Claims Analyst Jobs in the United States
MBP
Raleigh, North Carolina
Overview: MBP is looking for Claims Analyst/Lead Claims Analyst/Senior Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Vaco LLC
$27 - $29
Phoenix, AZ
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.
Osmose Utilities Services
Atlanta, GA
Assess the classification of each claim (first aid, medical only, lost time, or controverted) and manage accordingly, including support of internal investigations to determine root cause and acceptance or denial of claims as applicable. This team contributor role will play a key part in supporting the multi-jurisdictional workers’ compensation program by managing, tracking, and analyzing employee injury claims.
Vaco, LLC
Phoenix, AZ
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.
Crum & Forster
BROOKFIELD, Wisconsin
Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
Crum & Forster
GLASTONBURY, Connecticut
We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee driven corporate giving program that lets you participate and support your community. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
Health Business Solutions LLC
Cooper City, FL
This position works under general supervision, according to established procedures; decides how and when to complete tasks, and reports major activities through periodic meetings and written reports. The Claims Analyst is responsible for analyzing, appealing, and resolving denied or underpaid medical insurance claims to ensure accurate reimbursement for healthcare services.
The LiRo Group
Albany, New York
Recently, Global Infrastructure Solutions Inc. (GISI), the parent company of The LiRo Group and Hill International, Inc. consolidated a portion of the highly experienced staff of both LiRo and Hill in the Northeast to create a larger, more efficient, and cost-effective team to serve clients. We work hard to build a corporate culture that empowers all our employees to freely share their ideas, know their presence, and contributions are truly valued, fostering a climate where our employees are enabled to maximize their full potential.
RG/2 Claims Administration LLC
MIDDLE CITY WEST, PA
RG/2 is seeking a Claims Analyst who will be responsible for handling data entry of claimant information, claim review, report processing and reconciliation, updating and maintaining the firm’s database and document management systems, electronic and telephonic communication with claimants, claim payment distribution activities, and assisting in the preparation of periodic reports to courts and counsel. We believe balanced judgment, common sense, initiative and the capacity to confront a variety of situations are essential traits of a successful employee.
Ultimate Staffing Services
$40 - $50
Pasadena, California
Build and test custom solutions leveraging C#.NET, VB.NET, SSIS, SSRS, SQL Server, QNXT APIs, and EDI (835/837). This role is ideal for someone who thrives in a technical, fast‑paced environment and enjoys partnering across teams to deliver reliable, compliant system solutions.
Workplace Options
Birmingham, AL
BHS operates one of the nation’s largest specialty preferred provider organizations (PPO), which is comprised of psychiatrists, psychologists, social workers, EAP providers as well as facility networks including hospitals, rehab/residential treatment centers, partial hospitalization programs and intensive outpatient programs. Minimum of 1 year of proven experience in a data entry role or similar position (e.g., call center representative, banking representative, or related office-based role).
Tower Health
Wyomissing, Pennsylvania
Additionally, the system provides a wide range of healthcare services, such as Reading Hospital Rehabilitation at Wyomissing, home healthcare via Tower Health at Home, TowerDirect ambulance and emergency response, Tower Health Medical Group, Tower Health Providers (a clinically integrated network), and Tower Health Urgent Care facilities across its service area. Developing Knowledge/Skills - Obtaining an in-depth knowledge of the Epic platform for the supported application and a general knowledge of other applications supported along with a detailed understanding of the integration of modules within the Epic Enterprise.
Compre Group
Manchester, New Hampshire
This role is responsible for handling a portfolio of direct insurance claims across multiple lines and jurisdictions, managing matters from initial coverage review through resolution, negotiation, and litigation where necessary. The position offers hands-on ownership of complex claims, exposure to coverage analysis and dispute management, and the opportunity to contribute to due diligence activities related to new acquisitions.
Human Hire
White Plains, NY
Research and perform claim investigations, update claims system with relevant notes, and handle various claim-related tasks . HumanHire is working with one of the largest insurance companies in New York, to help find a Claims Analyst for their White Plains office.
Berkley
$70000 - $90000
undefined, undefined
The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Responsibilities: As a Stop Loss Claims Analyst, you'll perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible for reimbursement.
Seneca Holdings
Chantilly, VA
SNG is Seneca Holdings' federal government contracting business that meets mission-critical needs of federal civilian, defense, and intelligence community customers. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation and training.
Peoplease
Orlando, FL
An ideal candidate will have the ability to manage and execute the coordination of multiple projects within required timeframes and expectations; demonstrated excellence in communication skills; be able to inform both orally and in writing; working knowledge of Microsoft Office products. Demonstrate the ability to perform detail-oriented tasks; interact, coordinate, follow up, and effectively communicate with WC team members, regional teams, Senior Management, and Third-Party Administrators.
Compre Group
Manchester, New Hampshire
Our AVP, Technical Claims Manager - Assumed is looking for an experienced Assumed Reinsurance Complex Claims Analyst to handle mid to large complex assumed claims across various disciplines and territories in line with company claims handling guidelines. Our innovative Flex First approach enables employees to perform to their full potential, regardless of their location, while fostering a sense of community through regular events and collaboration.
American International Group
Chicago, IL
As an experienced professional, in this role you’ll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, construction defect, as well as environmental and toxic tort claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
American International Group
$88000 - $110000
New York, NY
As a Claims Analyst IV, you will be responsible for handling Employment Practices Liability with opportunity to handle Director & Officers and Fiduciary Liability Claims, identifying, investigating, and resolving multiple coverage issues at the earliest appropriate time and providing clear and concise written and verbal communication of policy coverage issues to insureds, brokers, underwriters and risk managers. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
American International Group
Atlanta, GA
Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.
Global Information Technology
Southfield, MI
This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries.
Planate Management Group, LLC
Washington, VA
Planate Management Group (PMG) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in Alexandria, Virginia, and Orlando, Florida USA with a technical support center in South East Asia and East Africa, that provides program management and facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, and construction management services in support of the US Department of Defense (DOD) and its Service (Army, Air Force, Navy, Marine Corps) missions, along with other US federal agencies, all over the world.
WCF Insurance
$105000 - $150000
Sandy, UT
The person in this position may work remotely or on a hybrid schedule from WCF's Sandy, Utah headquarters or one of our regional offices in Roseville, CA; Boise, ID; or Denver, CO.This posting is open to internal and external candidates. WCF is an A-rated insurance carrier growing in the western U.S. We are looking to add a claim professional wanting to join a company with a great culture, competitive pay and great benefits.
American International Group
$86000 - $108000
New York, NY
That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family. American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s most far-reaching property casualty networks.
Addison Group
$20 - $23
Louisville, KY
This team supports revenue cycle operations across multiple facilities and is seeking experienced medical collections professionals to join their growing department. Familiarity with UB-04 claim forms and major payer portals (Availity highly preferred).
Ultimate Staffing Services
$85000 - $100000
Pasadena, California
Code and test complex, customer‑specific solutions using technologies such as C#.NET, VB.NET, SSIS, SSRS, SQL Server, and TriZetto QNXT API, including work with 835/837 EDI transactions. This position is responsible for planning, designing, testing, and implementing configuration changes within the TriZetto QNXT platform.
Highmark Health
Olympia, WA
LICENSES or CERTIFICATIONS** **Required** + Epic Application Certification within 6 months of hire **Preferred** + Epic Certification in Resolute Professional Billing and/or Professional Claims **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote-based Teaches / trains others Occasionally Travel from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Occasionally Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. **Preferred** + 3 + years of Healthcare Revenue Cycle experience (Claims, Patient Access, Billing) + 3 + years of experience with Epic EMR or other EMR applications + 3 years of experience in the healthcare industry **SKILLS** + Ability to handle analysis, design, system configuration and testing tasks at basic to moderate levels of complexity + Excellent customer service skills + Uses critical thinking skills for assigned tasks + Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal teamwork.
Advanced Behavioral Health, Inc
$53040 - $58344
Middletown, CT
Must be flexible in order to respond quickly and positively to shifting demands; Strong attention to detail; ability to work on multiple tasks and meet deadlines; Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel and Outlook); Strong written and verbal communication skills required; Excellent communication skills needed, and the ability to continually prioritize needs of staff and providers. Employs interpersonal expertise to provide good working relationships with members, providers, facilities and other ABH personnel; Maintains confidentiality of all client protected health information and adheres to all HIPAA related policies and procedures; Performs other tasks/responsibilities as required to support the business operations; Demonstrates ethical behavior and cultural sensitivity in all activities involving individuals of diverse backgrounds; Other duties as assigned; Requirements.
PEOPLEASE, LLC
Orlando, FL
An ideal candidate will have the ability to manage and execute the coordination of multiple projects within required timeframes and expectations; demonstrated excellence in communication skills; be able to inform both orally and in writing; working knowledge of Microsoft Office products. Demonstrate the ability to perform detail-oriented tasks; interact, coordinate, follow up, and effectively communicate with WC team members, regional teams, Senior Management, and Third-Party Administrators.
Lancesoft
$20
Detroit, MI
Demonstrated knowledge/competency in the following areas: membership inquiry or claims processing experience preferred, analytical experience, ability to produce statistical information from conceptual needs, and working with PC application and/or mainframe systems preferred. Utilize and maintain available corporate production and reporting systems;produce routine and non-routine reports, letters, and communications.
Morgan White Group
Coral Gables, FL
Morgan White Group will reasonably accommodate qualified individuals with a disability so that they can perform the essential functions of a job, unless doing so causes a direct threat to these individuals or others in the workplace and the threat cannot be eliminated by reasonable accommodation or if the accommodation creates an undue hardship to Morgan White Group. Responsible for investigating any medical information needed to properly process a claim by requesting medical records or any other document needed to providers and/or insureds (USA, Latin American and/or the Caribbean) to make a determination on the claim submitted.
American International Group
Dallas, TX
Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.
Shriners Children's
Remote, undefined
Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact.
XACTWARE SOLUTIONS INC
LEHI, UT
The Business Intelligence Analyst is pivotal in engaging with clients on matters related to property data and analytics, such as conducting in-depth consultations to understand their business challenges and providing tailored data-driven solutions. In addition to our Great Place to Work Certification, we've been recognized by The Wall Street Journal as one of the Best-Managed Companies and by Forbes as a World's Best Employer and Best Employer for Women, testaments to the value we place on workplace culture.
Sarasota Memorial Health Care System
Sarasota, Florida
Employment Screening Requirements: As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. The Epic Resolute Professional Billing Claims & Remit Analyst will implement and support the Epic PB and Claims module within the organization, with understanding of upstream and downstream data sources to be able to investigate the root causes of claims errors and configuration.
CRH Americas
Canton, MI
Michigan Paving and Materials, a vertically integrated CRH company, energetically drives to continually be a leader in our markets in quality construction materials and value added services by employing innovative techniques and customer-centric practices. Work with and assist Vendor Compliance Manager in the collection, review and submittal of contractual and insurance documents pertaining to contractors, subcontractors and vendors for the organization.
AMAT Great Lakes
Canton, MI
Michigan Paving and Materials, a vertically integrated CRH company, energetically drives to continually be a leader in our markets in quality construction materials and value added services by employing innovative techniques and customer-centric practices. Work with and assist Vendor Compliance Manager in the collection, review and submittal of contractual and insurance documents pertaining to contractors, subcontractors and vendors for the organization.
University Hospital, Newark NJ
$88646 - $107141
Newark, New Jersey
As the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. Key operational activitiesinclude primary responsibility for analyzing workflows and understanding policies, procedures, and constraints of the clinical or businessoperations supported by the application.
Tellus Solutions
Chicago, IL
Summary:The Claims Business Analyst is responsible for developing detailed business and functional requirements for claims processing and administration systems, as well as ensuring proper integration with downstream systems for reporting purposes. Additionally, the Claims Business Analyst provides analytical support for various projects and initiatives aimed at enhancing the claims management processes within the organization.
UnitedHealth Group
$23.41 - $41.83
Dallas, TX
Optum, a part of the UnitedHealth Group family of businesses, continues to evolve and make a bigger impact through its extensive expertise in combining technology, data, and people to create novel health care solutions and services across the globe. We're partnering with federal and state government agencies to meet the readiness and health needs of active duty military members and veterans by providing preventive health screenings and assessments to ensure that troops are ready to answer the call of duty.
Berkley
$80000 - $90000
Marlborough, Massachusetts
The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. As you learn more about the organization, your role may encompass SOX audits, subrogation referrals, overpayment/check void and refund processing, external auditor requests, and reserve adjustment requests.
Metropolitan Jewish Health System
New York, New York
The MJHS Difference: At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.
Acosta
$15.28 - $19
Charlotte, NC
Our sales and digital teams build lasting relationships, ensuring our client brands get the space they deserve in stores and outperform the competition online, while our merch reps make brands shine in retail locations across the world. Acosta is a part of Acosta Group – a collective of the industry’s most trusted retail, marketing and foodservice agencies reimagining the way people connect with brands at every point in their shopping journey.
Village Care
$65294.4 - $72277
New York, NY
You will play a critical role in understanding healthcare reimbursement from both financial and operational perspectives, conducting audits, and performing root cause analysis to resolve identified issues with internal teams and third-party administrators (TPAs). To excel as a Full-Time HealthCare Claims Analyst at VillageCare, candidates must possess a Bachelor's Degree in a relevant field such as Computer Science, Mathematics, Statistics, or Engineering, with a Master's degree preferred.
American International Group
Atlanta, GA
The analyst will support end-to-end delivery across use cases such as FNOL intake, coverage analysis, document summarization, and adjuster workflow augmentation, ensuring measurable improvements in cycle time, accuracy, and adjuster experience. With the support and investment needed to explore new frontiers in generative AI, you’ll be working alongside talented colleagues, innovating and leading projects that will transform how we manage risk and serve our customers.
Masco Corporation
$25 - $35
Earth City, MO
We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.
TechDigital
Charlotte, NC
Proven track record for creating clear, concise deliverables which reflect a deep understanding of business needs and software functionality. Proven hands-on experience with creation of business process diagrams, data rules, business requirements, and functional requirements / user stories.
Hussmann Corporation
$47625 - $88447
Remote, undefined
Suggest changes/upgrades/improvements to the warranty processing system to improve productivity and quality of data supplied to the stakeholders for warranty cost reductions and continuous improvement activities. Responsibilities: Gains and maintains knowledge of Hussmann product lines, components, and functions; as well as all systems and all ERPs to support role of processing claims and parts orders.
Essilor Luxottica
Mason, OH
We offer our industry stakeholders in over 150 countries access to a global platform of high-quality vision care products such as the Essilor brand, with Varilux, Crizal, Eyezen, Stellest and Transitions, iconic brands that consumers love such as Ray-Ban, Oakley, Persol and Oliver Peoples, as well as a network that offers consumers high-quality vision care and best-in-class shopping experiences such as Sunglass Hut, LensCrafters, and Target Optical, and leading e-commerce platforms. Analyst – Claims works closely with process leaders to develop KPI’s, enhance operational reporting, perform analytics to highlight process opportunities, complete month end close responsibilities and analyze financial data to identify areas of opportunities.