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Claim Processor Jobs in Fresno, CA (NOW HIRING)

PharMerica

Pharmacy Technician / Data Entry

Fresno, CA · On-site

$21/hr

Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...

PharMerica

Pharmacy Technician / Data Entry

Fresno, CA

$21 - $22/hr

Stay current with Medicaid claim regulations and ensure compliance in processing. * Track unpaid or delayed claims; generate reports for management. * Provide excellent customer service in line with ...

CornerStone Staffing

Member Services 1

Fresno, CA · On-site

$22/hr

Research and resolve pharmacy claim rejections, third-party billing issues, and coverage ... Experience with prior authorizations or pharmacy claims processing. * PBM, managed care, specialty ...

Family HealthCare Network

Optician

Fresno, CA · On-site

$18.50 - $23.75/hr

Identifies the correct ICD10 codes to apply to the vision claim. * Determines the appropriate CPT ... Communicates with the lab for any lab processing errors. * Notifies patients of orders that are ...

Burger King

People and Risk Business Partner

Fresno, CA · On-site

$78K - $90K/yr

... processes to ensure new hires align with upper management's goals. • Manage talent and learning ... regarding claim status and resolution. • Prepare and file the annual Cal/OSHA 300 report ...

Madera Toyota Chevrolet

Service Writer

Madera, CA · On-site

Listen to customer concerns using 12-step service process, ask clarifying questions, and document ... Handle warranty, recall, and policy claim documentation in accordance with manufacturer ...

TEKsystems

Medical Billing Specialist

Hanford, CA

$23 - $25/hr

Handles printing of claims & appeals, subpoenas and attorney requests, process mail, returned mail claim and voice mail. Performs tasks related to audit, DRS, external billing audit requests.

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Claim Processor information

See Fresno, CA salary details

$11

$19

$26

How much do claim processor jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for claim processor in Fresno, CA is $19.03, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $20.53 per hour, depending on experience, location, and employer.

What is a claim processor?

A Claim Processor is a professional who reviews and handles insurance claims submitted by policyholders or healthcare providers. Their main responsibilities include verifying the accuracy of claim information, ensuring all required documentation is provided, and determining whether a claim is valid under the policy terms. Claim Processors work with various types of insurance, such as health, auto, or property, and play a crucial role in ensuring timely and accurate payments. They may also communicate with customers, providers, and adjusters to resolve any discrepancies or additional information requests.

What are some typical challenges a claim processor might face in their daily work?

Claim Processors often handle high volumes of paperwork and data entry, which can be challenging when ensuring accuracy and meeting tight deadlines. They may also need to interpret complex policy details or resolve discrepancies in submitted claims, requiring strong attention to detail and problem-solving skills. Additionally, Claim Processors frequently interact with policyholders, healthcare providers, or other internal teams, so effective communication and the ability to manage stressful situations professionally are important for success.

What are the key skills and qualifications needed to thrive as a claim processor, and why are they important?

To thrive as a Claim Processor, you need strong attention to detail, analytical skills, and a basic understanding of insurance policies, usually supported by a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and sometimes certification such as AIC (Associate in Claims) is common. Excellent organizational skills, clear communication, and the ability to handle sensitive information with discretion help individuals excel in this role. These skills ensure accurate and timely processing of claims, minimize errors, and maintain customer satisfaction and regulatory compliance.

What is the difference between Claim Processor vs Claims Examiner?

AspectClaim ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance certifications preferred
Work EnvironmentOffice settings, insurance companies, healthcare providersOffice settings, insurance companies, healthcare providers
Employer & Industry UsageInsurance companies, healthcare providers, third-party administratorsInsurance companies, third-party administrators, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing claims for accuracy, compliance, and coverage decisions

While both Claim Processors and Claims Examiners work within the insurance industry handling claims, Claim Processors primarily focus on data entry and initial processing of claims. Claims Examiners review claims for accuracy and compliance, making decisions on claim approval or denial. The roles often overlap, but Claims Examiners typically require more experience or certifications and perform more in-depth analysis.

Is claim processing hard?

Claim processing is a detail-oriented job that requires strong organizational skills, attention to accuracy, and familiarity with insurance policies and claims systems. While it can involve repetitive tasks, many claim processors find it manageable with proper training and experience. The difficulty level varies depending on the complexity of claims and the work environment.

What do you need to be a claim processor?

To be a claim processor, you typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Familiarity with claims processing software and basic knowledge of insurance policies are also important. Some positions may require prior experience in customer service or administrative roles.

What is a claims processing job?

A claims processing job involves reviewing, verifying, and managing insurance claims to determine their validity and appropriate payout. Claim processors use specialized software and follow company policies to ensure accurate and timely processing of claims, often requiring attention to detail and knowledge of insurance policies.

What cities near Fresno, CA are hiring for Claim Processor jobs?

Cities near Fresno, CA with the most Claim Processor job openings:

Claim Processor jobs near you
Infographic showing various Claim Processor job openings in Fresno, CA as of August 2026, with employment types broken down into 75% Full Time, 23% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution, with an average salary of $39,581 per year, or $19 per hour.

Account Associate - State Farm Agent Team Member

Dinuba, CA • On-site

Arianna Ontiveros - State Farm Agent
See more jobs at Arianna Ontiveros - State Farm Agentexternal

$30K - $100K/yr

Full-time

Retirement

Posted 14 days ago

Job description

Benefits:
  • Training & development
  • 401(k)
  • Bonus based on performance
  • Competitive salary

Account Associate - State Farm
ROLE DESCRIPTION:
As Account Associate for Arianna Ontiveros State Farm, you are vital to our daily business operations and customers’ success. You help grow our office through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of customers by proactively marketing relevant products and services.

RESPONSIBILITIES:
  • Manage customer accounts and update information in the database.
  • Assist customers with policy changes and inquiries.
  • Process insurance claims and follow up with customers on claim status.
  • Coordinate with underwriters to ensure timely policy issuance.
QUALIFICATIONS:
  • Strong organizational skills and attention to detail.
  • Excellent customer service and communication skills.
  • Previous experience in insurance or a related field preferred.
  • Willing and able to obtain insurance licenses
  • Bi-lingual in Spanish Preferred