Claims analysts process insurance claims and monitor records involving these claims. They compile and analyze claims-associated data and perform related duties including tracking trends, noting patterns, and watching to detect any irregularities. They may perform or oversee investigations to validate the legitimacy of claims or verify the accuracy of invoiced amounts. These analysts often serve as a liaison between numerous internal departments, including customer service, accounts payable, legal, and others.
Claims analysts typically have an associate or bachelor’s degree, although some employers are willing to accept an equivalent amount of professional experience in the insurance field. These positions require excellent computer skills, including familiarity with claims processing programs and accounting or record-keeping software. These professionals must also have strong data analytics skills, and experience interpreting legal contracts is also helpful.
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Common Skill Sets