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 JobsINTRODUCTION
The Unemployment Insurance (UI) Division is responsible for administering the state's UI program under the oversight of the United States Department of Labor (USDOL). This includes the collection of UI contributions/taxes from employers on a quarterly basis, and the distribution of unemployment compensation to New Mexicans who have lost their jobs through no fault of their own and meet various eligibility requirements. The Division executes these functions via robust self-service web services, as well as through staff assisted services via the UI Operations Center.
NMDWS participates in E-Verify.
Background check for this position is required.
Interviews for this position will be conducted within 10 days of the posting closure.
PURPOSE:
The Senior Claims Adjuster is essential to ensure fair, consistent, and impartial resolution of disputes, claims, or competitions within an organization or process. Their role is to evaluate evidence, apply established rules or standards, and deliver objective decisions that uphold the integrity of the system. The team reviews submitted cases, claims, or disputes (tax) with a focus on fact-finding and rule application. They analyze relevant documentation, interview involved parties if necessary, and assess compliance with policies or criteria. After thorough evaluation, the team makes informed decisions or recommendations based on established guidelines. Their responsibilities often include documenting findings and communicating results to stakeholders. They are the neutral authority to ensure decisions are just, timely, and well-founded.
Responsibilities:
This position investigates and adjudicates claims eligibility. It involves reviewing and analyzing information to resolve issues that may affect a claimant's qualification for benefits. Staff gather facts from claimants, employers, and third-party administrators, assess relevant policies and laws, and make determinations on eligibility based on the evidence. This level acts as our executive branch which is responsible for carrying out and enforcing the laws.
It makes and writes determinations using New Mexico Unemployment Insurance statutes and regulations. Reviews facts, gathers statements from claimants, employers, and third-party administrators, and analyzes evidence to make fair and legally sound decisions. Writes formal determinations that clearly explain the outcome, the reasoning behind it, and the applicable statutes or rules, ensuring transparency and compliance with New Mexico UI regulations and laws.
CUSTOMERS:
This job serves the New Mexico public, including NM Residents and NM Employers.
MINIMUM QUALIFICATIONS:
Associate degree in Business Administration and two (2) years of claims adjustment and/or investigative experience preferably in the insurance profession. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling four (4) years may substitute for the required education and experience. For positions in the Unemployment Insurance (UI) Operations Center at the Department of Workforce Solutions: Any additional call center customer service experience in claims taking and/or processing (UI preferably), eligibility determination, identifying, troubleshooting and resolving customer complaints, and ensuring compliance will substitute for the education and experience.
EMPLOYMENT REQUIREMENTS:
Must possess and maintain a valid Driver's License and a current Defensive Driving Course Certificate (DDC) from the State of New Mexico. Must possess DDC within six (6) months of date of hire as a condition of continued employment.
Extended sitting and some bending and reaching may be required.
Background check is required for this position.
WORKING CONDITIONS:
This position is located in the Unemployment Insurance (UI) Operations inbound call center. Work is performed in an open floor office concept, call center environment with exposure to Visual/Video Display Terminal (VDT), extensive personal computer and phone usage, moderate noise, and possible dust. Extended sitting and some bending and reaching may be required.
SUPPLEMENTAL INFORMATION:
Do you know what Total Compensation is? Click here
Agency Contact Information: Steven Madigan Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
INTRODUCTION
The Unemployment Insurance (UI) Division is responsible for administering the state's UI program under the oversight of the United States Department of Labor (USDOL). This includes the collection of UI contributions/taxes from employers on a quarterly basis, and the distribution of unemployment compensation to New Mexicans who have lost their jobs through no fault of their own and meet various eligibility requirements. The Division executes these functions via robust self-service web services, as well as through staff assisted services via the UI Operations Center.
NMDWS participates in E-Verify.
Background check for this position is required.
Interviews for this position will be conducted within 10 days of the posting closure.
PURPOSE:
The Senior Claims Adjuster is essential to ensure fair, consistent, and impartial resolution of disputes, claims, or competitions within an organization or process. Their role is to evaluate evidence, apply established rules or standards, and deliver objective decisions that uphold the integrity of the system. The team reviews submitted cases, claims, or disputes (tax) with a focus on fact-finding and rule application. They analyze relevant documentation, interview involved parties if necessary, and assess compliance with policies or criteria. After thorough evaluation, the team makes informed decisions or recommendations based on established guidelines. Their responsibilities often include documenting findings and communicating results to stakeholders. They are the neutral authority to ensure decisions are just, timely, and well-founded.
Responsibilities:
This position investigates and adjudicates claims eligibility. It involves reviewing and analyzing information to resolve issues that may affect a claimant's qualification for benefits. Staff gather facts from claimants, employers, and third-party administrators, assess relevant policies and laws, and make determinations on eligibility based on the evidence. This level acts as our executive branch which is responsible for carrying out and enforcing the laws.
It makes and writes determinations using New Mexico Unemployment Insurance statutes and regulations. Reviews facts, gathers statements from claimants, employers, and third-party administrators, and analyzes evidence to make fair and legally sound decisions. Writes formal determinations that clearly explain the outcome, the reasoning behind it, and the applicable statutes or rules, ensuring transparency and compliance with New Mexico UI regulations and laws.
CUSTOMERS:
This job serves the New Mexico public, including NM Residents and NM Employers.
MINIMUM QUALIFICATIONS:
Associate degree in Business Administration and two (2) years of claims adjustment and/or investigative experience preferably in the insurance profession. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling four (4) years may substitute for the required education and experience. For positions in the Unemployment Insurance (UI) Operations Center at the Department of Workforce Solutions: Any additional call center customer service experience in claims taking and/or processing (UI preferably), eligibility determination, identifying, troubleshooting and resolving customer complaints, and ensuring compliance will substitute for the education and experience.
EMPLOYMENT REQUIREMENTS:
Must possess and maintain a valid Driver's License and a current Defensive Driving Course Certificate (DDC) from the State of New Mexico. Must possess DDC within six (6) months of date of hire as a condition of continued employment.
Extended sitting and some bending and reaching may be required.
Background check is required for this position.
WORKING CONDITIONS:
This position is located in the Unemployment Insurance (UI) Operations inbound call center. Work is performed in an open floor office concept, call center environment with exposure to Visual/Video Display Terminal (VDT), extensive personal computer and phone usage, moderate noise, and possible dust. Extended sitting and some bending and reaching may be required.
SUPPLEMENTAL INFORMATION:
Do you know what Total Compensation is? Click here
Agency Contact Information: Steven Madigan Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
See all 209+ 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.