OPT Claims Analyst Jobs
Claims Analyst roles in insurance, healthcare, and finance regularly appear on OPT job listings, and many employers are experienced with F-1 work authorization. Your OPT period gives you up to 12 months to work, with a potential 24-month STEM extension if your degree qualifies.
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Get Access To All JobsBy joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Professional Liability Claims Advisor
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
- Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
PRIMARY PURPOSE OF THE ROLE: Manage and handle professional liability claims; to provide resolution of highly complex nature and/or severe claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
- Negotiates claim settlement up to designated authority level.
- Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
- Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
- Performs coverage analysis and opinion as part of the claim process including all necessary correspondence.
- Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
- Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
- Represents company in depositions, mediations, and trial monitoring as needed.
- Communicates claim activity and processing with the client; maintains professional client relationships.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
- Delegates work and mentors others.
QUALIFICATIONS
- Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
- Experience: 3-5 years of professional liability claims management experience required.
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS INCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Physical: Computer keyboarding, travel as required.
Auditory/Visual: Hearing, vision and talking.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $100,000 to $145,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Claims #LI-Remote #LI-Hybrid
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Professional Liability Claims Advisor
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
- Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
PRIMARY PURPOSE OF THE ROLE: Manage and handle professional liability claims; to provide resolution of highly complex nature and/or severe claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
- Negotiates claim settlement up to designated authority level.
- Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
- Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
- Performs coverage analysis and opinion as part of the claim process including all necessary correspondence.
- Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
- Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
- Represents company in depositions, mediations, and trial monitoring as needed.
- Communicates claim activity and processing with the client; maintains professional client relationships.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
- Delegates work and mentors others.
QUALIFICATIONS
- Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
- Experience: 3-5 years of professional liability claims management experience required.
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS INCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Physical: Computer keyboarding, travel as required.
Auditory/Visual: Hearing, vision and talking.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $100,000 to $145,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Claims #LI-Remote #LI-Hybrid
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
See all 197+ OPT Claims Analyst Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Claims Analyst Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship as a Claims Analyst
Lead with your analytical credentials
Claims Analyst roles require strong data interpretation and attention to detail. Highlight coursework or projects in statistics, finance, or risk management. Employers hiring OPT students want evidence you can handle complex claims workflows from day one.
Target employers familiar with OPT
Large insurers and healthcare systems routinely hire OPT students and have HR teams experienced with I-20 verification and EAD processing. Smaller firms may require more education upfront, so prioritize companies with established international hiring practices.
Address your OPT timeline proactively
Be ready to explain your authorized work period and potential STEM extension eligibility. Employers appreciate clarity early. Knowing your exact OPT end date and whether your degree qualifies for extension removes uncertainty from the hiring conversation.
Pursue relevant certifications
Credentials like the Associate in Claims designation signal serious commitment to the field. Earning or actively pursuing an industry certification strengthens your application and demonstrates long-term career intent, which matters to employers weighing OPT sponsorship decisions.
Emphasize compliance and detail-oriented experience
Claims roles involve regulatory compliance, documentation accuracy, and procedural adherence. Highlight any academic or internship experience involving auditing, data verification, or policy review. These transferable skills directly address what hiring managers look for.
Use your CPT experience strategically
If you completed a CPT internship in insurance, healthcare billing, or financial services, position it as direct industry experience. Employers hiring for Claims Analyst roles view relevant CPT work as equivalent to early-career professional experience.
Claims Analyst OPT: Frequently Asked Questions
Can F-1 OPT students work as Claims Analysts?
Yes. Claims Analyst is a professional role that falls within business, finance, and insurance fields, which are standard OPT-eligible employment categories. Your job must be directly related to your degree field, so degrees in finance, business administration, economics, or a related discipline typically satisfy that requirement. Confirm alignment with your DSO before accepting an offer.
Do Claims Analyst employers typically sponsor OPT students?
Many do. Large insurance carriers, third-party administrators, and healthcare systems regularly hire OPT students because the role's analytical requirements align well with candidates from quantitative degree programs. Smaller regional firms may be less familiar with OPT but can still hire you. Browse open Claims Analyst positions on Migrate Mate to find employers already open to F-1 work authorization.
Does a Claims Analyst role qualify for the STEM OPT extension?
It depends on your degree, not the job title. If your underlying degree is in a STEM-designated field such as statistics, computer science, or a quantitative business program, and your Claims Analyst role directly applies that knowledge, you may qualify for the 24-month extension. Confirm your degree's CIP code with your DSO and verify your employer can meet E-Verify requirements before applying.
What degree fields are most relevant for OPT Claims Analyst positions?
Finance, business administration, economics, accounting, statistics, and health informatics are the most common degree backgrounds for Claims Analyst roles. Your OPT employment must be related to your degree, so the stronger the connection between your coursework and claims work, the cleaner your authorization. Degrees in data science or actuarial science also map well onto analytical claims functions.
How should I handle the OPT work authorization question during interviews?
State your authorization status clearly and early. Let the employer know you have a valid EAD, your authorized work period, and whether you may qualify for a STEM extension. Avoid being vague. Employers are far more comfortable proceeding when candidates demonstrate they understand their own status and can provide documentation promptly, rather than raising the topic only after an offer is extended.