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.
Senior Claims Specialist - Workers Compensation
$95K - $110K *
Champion effective claims resolution by managing Pennsylvania and Delaware workers' compensation claims. Leverage expertise to investigate, negotiate, and strategize for optimal outcomes while ensurin...
1 week ago
Risk Adjustment Healthcare Analyst III
$90K - $122K *
Drive impactful healthcare analytics and reporting for risk adjustment strategies. Collaborate with cross-functional teams to ensure coding accuracy and compliance, while refining data-driven insights...
4 weeks ago
Risk Adjustment Healthcare Analyst III
$90K - $122K *
Unlock the potential of healthcare analytics by delivering impactful insights that drive strategic Risk Adjustment initiatives. Collaborate with cross-functional teams to enhance data quality and info...
4 weeks ago
$99K - $118K *
Transform your career by leveraging your clinical and coding expertise to defend appeals for healthcare claims. This role demands independent analysis, strong communication, and proficiency in AI tool...
2 days ago
Claims Module Senior Business Analyst
$85K - $111K *
Drive the claims module for health care projects, providing domain expertise and analysis. Collaborate with teams to ensure quality processes, meet customer expectations, and assist in implementation...
2 weeks ago
Provider Dispute and Resolution Analyst III
$77K - $123K *
Unlock potential by managing complex provider claims and reimbursement disputes. Conduct advanced analyses, coordinate cross-functional resources, and drive continuous improvement while serving as a s...
1 week ago
Provider Dispute and Resolution Analyst II
$67K - $107K *
Engage in resolving provider claims and reimbursement disputes by analyzing and coordinating solutions. Collaborate with stakeholders to ensure timely resolutions while maintaining meticulous records...
1 week ago
Senior Claims Specialist- Workers' Compensation
$105K - $125K *
Champion effective claims resolution by managing California workers' compensation claims. Leverage your expertise to investigate, negotiate, and strategize for optimal outcomes while ensuring complian...
1 week ago
Senior Claims Specialist- Workers' Compensation
$105K - $125K *
Join a dynamic team as a Senior Claims Specialist, managing California and Oregon workers' compensation claims. Leverage your expertise to drive effective resolutions, negotiate settlements, and ensur...
1 week ago
Claims Liaison, Commercial Insurance
$80K - $100K *
Engage with clients and insurers as a Claims Liaison, providing expert guidance and advocacy in claims management. Collaborate with a dedicated team to enhance customer experience and streamline claim...
2 weeks ago
$63K - $111K *
Contribute to the claims management process by organizing documentation, maintaining records, and supporting legal teams in disputes. Play a vital role in ensuring project compliance and effective com...
6 days ago
$63K - $111K *
Join a team that's dedicated to supporting claims management processes by maintaining essential project records and organizing documentation for disputes, ensuring effective communication and coordina...
6 days ago
Configuration Analyst / Job Req 1040513923
$90K - $135K *
Shape the future of healthcare operations by configuring provider contracts and fee schedules, ensuring precise data management, and supporting business needs through effective system analysis and tra...
2 weeks ago
(*) Commercial National Programs Claims Examiner - Level 3
$75K - $87K *
Transform the insurance claims landscape by expertly adjusting complex property claims, ensuring exceptional service and communication while guiding clients through their journey from report to resolu...
3 weeks ago
Senior Analyst, SIU Investigator
$72K - $94K *
Optimize investigations into fraud, waste, and abuse by analyzing claims data, managing caseloads, and implementing process improvements to achieve recovery targets and enhance operational efficiency...
2 weeks ago
Senior Analyst, SIU Investigator
$72K - $94K *
Champion data-driven investigations to combat fraud, waste, and abuse in healthcare claims. Leverage analytical skills to drive improvements while managing a robust caseload and meeting performance ta...
3 weeks ago
Workers Compensation Claims Adjuster II
$72K - $89K *
Manage complex indemnity claims from intake to resolution, utilizing strong judgment and knowledge of WC statutes. Collaborate with diverse clients to ensure effective medical management, litigation s...
1 week ago
Claim Examiner-Commercial Auto/Trucking Physical Damage (hybrid)
$68K - $98K *
Manage the processing and resolution of Commercial Material Damage claims, ensuring compliance with policy rules. Evaluate liability, monitor claim statuses, and lead a team of experts to effectively...
3 weeks ago
Claim Examiner-Commercial Auto/Trucking Physical Damage (hybrid)
$68K - $98K *
Join us to manage and resolve Commercial Material Damage claims, ensuring thorough investigation, coverage analysis, and optimal outcomes. You will work collaboratively with internal and external team...
3 weeks ago
Claim Examiner-Commercial Auto/Trucking Physical Damage (hybrid)
$68K - $98K *
Analyze, manage, and resolve commercial transportation claims while providing expertise in coverage, liability, and damages. Collaborate with teams to ensure effective claim resolution and compliance...
3 weeks ago
Claim Examiner-Commercial Auto/Trucking Physical Damage (hybrid)
$68K - $98K *
Unlock potential by managing 1st and 3rd party Commercial Material Damage claims. Evaluate liability, verify policy details, and ensure thorough claim resolutions while collaborating with various stak...
3 weeks ago
Claim Examiner-Commercial Auto/Trucking Physical Damage (hybrid)
$68K - $98K *
Lead the charge in managing and resolving Commercial Material Damage claims, ensuring thorough investigations and effective solutions. Collaborate with various stakeholders to uphold policy compliance...
3 weeks ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Advance your career by auditing outpatient and specialty claims, ensuring coding accuracy and compliance. Leverage your clinical and coding expertise to enhance audit processes and contribute to quali...
3 weeks ago
$80K - $95K *
Unlock potential by investigating and managing complex Workers Compensation claims. Collaborate with defense counsel, ensure accurate settlements, and mentor new hires while employing independent judg...
3 weeks ago
$80K - $95K *
Partner with us to drive effective management of complex workers' compensation claims. Utilize your advanced analytical skills to evaluate, negotiate, and resolve claims while mentoring new team membe...
1 month 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.