CA
Time for Life: Accrual of 80 hours of PTO (additional 40 hours on 3rd anniversary), 40 hours sick pay, plus your birthday off as a fully paid day. We're California's premier plaintiff-side employment law firm, and we're looking for an Intake Specialist who brings equal parts heart and precision.
WinCorp Solutions
$24 - $30
Los Angeles, CA
Auditor: Knowledge of HMO/IPA operations; medical terminology; ICD-10, RVS, and CPT coding; Medicare and Medi-Cal guidelines; and 10-key skills by touch. WinCorp Solutions is seeking multiple healthcare roles to serve as a consultant for our clients in the healthcare system.