Claims Analyst Job Description Template

The Claims Analyst job description template outlines the essential duties and responsibilities of this key role. As a Claims Analyst, you will be responsible for reviewing and analyzing insurance claims to determine their validity and accuracy. Your ability to interpret policy language, analyze data, and communicate findings with insurance agents and policyholders will be crucial to your success in this position. If you are detail-oriented, strategic, and have a strong understanding of insurance policies and procedures, this could be the right job for you.

1421 people used this job description template, 74 people have rated it.

Job Summary:

A Claims Analyst is responsible for evaluating insurance claims and ensuring that they are in compliance with company policies and procedures. In this role, you will be responsible for investigating claims, determining their validity, and making recommendations for their settlement. You will work with other members of the claims department, as well as insurance adjusters and attorneys, to ensure that claims are handled efficiently and effectively.


  • Review, research and investigate insurance claims to determine their validity.
  • Communicate with insurance adjusters, attorneys, and other parties involved in the claims process.
  • Analyze claims data to identify trends and areas for improvement.
  • Ensure that claims are handled in compliance with company policies and procedures.
  • Work with other members of the claims department to manage claim inventory and ensure timely processing.
  • Provide recommendations for claims settlement based on policy provisions.
  • Respond to customer inquiries regarding claims.


  • Bachelor's degree in business, finance, or a related field.
  • Experience working in the insurance industry or a related field.
  • Excellent analytical and problem-solving skills.
  • Strong communication and interpersonal skills.
  • Ability to work independently and as part of a team.


If you're looking to fill your company's Claims Analyst position, crafting a compelling job posting is essential to attract top talent. But the question is, how can you create a job posting that will attract qualified candidates? Here are some tips to help you create a powerful Claims Analyst job posting that will attract the right job seekers.

1. Start With A Clear Job Title

Begin your Claims Analyst job posting with a clear and concise job title. This will help job seekers know exactly what position they're applying for. Ensure that the title represents the job's duties and responsibilities accurately.

2. Provide An Overview Of The Role

In the next paragraph, describe the role of the Claims Analyst in detail. Explain their primary duties, including responsibilities such as analyzing insurance claims, assessing documentation, and processing payments. Providing information about the team size and the number of claims they will handle on average is essential.

3. Highlight Qualifications And Experience Required

In the section, highlighting the qualifications and experience required to be a successful candidate is key. List the required educational background, technical skills, and relevant experience. The necessary skills and qualifications may vary depending on the company and location, so be sure to tailor it accordingly.

4. Make Salary Information Clear

Compensation is a critical factor that candidates consider when applying for a job. Make sure to list the salary range, benefits (if any), bonuses, etc. This will help candidates determine whether the job is within their salary expectations.

5. Provide Company Overview

In the last paragraph, provide some information about the company's background, culture, and goals. This summary will give job seekers insight into the company and their work environment.

6. How To Apply

Include information on how to apply for the job position. Include information about the application process such as required documents, application deadline, and contact information. Be sure to include your company email or phone number where candidates can obtain more information.


By following the above steps, you can craft a compelling Claims Analyst job posting. With a concise job title, clear job responsibilities, required qualifications, and relevant company information, you should attract qualified candidates that meet your job requirements.

What is a Claims Analyst?

A Claims Analyst is an individual responsible for reviewing, processing, and analyzing claims related to insurance or healthcare policies. They identify discrepancies, determine the validity of claims, and communicate with clients or policyholders to resolve any issues.

What are the key qualifications for a Claims Analyst?

  • Bachelor's degree in a relevant field such as business, accounting, or healthcare
  • At least 2 years of experience in claims processing, healthcare administration, or a related field
  • Excellent analytical and problem-solving skills
  • Strong communication and customer service skills
  • Proficient in Microsoft Office and other relevant software programs
  • What are the typical responsibilities for a Claims Analyst?

  • Reviewing claims submitted by policyholders or third-party providers
  • Verifying the accuracy and completeness of submitted documentation
  • Analyzing claims data and identifying trends or discrepancies
  • Communicating with clients or policyholders to clarify information or resolve issues
  • Coordinating with other departments or teams to ensure efficient claims processing
  • What is the average salary for a Claims Analyst?

    The average salary for a Claims Analyst varies depending on location, experience, and industry. According to PayScale, the average salary for a Claims Analyst is $53,000 per year.

    What are some useful skills or certifications for a Claims Analyst?

  • Medical billing and coding certification
  • Experience with claims software systems such as Salesforce or Epic
  • Knowledge of relevant laws and regulations such as HIPAA or ACA
  • Attention to detail and strong organizational skills
  • Ability to work independently and prioritize tasks
  • How can I attract qualified candidates for my Claims Analyst job posting?

  • Clearly outline the job duties and qualifications in your job posting
  • Highlight any unique benefits or perks offered by your company
  • Use language that appeals to candidates with relevant experience or certifications
  • Post the job on relevant job boards or social media platforms
  • Offer a competitive salary and benefits package
  • Get Started

    Start saving time and money on recruiting

    Start today for free to discover how we can help you hire the best talents.

    Get started Get Started!
    This site uses cookies to make it work properly, help us to understand how it’s used and to display content that is more relevant to you. For more information, see our Privacy Policy