How to hire a claims analyst

How to hire a claims analyst, step by step

Here's a step-by-step claims analyst hiring guide:

• Step 1: Identify your hiring needs
• Step 2: Create an ideal candidate profile
• Step 3: Make a budget
• Step 4: Write a claims analyst job description
• Step 5: Post your job
• Step 6: Interview candidates
• Step 7: Send a job offer and onboard your new claims analyst
• Step 8: Go through the hiring process checklist

What does a claims analyst do?

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1. Identify your hiring needs

   Before you post your claims analyst job, you should take the time to determine what type of worker your business needs. While certain jobs definitely require a full-time employee, it's sometimes better to find a claims analyst for hire on a part-time basis or as a contractor.

   Determine employee vs contractor status

   Is the person you're thinking of hiring a US citizen or green card holder?

   Yes

   No

   You should also consider the ideal background you'd like them a claims analyst to have before you start to hire. For example, what industry or field would you like them to have experience in, what level of seniority or education does the job require, and how much it'll cost to hire a claims analyst that fits the bill.

   This list presents claims analyst salaries for various positions.

   Type of Claims Analyst	Description	Hourly rate
   Claims Analyst	Claims adjusters, appraisers, examiners, and investigators evaluate insurance claims. They decide whether an insurance company must pay a claim, and if so, how much... Show more	$13-37
   Appraiser	An appraiser is someone who assesses the monetary value of a property such as an automobile, real property, and personal claim. His/Her or her responsibilities include resolving disparities between a property's monetary values and preparing narrative reports for projects... Show more	$13-28
   Adjuster	An adjuster is responsible for evaluating the extent of loss in the company by calculating the damage costs, determining the settlement payment to the client, and managing the reputation of the company for claims accountability. Adjusters must have extensive knowledge of the insurance principles and processes, following the state and federal regulations to protect clients and the business from insurance fraud... Show more	$16-32

   Show more

2. Create an ideal candidate profile

   Common skills:

   • Customer Service
   • Medical Terminology
   • CPT
   • Process Claims
   • Medicaid
   • Data Entry
   • Health Insurance
   • Bank Procedures
   • Medical Claims
   • Claims Issues
   • Quality Standards
   • HCPCS
   • Medical Billing
   • Insurance Claims

   Check all skills

   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.
   • Interpret medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes for member submit claims.
   • Acquire biometrics and perform phlebotomy.

   More claims analyst duties

3. Make a budget

   Including a salary range in your claims analyst job description is a great way to entice the best and brightest candidates. A claims analyst salary can vary based on several factors:

   • Location. For example, claims analysts' average salary in utah is 50% less than in new jersey.
   • Seniority. Entry-level claims analysts earn 63% less than senior-level claims analysts.
   • Certifications. A claims analyst with a few certifications under their belt will likely demand a higher salary.
   • Company. Working for a prestigious company or an exciting start-up can make a huge difference in a claims analyst's salary.

   Average claims analyst salary

   $48,398yearly

   $23.27 hourly rate

   ---

   Entry-level claims analyst salary

   $29,000 yearly salary

   Updated December 16, 2025

   Average claims analyst salary by state

   Rank	State	Avg. salary	Hourly rate
   1	New Jersey	$66,699	$32
   2	District of Columbia	$60,716	$29
   3	Michigan	$58,490	$28
   4	Virginia	$58,413	$28
   5	New York	$57,980	$28
   6	California	$56,014	$27
   7	Massachusetts	$51,561	$25
   8	Nevada	$51,149	$25
   9	Indiana	$50,547	$24
   10	Connecticut	$50,513	$24
   11	Missouri	$48,563	$23
   12	Maryland	$48,018	$23
   13	Georgia	$47,963	$23
   14	Pennsylvania	$47,769	$23
   15	Maine	$47,686	$23
   16	Texas	$46,135	$22
   17	Colorado	$46,070	$22
   18	Illinois	$45,684	$22
   19	Delaware	$45,084	$22
   20	Oregon	$44,844	$22

   Average claims analyst salary by company

   Company

   Rank	Company	Average salary	Hourly rate	Job openings
   1	Google	$136,247	$65.50
   2	AbbVie	$105,895	$50.91	1
   3	Arcadia.io	$100,281	$48.21
   4	Tucson Electric Power	$99,685	$47.93
   5	First Republic Bank	$94,550	$45.46
   6	PRA Group Careers	$93,457	$44.93
   7	Argo Group	$92,874	$44.65	43
   8	AmeriHealth Caritas	$92,007	$44.23	2
   9	Southwest Business Corporation	$90,859	$43.68	7
   10	PacificSource Health Plans	$89,132	$42.85
   11	Erie Insurance	$87,973	$42.29	11
   12	Crum & Forster	$82,315	$39.57	7
   13	HNTB	$81,715	$39.29
   14	ExamWorks	$81,662	$39.26
   15	AIG	$81,199	$39.04	105
   16	Veritas Health Services Inc	$79,568	$38.25
   17	Verisk Analytics	$78,236	$37.61	1
   18	Chubb	$78,013	$37.51	148
   19	Sun Life of Canada	$77,879	$37.44	1
   20	Risk Strategies	$77,288	$37.16	1

4. Writing a claims analyst job description

   A claims analyst job description should include a summary of the role, required skills, and a list of responsibilities. It's also good to include a salary range and the first name of the hiring manager. To help get you started, here's an example of a claims analyst job description:

   Claims analyst job description example

   Blue Cross and Blue Shield of Vermont is looking for a Claims Analyst to join our team. Our company culture is built on an unwavering focus on our members and giving them the best service possible. We offer a balanced, flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.
   COVID-19 : Blue Cross is requiring all employees and covered consultants to be fully vaccinated (including booster if eligible) against COVID-19 and provide proof of vaccination as of January 1, 2022. Those with a medical condition or sincerely held religious belief preventing them from being vaccinated can request an exemption without fear of retaliation or an impact on job candidacy
   
   REMOTE WORK : Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work two days per week in the office with flexibility to work remotely the rest of the week.
   
   Claims Analyst Responsibilities:
   Review all claims data submitted for accuracy and completeness. Analyze claims to determine appropriate coding for processing. Determine if procedure code is payable according to particular line of business. Review provider pricing files to determine allowances for correct payment. Review, investigate and resolve suspended claims relying on department procedures, using system files as necessary. Determine the correct level of coding and/or reimbursement for claims relying on department procedures, using system files as necessary.
   Claims Analyst Qualifications:
   High school diploma or equivalent is required. Strong data entry skills required. Knowledge of medical terminology and medical coding strongly preferred.
   Claims Analyst Benefits:
   Health insurance (including vision) Dental coverage (free to employees) Wellness Program 401(k) with employer match + automatic employer contribution Life Insurance Disability Insurance Combined time off (CTO) - 20 days per year + 9 paid holidays Tuition Reimbursement Student Loan Repayment Dependent Caregiver Benefits
   *full job description attached to ADP posting

   Copy this example

   

5. Post your job

   To find the right claims analyst for your business, consider trying out a few different recruiting strategies:

   • Consider internal talent. One of the most important sources of talent for any company is its existing workforce.
   • Ask for referrals. Reach out to friends, family members, and current employees and ask if they know or have worked with claims analysts they would recommend.
   • Recruit at local colleges. Attend job fairs at local colleges to recruit claims analysts who meet your education requirements.
   • Social media platforms. LinkedIn, Facebook and Twitter now have more than 3.5 billion users, and you can use social media to reach potential job candidates.

   Post your job online:

   • Post your claims analyst job on Zippia to find and recruit claims analyst candidates who meet your exact specifications.
   • Use field-specific websites.
   • Post a job on free websites.

6. Interview candidates

   During your first interview to recruit claims analysts, engage with candidates to learn about their interest in the role and experience in the field. During the following interview, you'll be able to go into more detail about the company, the position, and the responsibilities.

   You should also ask about candidates' unique skills and talents to see if they match the ideal candidate profile you developed earlier. Candidates good enough for the next step can complete the technical interview.

   The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

7. Send a job offer and onboard your new claims analyst

   Once you have selected a candidate for the claims analyst position, it is time to create an offer letter. In addition to salary, the offer letter should include details about benefits and perks that are available to the employee. Ensuring your offer is competitive is vital, as qualified candidates may be considering other job opportunities. The candidate may wish to negotiate the terms of the offer, and it is important to be open to discussion and reach a mutually beneficial agreement. After the offer has been accepted, it is a good idea to formalize the agreement with a contract.

   It's also good etiquette to follow up with applicants who don't get the job by sending them an email letting them know that the position has been filled.

   After that, you can create an onboarding schedule for a new claims analyst. Human Resources and the hiring manager should complete Employee Action Forms. Human Resources should also ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc., and that new employee files are created.

8. Go through the hiring process checklist

   • Determine employee type (full-time, part-time, contractor, etc.)
   • Submit a job requisition form to the HR department
   • Define job responsibilities and requirements
   • Establish budget and timeline
   • Determine hiring decision makers for the role
   • Write job description
   • Post job on job boards, company website, etc.
   • Promote the job internally
   • Process applications through applicant tracking system
   • Review resumes and cover letters
   • Shortlist candidates for screening
   • Hold phone/virtual interview screening with first round of candidates
   • Conduct in-person interviews with top candidates from first round
   • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
   • Conduct background checks on top candidates
   • Check references of top candidates
   • Consult with HR and hiring decision makers on job offer specifics
   • Extend offer to top candidate(s)
   • Receive formal job offer acceptance and signed employment contract
   • Inform other candidates that the position has been filled
   • Set and communicate onboarding schedule to new hire(s)
   • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)

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How much does it cost to hire a claims analyst?