How To Become A Claims Analyst: What It Is and Career Path

What is a claims analyst and how to become one

Updated January 8, 2025

4 min read

A claims analyst is an individual responsible for evaluating insurance claims to determine their validity. They work in various industries including healthcare, automotive, and property insurance. Claims analysts review policy documents and coverage limits to determine the extent of the insurance company's financial responsibility. Claims analysts must have strong analytical skills, attention to detail, and the ability to make quick decisions while adhering to industry regulations and ethical standards.

ScoreClaims AnalystUS Average

Salary

3.8

Avg. Salary $48,398

Avg. Salary $59,228

Stability level

9.3

Growth rate -6%

Growth rate 0.3%

Diversity

4.6

Race

American Indian and Alaska Native 0.50%

Asian 5.11%

Black or African American 11.29%

Hispanic or Latino 16.38%

Unknown 4.39%

White 62.33%

Gender

female 72.38%

male 27.62%

Age - 43

Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 43

Stress level

9.3

Stress level is very high

7.1 - high

Complexity level

9.6

Complexity level is advanced

7 - challenging

Work life balance

3.7

Work life balance is poor

6.4 - fair

What are the pros and cons of being a claims analyst?

Pros

Good compensation and benefits package
Opportunities for advancement and career growth
Ability to work remotely or from home
High job security and stability
Analytical thinking and problem-solving skills are developed

Cons

Dealing with upset or angry customers
Constant pressure to meet performance metrics
Repetitive tasks and work can become monotonous
Difficult to keep up with changing policies, regulations, and guidelines
Errors can be costly and have significant consequences.

Key steps to become a claims analyst

Explore claims analyst education requirements

Most common claims analyst degrees

Bachelor's

51.8 %

Associate

21.5 %

High School Diploma

10.5 %

Start to develop specific claims analyst skills

Skills	Percentages
Customer Service	14.26%
Medical Terminology	5.47%
CPT	5.36%
Process Claims	4.98%
Medicaid	4.90%

Complete relevant claims analyst training and internships

Accountants spend an average of 1-2 years on post-employment, on-the-job training. New claims analysts learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a claims analyst based on U.S. Bureau of Labor Statistics data and data from real claims analyst resumes.

Gain additional claims analyst certifications

Claims analyst certifications can show employers you have a baseline of knowledge expected for the position. Certifications can also make you a more competitive candidate. Even if employers don't require a specific claims analyst certification, having one may help you stand out relative to other applicants.

The most common certifications for claims analysts include Associate in Claims (AIC) and International Accredited Business Accountant (IABA).

More About Certifications

Research claims analyst duties and responsibilities

Help managed meetings regarding decision making on CMS regulations.
Process UB's and HCFA's according to guidelines.
Analyze and investigate medical claims utilizing ICD-9 and CPT-4 coding.
Review claims (HCFA and UB) for accurate billing submission.

Prepare your claims analyst resume

When your background is strong enough, you can start writing your claims analyst resume.

You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a claims analyst resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

Choose from 10+ customizable claims analyst resume templates

Build a professional claims analyst resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your claims analyst resume.