Claims Analysts review and evaluate claims to help organizations make accurate, consistent, and timely decisions. Their work may involve examining policy terms, medical or financial records, loss details, and supporting documentation; identifying inconsistencies; and communicating findings to colleagues, customers, or business partners. Browse Claims Analyst opportunities on Ladders, including vetted professional roles paying $100,000 or more.
Responsibilities vary by employer and specialty. A Claims Analyst may assess claim eligibility and exposure, verify information, interpret policies or regulations, spot trends and potential fraud indicators, prepare reports, and recommend next steps. Analysts often collaborate with claims adjusters, investigators, legal teams, underwriters, healthcare providers, and customers.
Claims Analyst roles are found across property and casualty insurance, health insurance, workers’ compensation, life insurance, third-party administration, and other organizations that manage claims. Some positions focus on individual claim reviews, while others emphasize quality assurance, reporting, compliance, or portfolio-level analysis.
Employers commonly value analytical thinking, attention to detail, sound judgment, clear communication, and the ability to manage sensitive information. Depending on the role, useful experience may include claims operations, insurance policies, healthcare billing, regulatory requirements, data analysis, or case management. Familiarity with claims platforms, spreadsheets, and reporting tools can also be an advantage. Requirements differ by employer and specialization.
Compensation depends on factors such as industry, location, experience, scope, and specialization. Senior or specialized positions may include broader responsibilities, such as complex claim review, process improvement, team leadership, or advanced reporting. Ladders focuses on vetted professional jobs paying $100,000 or more, so explore current listings to see which opportunities match your background and goals.
Search Claims Analyst openings and compare role requirements, industries, and responsibilities. Review each listing for details about compensation, qualifications, and work arrangements, then apply to opportunities aligned with your experience.
Group Underwriter II (Stop Loss)
$79K - $105K *
Join a team that's dedicated to providing comprehensive Rating & Underwriting support for Stop Loss products, ensuring accurate proposal rates and renewals for groups of 100+, while collaborating clos...
Today
Sr. Product Data Analyst - Medicare Advantage - Remote
$91K - $163K *
Pioneer innovative data solutions that enhance Medicare Advantage programs, ensuring seamless eligibility and benefits management while collaborating with vendors, stakeholders, and technology teams t...
Reposted 1 week ago
Business Process Owner Lead - Claims Advanced Capabilities
$114K - $205K *
Join a team that's shaping the future of claims operations through innovation and AI. Leverage your expertise in business process optimization to enhance outcomes, improve efficiency, and deliver exce...
Today
$85K - $97K *
Shape the future of healthcare by conducting clinical case reviews and enhancing product quality for an AI-driven clinical platform. Collaborate with care teams to ensure accurate alert functionality...
3 weeks ago
$80K - $95K *
Empower growth by developing strategic relationships with biotech and pharma clients. Drive market awareness and increase RFPs through collaboration with the business development team, leveraging your...
Today
Senior Manager, Stop-Loss Risk and Proposals
$110K - $130K *
Take ownership of the sales process for self-funded stop-loss cases, evaluating risk, managing proposals, and collaborating with underwriters to enhance case preparation and market success...
1 week ago
$80K - $95K *
Transform your career by enhancing data security and integrity. Collaborate with cross-functional teams to implement robust security measures, conduct audits, and mitigate risks while staying ahead of...
1 week ago
Account Executive - MI Clarity - Ohio-Pittsburgh
$100K - $120K *
Drive adoption of an AI-powered breast cancer assay by partnering with oncologists, surgeons, and healthcare systems to enhance patient treatment strategies and optimize clinical workflows. Measure su...
Reposted 1 month ago
Senior Analyst, Technical Implementation
$89K - $133K *
Empower success by leading healthcare technology implementations, optimizing workflows, and ensuring compliance. Collaborate across teams to guarantee smooth integrations and enhance system functional...
Reposted 6 days ago
Clinician Coding Liaison - Medical Based Specialties
$73K - $110K *
Reimagine coding practices by delivering proactive education, ensuring compliance, and optimizing documentation across diverse pediatric specialties. Lead training for physicians to enhance accuracy a...
Reposted 3 weeks ago
Account Executive - IntelliScript (Remote)
$85K - $199K *
Transform client engagement through proactive solution-based sales, driving revenue within the health insurance sector. Collaborate closely with teams to develop tailored strategies and nurture execut...
Reposted 3 weeks ago
$100K - $200K *
Unlock new business growth by driving sales of an innovative eClinical platform. Engage with biotech and medtech companies to meet their unique needs through building relationships and a strong sales...
4 weeks ago
Enterprise Architect - Emerging Analytics
$134K - $209K *
Join a team that's redefining data architecture and analytics. Leverage your expertise to drive cloud adoption, modernize data platforms, and influence strategic initiatives that empower data-driven d...
2 weeks ago
WC Regional Manager, Claims (Remote - Residency in Western States)
$100K - $158K *
Lead a regional workers' compensation claims organization, driving performance and excellence in adjudication, customer service, and compliance. Foster a culture of improvement and collaboration while...
3 weeks ago
$80K - $120K *
Partner with us to enhance and optimize the Edifecs platform, ensuring efficient EDI transaction processing. Collaborate with cross-functional teams to troubleshoot and improve system performance in a...
1 week ago
Clinical Research Associate- Oncology Monitoring Experience Required
$110K - $130K *
Deliver comprehensive oversight and guidance for clinical trial monitoring, ensuring compliance and quality. Collaborate with cross-functional teams to address site issues, enhance recruitment, and ma...
2 weeks ago
Field Auto Appraiser - Pittsburgh, PA
$60K - $117K *
Transform your career by becoming a pivotal Field Auto Appraiser. Engage with customers directly, assess vehicle damage, and navigate the claims process in a dynamic field setting where your expertise...
3 weeks ago
AVP Clinical Documentation (Orchestration Works)
$150K - $250K *
Unlock potential by leading innovative clinical documentation initiatives that enhance quality, compliance, and revenue cycle outcomes. Collaborate with cross-functional teams to redefine workflows an...
Today
$78K - $130K *
Advance your career by managing complex appraisal reviews, ensuring compliance with regulations, and supporting the appraisal team in delivering accurate real estate valuations. Collaborate with colle...
Yesterday
$75K - $90K *
Analyze pharmacy claims audits to ensure compliance with PBM contracts. Contribute to data quality checks, financial evaluations, and operational efficiencies while collaborating with internal teams a...
2 weeks ago
Managing Consultant - Clinical Documentation Integrity (CDI) - Healthcare
$120K - $165K *
Drive the successful transfer of CDI best practices by mentoring client teams, conducting record reviews, and delivering education. Collaborate with healthcare professionals to enhance documentation a...
3 weeks ago
Senior Accountant, Sales Tax & Treasury
$80K - $95K *
Join a dynamic finance team to oversee multi-state sales tax compliance and assist treasury operations, ensuring accuracy and efficiency. Work directly with leadership while engaging broadly in financ...
Reposted 3 weeks ago
$112K - $225K *
Champion the future of risk management by leveraging your actuarial expertise in a remote role focused on regulatory consulting, pricing, reserving, and reinsurance strategies, while advancing your pr...
Reposted 3 days ago
Lead Application Support Analyst - Health Plan
$67K - $108K *
Join a team that's dedicated to enhancing healthcare through innovative technology solutions. Lead projects, collaborate with stakeholders, and ensure optimal application use while mentoring team memb...
Today
Remote Medical Director, Appeals
$215K - $408K *
Lead the charge in medical management and quality improvement initiatives, ensuring optimal care delivery and cost-effectiveness. Collaborate with clinical teams to enhance utilization management and...
1 week ago
What does a Claims Analyst do?
A Claims Analyst reviews claim information and supporting documents, evaluates coverage or eligibility, identifies discrepancies and trends, and communicates findings or recommendations. Specific duties depend on the employer and type of claims handled.
What qualifications are commonly needed for Claims Analyst jobs?
Requirements vary, but employers often seek analytical ability, attention to detail, communication skills, and relevant experience in claims, insurance, healthcare, compliance, or data analysis. Some roles may require knowledge of particular policies, regulations, or claims systems.
Where can Claims Analysts work?
Claims Analysts work in sectors such as property and casualty insurance, health insurance, workers’ compensation, life insurance, and third-party administration, as well as other organizations that process claims.
How much do Claims Analysts earn?
Pay varies by location, industry, experience, specialization, and role scope. Ladders features vetted professional jobs paying $100,000 or more; review individual listings for compensation details.
How can I find Claims Analyst jobs paying $100,000 or more?
Search Claims Analyst listings on Ladders and review each posting for salary information, responsibilities, qualifications, and work arrangements. Match your experience to the requirements before applying.