E-3 Visa Claims Analyst Jobs
Claims Analyst roles in insurance, workers' compensation, and liability investigation qualify as E-3 visa specialty occupations when the position requires a bachelor's degree in a relevant field. Australian professionals can secure sponsorship without competing in the H-1B lottery, with no annual cap on available visas and indefinite two-year renewals.
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Get Access To All JobsWe’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
Review, research, and adjust complex Reinsurance/Stoploss medical claims, splitting claims into multiple claim statuses; adjudicates high-dollar complex, sensitive, and/or specialized medical claims in accordance with claim processing guidelines. Collaborate and partner with key business functions to ensure accuracy in Reinsurance/Stoploss medical claim adjustments, problem-solve, and reconcile rework discrepancies. Handle customer inquiries and concerns.
- Perform Reinsurance/Stoploss medical claim adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise.
- Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the Reinsurance/Stoploss claim adjudication process.
- Performs Reinsurance/Stoploss medical claim re-work calculations.
- Research and determine Reinsurance/Stoploss plan year, identify claim payments made by client versus the Stoploss carriers, and interpret complex plan language to ensure accurate handling of complex adjustments.
- Follow through completion of Reinsurance/Stoploss medical claim overpayments, underpayments, and any other irregularities.
- Review and interpret medical contract language using provider contracts to confirm whether a Reinsurance/Stoploss claim is overpaid to allocate refund checks.
- Partner with key business functions to ensure accuracy in pricing, payment, and handling of complex Reinsurance/Stoploss claim adjustments.
- Review and handle relevant correspondences assigned to the team that may result in adjustment to Reinsurance/Stoploss medical claims.
- Handle telephone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals.
- Ensures all compliance requirements are satisfied and that all payments are made following company practices and procedures.
- Manage external correspondence assigned to the Adjustments department; research, triage, and perform required actions, including adjustments to medical claims.
- May deliver Reinsurance/Stoploss claims adjustment training and/or serve as a mentor for less experienced team members.
- May provide job shadowing to lesser experience staff.
Utilize all resource materials to manage job responsibilities.
Required Qualifications
- 2+ years medical claim processing experience.
- 2+ experience in a production environment.
Preferred Qualifications
- 2+ years processing medical claims adjustments/rework.
- DG system claims processing experience.
- Familiarity with Reinsurance/Stop loss medical claims.
- Demonstrated ability to handle multiple assignments competently, accurately, and efficiently.
Effective communications, organizational, and interpersonal skills.
Education
- Associate degree or equivalent experience.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$18.50 - $42.35
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 11/06/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
Review, research, and adjust complex Reinsurance/Stoploss medical claims, splitting claims into multiple claim statuses; adjudicates high-dollar complex, sensitive, and/or specialized medical claims in accordance with claim processing guidelines. Collaborate and partner with key business functions to ensure accuracy in Reinsurance/Stoploss medical claim adjustments, problem-solve, and reconcile rework discrepancies. Handle customer inquiries and concerns.
- Perform Reinsurance/Stoploss medical claim adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise.
- Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the Reinsurance/Stoploss claim adjudication process.
- Performs Reinsurance/Stoploss medical claim re-work calculations.
- Research and determine Reinsurance/Stoploss plan year, identify claim payments made by client versus the Stoploss carriers, and interpret complex plan language to ensure accurate handling of complex adjustments.
- Follow through completion of Reinsurance/Stoploss medical claim overpayments, underpayments, and any other irregularities.
- Review and interpret medical contract language using provider contracts to confirm whether a Reinsurance/Stoploss claim is overpaid to allocate refund checks.
- Partner with key business functions to ensure accuracy in pricing, payment, and handling of complex Reinsurance/Stoploss claim adjustments.
- Review and handle relevant correspondences assigned to the team that may result in adjustment to Reinsurance/Stoploss medical claims.
- Handle telephone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals.
- Ensures all compliance requirements are satisfied and that all payments are made following company practices and procedures.
- Manage external correspondence assigned to the Adjustments department; research, triage, and perform required actions, including adjustments to medical claims.
- May deliver Reinsurance/Stoploss claims adjustment training and/or serve as a mentor for less experienced team members.
- May provide job shadowing to lesser experience staff.
Utilize all resource materials to manage job responsibilities.
Required Qualifications
- 2+ years medical claim processing experience.
- 2+ experience in a production environment.
Preferred Qualifications
- 2+ years processing medical claims adjustments/rework.
- DG system claims processing experience.
- Familiarity with Reinsurance/Stop loss medical claims.
- Demonstrated ability to handle multiple assignments competently, accurately, and efficiently.
Effective communications, organizational, and interpersonal skills.
Education
- Associate degree or equivalent experience.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$18.50 - $42.35
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 11/06/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
See all 34+ E-3 Visa Claims Analyst Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new E-3 Visa Claims Analyst Jobs.
Get Access To All JobsTips for Finding E-3 Visa Sponsorship as a Claims Analyst
Translate your Australian credentials precisely
Your Australian bachelor's degree in commerce, law, finance, or a related field needs to map directly to the Claims Analyst role description. A degree in a broad field won't support your E-3 application if the job posting says 'bachelor's preferred' rather than 'required.'
Target employers who already file LCAs
Search the DOL's Office of Foreign Labor Certification disclosure data for companies that have certified Labor Condition Applications for Claims Analyst or similar titles. These employers already understand the E-3 process and won't treat sponsorship as a new concept.
Find E-3 sponsorship jobs through Migrate Mate
Use Migrate Mate to search Claims Analyst roles filtered by E-3 visa sponsorship. The platform surfaces employers with active LCA filing history, saving you from pitching sponsorship cold to companies unfamiliar with the visa.
Clarify the specialty occupation requirement upfront
During early interviews, confirm the role requires a specific degree field, not just any bachelor's degree. A Claims Analyst position that accepts any major won't meet the DOL's specialty occupation definition, which can derail your LCA certification.
Get your employer to file the LCA before your offer closes
The LCA must be certified by the DOL before you can lodge your visa application at the consulate. Build LCA filing timelines into your offer negotiation so your start date accounts for the certification window, which typically runs five to seven business days.
Use Migrate Mate's E-3 filing service for your paperwork
Once you have an offer, use Migrate Mate's E-3 filing service to handle your LCA and visa paperwork end-to-end. This covers the DOL certification, DS-160 preparation, and consulate appointment readiness so nothing is missed before your interview.
E-3 Visa Claims Analyst: Frequently Asked Questions
How do I find Claims Analyst jobs with E-3 visa sponsorship?
Search through Migrate Mate, which filters Claims Analyst roles by E-3 visa sponsorship and shows employers with verified LCA filing history. Cold-applying to general job postings is less effective because most listings don't flag E-3 willingness. Targeting employers who have already navigated the LCA process shortens your path from offer to visa approval significantly.
How much does it cost to get an E-3 visa?
Migrate Mate's E-3 filing service covers the entire process for $499, including the Labor Condition Application, visa document preparation, and consulate appointment guidance. Traditional immigration lawyers charge $2,000–$5,000+ for the same work. The E-3 has less paperwork than most work visas, so paying thousands for legal help is usually unnecessary.
Does a Claims Analyst role qualify as an E-3 specialty occupation?
It depends on how the role is structured. A Claims Analyst position qualifies when the employer can demonstrate the job normally requires a bachelor's degree in a specific field such as finance, law, business administration, or a related discipline. Roles where the employer accepts any degree or substitutes extensive experience for education may not meet the DOL's specialty occupation standard.
How does the E-3 compare to the H-1B for Claims Analyst roles?
The E-3 has no annual cap and no lottery, so you can apply at any time of year as long as you have a job offer and a certified LCA. The H-1B is capped at 85,000 visas annually with a lottery selection process, meaning qualified applicants are often rejected simply due to demand. For Australian nationals in claims roles, the E-3 is a far more predictable path.
What happens to my E-3 status if my employer changes my role or restructures my team?
A material change to your job duties, title, or work location can require a new LCA filing and potentially a new visa application. If your employer moves you from claims investigation into a general operations role that no longer requires a specific degree, your specialty occupation basis weakens. Notify your employer's HR team and confirm whether the changes trigger a new LCA before they take effect.