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Claims Assistant Jobs in Fallbrook, CA (NOW HIRING)

AAA Auto Club Group

Claims Auto Adjuster

Escondido, CA · On-site

$25.48 - $28.03/hr

Claims Auto Adjuster Job Summary This entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and ...

AAA

Claims Auto Adjuster

Escondido, CA · On-site

$25.48 - $28.03/hr

Claims Auto Adjuster This entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability ...

UnitedHealth Group

Claims Representative

San Diego, CA · On-site

$18 - $32/hr

Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims * Analyze and identify trends and provide reports as necessary

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How much do claims assistant jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for claims assistant in Fallbrook, CA is $22.06, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $23.94 per hour, depending on experience, location, and employer.

What are the duties of a claims assistant?

A claims assistant works under the supervision of more senior claims examiners to ensure a claims adjuster and the claimants have followed the proper guidelines for filing claims. You also help adjusters deal with complex cases such as after a natural disaster hits and there are a significant number of claims coming in. As an assistant, you perform a number of administrative and clerical tasks which free examiners up to do other work. These duties include data entry, checking payment paperwork, confirming a claimant’s wage statement, and drafting report and billing paperwork.

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

To thrive as a Claims Assistant, you need strong organizational skills, attention to detail, and a basic understanding of insurance processes, often supported by a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and office productivity tools like Microsoft Office is important. Excellent communication, customer service, and problem-solving skills help you interact effectively with clients and team members. These abilities ensure efficient claims processing, accurate documentation, and a positive customer experience.

How does a claims assistant typically interact with other departments during the claims process?

As a Claims Assistant, you will regularly collaborate with various teams such as adjusters, underwriters, and customer service representatives to ensure that claims are processed accurately and efficiently. Your role often involves gathering necessary documentation, clarifying claim details, and updating records, which requires clear communication and attention to detail. Effective teamwork and the ability to coordinate with different departments are essential, as you may need to follow up on missing information or escalate complex cases to senior staff. This collaborative environment helps ensure that claimants receive timely resolutions and supports the overall workflow of the claims department.

What is the difference between Claims Assistant vs Claims Processor?

AspectClaims AssistantClaims Processor
Required CredentialsHigh school diploma or equivalent; some roles may prefer certifications in insurance or customer serviceHigh school diploma; certifications in insurance claims processing are a plus
Work EnvironmentOffice setting, interacting with clients and insurance agentsOffice or remote, focusing on reviewing and processing claims
Employer & Industry UsageInsurance companies, third-party administrators, and brokersInsurance companies, claims departments, and third-party administrators
Common Search & Comparison IntentUnderstanding entry-level claims roles and responsibilitiesClarifying the specific duties and qualifications of claims processing roles

Claims Assistants typically handle customer inquiries, gather documentation, and support claims processing, while Claims Processors focus on reviewing, evaluating, and approving claims. Both roles often require similar credentials and work in insurance settings, but their responsibilities differ in scope and focus.

What is the role of a claims assistant?

A claims assistant supports insurance claims processing by reviewing claim forms, gathering necessary documentation, and communicating with clients and adjusters. They help ensure claims are handled accurately and efficiently, often using claims management software. Attention to detail and good communication skills are essential for this role.
More about Claims Assistant jobs

What are the most commonly searched types of Claims jobs in Fallbrook, CA?

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What job categories do people searching Claims Assistant jobs in Fallbrook, CA look for?

The top searched job categories for Claims Assistant jobs in Fallbrook, CA are:

What cities near Fallbrook, CA are hiring for Claims Assistant jobs?

Cities near Fallbrook, CA with the most Claims Assistant job openings:

Claims Assistant jobs near you
Infographic showing various Claims Assistant job openings in Fallbrook, CA as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, 1% Temporary, and 3% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $45,890 per year, or $22.1 per hour.

Claims Auto Adjuster

AAA Auto Club Group

Escondido, CA • On-site

$25.48 - $28.03/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

AAA The Auto Club Group rating

7.4

Company rating: 7.4 out of 10

Based on 284 frontline employees who took The Breakroom Quiz

235th of 315 rated insurance

Job description

Claims Auto Adjuster

Job Summary

This entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, and claims resolution and negotiation strategies of lower complexity claims in compliance with established company technical and customer service best practices. Under moderate supervision, works within specific limits and authority to resolve claims with well-defined procedures.

Job Duties

  • Communicate and interact with a variety of individuals including insureds and claimants. Verify and explain benefits, coverages, fault, and claims process either verbally or in writing which complies with regulatory and statutory requirements.
  • Conduct investigations to determine liability and damages and differentiate between allegations and facts. Identify and obtain statements from insureds, claimants, and witnesses.
  • Evaluate and negotiate within settlement authority with insureds and claimants to resolve first and third-party claims in multiple markets. Demonstrate proficiency with estimate review, material damage, liability, analysis of claims, claims technology, and tool usage.
  • Coordinate with internal and external departments as required.
  • Respond quickly to customer needs and inquiries.
  • Overtime and holiday hours may be required.

Qualifications

  • Bachelors Equivalent combination of education and experience preferred
  • No prior claims experience required.
  • Knowledge of Microsoft Office suite and general computer software.
  • Organization and planning recognition skills required.
  • Oral and written communication skills required.
  • Interpersonal skills required.
  • Property and Casualty Insurance License, valid in selling state - Issued by State
  • May be required to obtain an Adjuster license as applicable in accordance with state law. within 60 Days

The starting pay range for this position is $25.48 - $28.03 per hour. Additionally, you will be eligible to participate in our incentive program based upon your team and individual performance.

Remarkable benefits:
• Health coverage for medical, dental, vision

  • 401(K) saving plans with company match AND Pension
  • Tuition assistance
  • Floating holidays and PTO for community volunteer programs
  • Paid parental leave
  • Wellness programs
  • Employee discounts (membership, insurance,

travel, entertainment, services and more!)

Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.

"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value."

AAA is an Equal Opportunity Employer

Our organization participates in E-Verify

The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).

What AAA The Auto Club Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

American Automobile Association logo

About American Automobile Association

Sourced by ZipRecruiter

The American Automobile Association (AAA), headquartered in Heathrow, Florida, USA, is a reputable force in the automotive and insurance industry. Originating in 1902, it began as a coalition of motor clubs with the common goal of providing better roads and travel conditions for motorists. Today, AAA is a comprehensive, multifaceted organization that offers a range of services, including roadside assistance, auto repair services, travel agency services, and diverse insurance products - Auto, Home, Life and more. A significant principle for AAA is to continuously deliver value to their 61 million members through safety, security and peace of mind. The company's mission and core values focus on championing its members' rights and interests, advocating innovation, integrity, teamwork and respect.

Industry

Non-profits

Company size

10,000+ Employees

Headquarters location

Heathrow, FL, US

Year founded

1902

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