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Claims Assistant Jobs in Rialto, CA (NOW HIRING)

LSMA Management Inc

Claims Manager

San Bernardino, CA · On-site

$87K - $97K/yr

The Claims Manager is responsible for overseeing the daily operations, performance, and regulatory compliance of the Claims Department within the Managed Services Organization (MSO). This role ...

LSMA Management Inc

Claims Manager

San Bernardino, CA · On-site

$87K - $97K/yr

The Claims Manager is responsible for overseeing the daily operations, performance, and regulatory compliance of the Claims Department within the Managed Services Organization (MSO). This role ...

LSMA Management Inc

Claims Manager

San Bernardino, CA · On-site

$87K - $97K/yr

The Claims Manager is responsible for overseeing the daily operations, performance, and regulatory compliance of the Claims Department within the Managed Services Organization (MSO). This role ...

Venbrook

Senior Claims Examiner

Anaheim, CA · On-site

$69K - $89K/yr

Claims Adjuster, Public Entity DEPARTMENT: Claims Services REPORTS TO: Claims Manager / Director of Claims FLSA STATUS: Exempt COMPANY OVERVIEW Venbrook Claims Services is the claims business group ...

Venbrook

Senior Claims Examiner

Anaheim, CA · On-site

$69K - $89K/yr

Claims Adjuster, Public Entity DEPARTMENT: Claims Services REPORTS TO: Claims Manager / Director of Claims FLSA STATUS: Exempt COMPANY OVERVIEW Venbrook Claims Services is the claims business group ...

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Claims Assistant information

See Rialto, CA salary details

$13

$21

$28

How much do claims assistant jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for claims assistant in Rialto, CA is $21.11, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $22.88 per hour, depending on experience, location, and employer.

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.

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 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.

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 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 often use claims management software and need strong organizational and communication skills to ensure accurate and efficient handling of claims. The role may require familiarity with insurance policies and attention to detail.
More about Claims Assistant jobs
What are the most commonly searched types of Claims jobs in Rialto, CA? The most popular types of Claims jobs in Rialto, CA are:
What are popular job titles related to Claims Assistant jobs in Rialto, CA? For Claims Assistant jobs in Rialto, CA, the most frequently searched job titles are:
What job categories do people searching Claims Assistant jobs in Rialto, CA look for? The top searched job categories for Claims Assistant jobs in Rialto, CA are:
What cities near Rialto, CA are hiring for Claims Assistant jobs? Cities near Rialto, CA with the most Claims Assistant job openings:
Claims Assistant jobs near you
Infographic showing various Claims Assistant job openings in Rialto, CA as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $43,905 per year, or $21.1 per hour.

Claims Manager

LSMA Management Inc

San Bernardino, CA • On-site

$87K - $97K/yr

Full-time

Posted 12 days ago

Job description

Description

JOB SUMMARY:

The Claims Manager is responsible for overseeing the daily operations, performance, and regulatory compliance of the Claims Department within the Managed Services Organization (MSO). This role provides leadership and supervision to Claims Examiners and ensures the accurate, timely, and compliant adjudication of professional and institutional claims in accordance with health plan contracts, regulatory requirements, and organizational policies.

The Claims Manager monitors claims inventory, production, and quality metrics, ensures adherence to turnaround time standards, and supports operational efficiency and compliance with federal and California regulatory requirements, including Department of Managed Health Care (DMHC), Centers for Medicare & Medicaid Services (CMS), and Department of Health Care Services (DHCS) requirements where applicable.

This position plays a critical role in ensuring claims processing accuracy, maintaining provider satisfaction, protecting organizational financial integrity, and supporting delegated managed care operations.

Requirements

MINIMUM & PREFERRED QUALIFICATIONS:


Education/Training

Minimum: High School diploma or equivalent required.

Preferred: Bachelor's degree in Healthcare Administration, Business Administration, or related field.


Experience 

Minimum: At least five years of managed care claims processing experience. Two or more years of supervisory or leadership experience. Experience processing professional and institutional claims.

Preferred: Experience in MSO, IPA, or delegated managed care environment. Experience with Medicare, Medi-Cal, Commercial, and managed care claims. Experience with claims systems such as EZ Cap, EPIC, or similar platforms. Experience supporting regulatory and delegation audits.


Certification(s)

Preferred: Certified Professional in Healthcare Quality (CPHQ)


Skills, Knowledge & Abilities

Strong knowledge of managed care claims processing and adjudication.

Knowledge of CPT, HCPCS, ICD-10, and UB-04 claim processing standards. 

Knowledge of DMHC, CMS, DHCS, and managed care regulatory requirements.

Strong leadership and staff supervision skills.

Strong analytical, organizational, and problem-solving skills.

Ability to assess workload and staffing requirements. 

Excellent written and verbal communication skills.

Proficiency in Microsoft Office Suite, including Excel. 

Ability to manage multiple priorities in a deadline-driven environment.

Ability to maintain confidentiality and data integrity.

Ability to collaborate effectively with internal and external stakeholders.


PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS:

The physical demands described here are represented by those that must be met by an employee to successfully perform the essential functions of this job. Work is primarily performed in an office or hybrid office environment and involves prolonged periods of sitting, computer use, and data review. The role requires sustained concentration, analytical thinking, and attention to detail to ensure claims accuracy and regulatory compliance. Occasional lifting of materials up to approximately 10-20 pounds may be required. The position may require extended work hours or weekend work to meet operational and regulatory deadlines.


PAY RANGE  

$87,360 - $97,760 / annually 

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