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Associate In Claims Jobs in Riverside, CA (NOW HIRING)

In a fast-paced environment, you'll learn how to resolve a heavy case load of claims efficiently ... Three years of work experience * {OR} Associate's degree and two years work experience * {OR ...

Claims Coordinator

Riverside, CA · On-site

$20 - $30/hr

A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The ... performed by associates assigned to this classification. They are not to be construed as an ...

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Johnson Service Group (JSG) is seeking a Bilingual Claims Resolution Specialist in Orange, CA. This ... Associate degree in business, health care administration or related field. * Experience in health ...

Employment & Litigation Counsel

Irvine, CA · On-site +1

$140K - $160K/yr

The Employment Litigation Associate will support the company's employment-related litigation and ... Identify trends in claims and recommend proactive risk mitigation strategies Outside Counsel ...

Employment & Litigation Counsel

Irvine, CA · On-site +1

$140K - $160K/yr

The Employment Litigation Associate will support the company's employment-related litigation and ... Identify trends in claims and recommend proactive risk mitigation strategies Outside Counsel ...

A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The ... performed by associates assigned to this classification. They are not to be construed as an ...

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Associate In Claims information

See Riverside, CA salary details

$14

$21

$31

How much do associate in claims jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for associate in claims in Riverside, CA is $21.90, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $24.09 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Associate In Claims, and why are they important?

To thrive as an Associate In Claims, you need a solid understanding of insurance principles, claim investigation, and policy analysis, often supported by an AIC designation or similar qualification. Familiarity with claims management systems, documentation tools, and relevant regulatory software is typically required. Strong analytical thinking, negotiation, and customer service skills help you resolve claims efficiently and build trust with policyholders. These competencies are essential for accurate claim handling, regulatory compliance, and maintaining company reputation.

What is an Associate in Claims?

An Associate in Claims (AIC) is a professional designation awarded by The Institutes to individuals who have demonstrated expertise in handling insurance claims. The designation is achieved by completing a series of courses and exams focused on claims investigation, evaluation, negotiation, and settlement. Earning an AIC can enhance a claims professional's knowledge, credibility, and career advancement opportunities within the insurance industry.

What are some common challenges faced by an Associate in Claims, and how can they be overcome?

Associates in Claims often encounter challenges such as handling high volumes of claims, managing tight deadlines, and communicating effectively with policyholders who may be upset or stressed. To overcome these challenges, strong organizational skills and the ability to prioritize tasks are essential. Additionally, developing effective communication and conflict resolution techniques helps build trust with clients and resolve disputes more efficiently. Regular collaboration with senior adjusters and ongoing training can also support professional growth and improve problem-solving abilities.

What is the difference between Associate In Claims vs Claims Adjuster?

AspectAssociate In ClaimsClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licenses or certificationsHigh school diploma; licensing often required depending on state and claim type
Work EnvironmentOffice setting, administrative tasks, team collaborationField or office; inspecting damages, interviewing claimants, assessing damages
Industry UsageInsurance companies, claims departmentsInsurance companies, third-party claims firms
Common Search/ComparisonAssociate In Claims vs Claims Adjuster

The main difference between Associate In Claims and Claims Adjuster lies in their roles and responsibilities. An Associate In Claims typically supports claims processing, handles administrative tasks, and may be in training or entry-level positions. Claims Adjusters, on the other hand, actively investigate and evaluate claims, often inspecting damages and negotiating settlements. Both roles require similar credentials and work within insurance environments, but Claims Adjusters have more direct involvement in claim resolution.

What cities near Riverside, CA are hiring for Associate In Claims jobs? Cities near Riverside, CA with the most Associate In Claims job openings:
Infographic showing various Associate In Claims job openings in Riverside, CA as of July 2026, with employment types broken down into 1% As Needed, 69% Full Time, 28% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $45,542 per year, or $21.9 per hour.
Claims Adjudicator Sr

Other

Posted 27 days ago


Loma Linda University Health rating

8.2

Company rating: 8.2 out of 10

Based on 88 frontline employees who took The Breakroom Quiz

95th of 1,020 rated hospitals


Job description

Department: UHC: Managed Care

Job Summary: The Claims Adjudicator Sr is responsible mentoring and training Claims Adjudicators. The Lead will also analyze and process professional and hospital HMO Risk claims in accordance with the managed care contract provisions in an accurate and timely manner. Responds to questions from other adjudicators and processors. Verifies system assigned risk pool determination in accordance with the Division of Financial Responsibility matrix. Assists Director in creating, reviewing, and enhancing policies and procedures governing full risk claims processing on an annual basis or as needed. Assists other adjudicators and/or examiners as needed in order to assure that claims are completed within standards. Performs other duties as needed.
Education and Experience: High School Diploma or GED required. Associate's Degree preferred. Minimum five years managed care claims processing experience with professional and/or institutional claims required.
Knowledge and Skills: Extensive experience in health insurance claims processing, HMO claims or managed care environment is required, in-depth knowledge of medical billing and coding, knowledge of health insurance, HMO and managed care principles. Claims Payment System including Claim Hierarchy Categories, CPT, ICD-10, HCPCS, UB-04. Knowledge in UB and HCFA-1500 Insurance Claims, reading and interpreting Contracts and DOFR. Understanding of all CMS guidelines and regulations in relation to Claims Processing and Payments. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position; Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Valid California Driver's License required at time of hire.

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.

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About Loma Linda University Health

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Loma Linda University Health (LLUH) is an esteemed healthcare organization situated in Loma Linda, California, US. Established in 1905, it was initially known as the College of Medical Evangelists, and it operated as the official medical institution of the Seventh-day Adventist Church until the name was changed to LLUH in 1961. LLUH is very much active in the healthcare and education sectors, providing a vast range of services such as medical treatment, research, and health education. The organization’s core mission is "to continue the teaching and healing ministry of Jesus Christ", which underlines its binding values of compassion, integrity, excellence, freedom, and justice.

Industry

Health care and social assistance and hospitality services

Company size

10,000+ Employees

Headquarters location

Loma Linda, CA, US