Claims Analyst Jobs in USA with Visa Sponsorship
Claims analysts examine insurance claims, investigate coverage details, and determine settlement amounts. Most positions require a bachelor's degree in business, finance, or related field, making them eligible for H-1B and other professional visas when employers can demonstrate the specialized knowledge requirement. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Assist in coordinating the day-to-day work function of the assigned claims unit, provide technical support to staff, investigate, review and resolve complex issues. Provide support and oversight to ensure payments and/or denials are made in accordance with company practices and procedures.
- Provide oversight and support to ensure that Claims Analysts apply policy and provider contract provisions to determine if claim is payable, if additional information is needed, or if claim should be denied.
- Train, mentor and develop claims analysts as a reinforcement of claims training.
- Assist in reviewing, investigating, adjusting, and resolving all pending claims; especially complex claims, claims appeals, inquiries, and inaccuracies in payment of claims. Serve as first point of escalation.
- Monitor claims quality reviews for accuracy, document results and identify trends and systemic root cause analysis.
- Assist in creating workflows for the department and support team members in understanding changes in work processes.
- Primary contact for the team, for the plan and for other departments in researching, collecting background information and documentation, to address various issues.
- May actively process claims when needed / Backup to supervisor.
- Maintain appropriate records, files, documentation, etc.
- Meet and maintain department production and quality standards.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience:
High school diploma or equivalent. Associate degree or equivalent experience preferred. 2+ years of claims processing required. Experience with Medicaid, Marketplace, or Medicare claims required. Experience using computers and advanced skills in Microsoft Office (Word, Excel, etc.) required. Ability to perform math functions and reason logically. Knowledge of ICD-9/10, CPT, HCPCs, revenue codes, and medical terminology required. Must have successfully completed claims basic training, COB advanced training, and ramp period.
Pay Range: $23.23 - $39.61 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Assist in coordinating the day-to-day work function of the assigned claims unit, provide technical support to staff, investigate, review and resolve complex issues. Provide support and oversight to ensure payments and/or denials are made in accordance with company practices and procedures.
- Provide oversight and support to ensure that Claims Analysts apply policy and provider contract provisions to determine if claim is payable, if additional information is needed, or if claim should be denied.
- Train, mentor and develop claims analysts as a reinforcement of claims training.
- Assist in reviewing, investigating, adjusting, and resolving all pending claims; especially complex claims, claims appeals, inquiries, and inaccuracies in payment of claims. Serve as first point of escalation.
- Monitor claims quality reviews for accuracy, document results and identify trends and systemic root cause analysis.
- Assist in creating workflows for the department and support team members in understanding changes in work processes.
- Primary contact for the team, for the plan and for other departments in researching, collecting background information and documentation, to address various issues.
- May actively process claims when needed / Backup to supervisor.
- Maintain appropriate records, files, documentation, etc.
- Meet and maintain department production and quality standards.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience:
High school diploma or equivalent. Associate degree or equivalent experience preferred. 2+ years of claims processing required. Experience with Medicaid, Marketplace, or Medicare claims required. Experience using computers and advanced skills in Microsoft Office (Word, Excel, etc.) required. Ability to perform math functions and reason logically. Knowledge of ICD-9/10, CPT, HCPCs, revenue codes, and medical terminology required. Must have successfully completed claims basic training, COB advanced training, and ramp period.
Pay Range: $23.23 - $39.61 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.
How to Get Visa Sponsorship as a Claims Analyst
Target larger insurance companies and TPAs
Major insurers like Allstate, Progressive, and Liberty Mutual regularly sponsor visas. Third-party administrators handling claims for multiple carriers also frequently need international talent with specialized analytical skills.
Emphasize your analytical and investigative background
Claims analysis requires specialized training in fraud detection, medical terminology, and regulatory compliance. Highlight coursework, certifications, or experience that demonstrates these technical skills beyond general business knowledge.
Consider specialized claims areas
Property, casualty, workers' compensation, and medical claims each require distinct expertise. Specializing in complex areas like subrogation or catastrophic claims strengthens your case for visa sponsorship.
Get relevant insurance certifications
Professional designations like AIC (Associate in Claims) or CPCU (Chartered Property Casualty Underwriter) demonstrate specialized knowledge that supports H-1B specialty occupation requirements and makes you more attractive to sponsors.
Apply to companies with established programs
Insurance companies with existing visa sponsorship programs understand the process better. Check DOL disclosure data to identify employers who have successfully sponsored claims analysts or similar analytical roles recently.
Highlight multilingual abilities
Claims analysts often handle cases involving non-English speakers or international coverage. Fluency in Spanish, Mandarin, or other languages can differentiate you and justify specialized skills for sponsorship purposes.
Claims Analyst jobs are hiring across the US. Find yours.
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Get Access To All JobsFrequently Asked Questions
What degree do I need for claims analyst visa sponsorship?
Most claims analyst positions require a bachelor's degree in business administration, finance, economics, or a related field. Some employers accept degrees in mathematics, statistics, or criminal justice if the role involves fraud investigation. The degree requirement must be specific to support H-1B specialty occupation criteria.
Do claims analyst roles qualify for H-1B specialty occupation status?
Claims analyst positions can qualify for H-1B if the employer demonstrates that the role requires specialized knowledge and a specific bachelor's degree. Complex claims involving litigation support, medical analysis, or regulatory compliance are more likely to meet specialty occupation requirements than basic claims processing.
Which insurance companies sponsor visas for claims analysts?
Major insurance carriers like State Farm, GEICO, Travelers, and AIG have sponsored visas for analytical roles. Large third-party administrators and claims management companies also sponsor international candidates. Check recent DOL LCA filings to identify employers actively sponsoring similar positions.
What's the approval rate for claims analyst H-1B petitions?
H-1B approval rates for business analyst roles (which includes claims analysts) have ranged from 75-85% in recent years. Success depends on how well the employer demonstrates that the specific position requires specialized knowledge beyond general business analysis skills.
Can I transfer my visa if I change insurance companies?
Yes, you can transfer your H-1B to a new insurance company, but the new employer must file a new I-129 petition. You can start working once the transfer petition is filed if you maintain valid status. The new role must also meet specialty occupation requirements.
What is the prevailing wage requirement for sponsored Claims Analyst jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
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