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Claims Assistant Jobs in Riverside, CA (NOW HIRING)

Artius Solutions

Senior Claims Specialist

Orange, CA · On-site

$110K - $130K/yr

Respond to hotline calls and prepare hotline reports * Assist in training and mentoring Claims Specialist I & II team members * Support management with special projects as needed Education ...

LSMA Management Inc

Claims Examiner

San Bernardino, CA · On-site

$28.85 - $33.65/hr

Job Type Full-time Description JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical ...

LSMA Management Inc

Claims Examiner

San Bernardino, CA · On-site

$28.85 - $33.65/hr

JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical clinics and Independent ...

LSMA Management Inc

Claims Examiner

San Bernardino, CA

$28.85 - $33.65/hr

Description JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical clinics and ...

Collectorsuniverse

Claims Manager

Santa Ana, CA

We're looking for a Claims Manager to join our Claims team to lead the claims team and serve as the subject-matter expert for our commercial insurance portfolio. You will be accountable for end-to ...

Tmhcc

Associate Bond Claims Attorney

Santa Ana, CA

$85K - $117K/yr

Prepare determination letters and assist in mediations and court proceedings. During the first year and beyond : Expand skills to manage more complex claims independently and contribute to risk ...

Collectors Holdings, Inc.

Claims Manager

Santa Ana, CA · On-site

We're looking for a Claims Manager to join our Claims team to lead the claims team and serve as the subject-matter expert for our commercial insurance portfolio. You will be accountable for end-to ...

Berkley

Senior Claims Examiner

Irvine, CA

$400K/yr

... * Assist with or conduct large loss handling and reinsurance reporting, ensuring accuracy and ... claims-related, adjusting experience handling workers compensation claims in California We do not ...

Berkley

Senior Claims Examiner

Irvine, CA · On-site

$400K/yr

... * Assist with or conduct large loss handling and reinsurance reporting, ensuring accuracy and ... claims in California Additional Company DetailsWe do not accept any unsolicited resumes from ...

Berkley

Senior Claims Examiner

Irvine, CA · On-site

$400K/yr

... * Assist with or conduct large loss handling and reinsurance reporting, ensuring accuracy and ... years claims-related, adjusting experience handling workers compensation claims in California ...

BANDAI NAMCO

Administrative Assistant

Irvine, CA

$22 - $26/hr

Prepares, submits, and monitors requests, and expense travel/lodging arrangement claims. * Assist with meetings and events by arranging facilities tasks, registering guests, coordinating catering ...

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How much do claims assistant jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for claims assistant in Riverside, CA is $21.96, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $23.85 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 does a Claims Assistant do?

A Claims Assistant supports insurance claims processing by gathering documents, verifying information, and communicating with clients, policyholders, and claims adjusters. They help ensure that claims are handled efficiently and accurately by entering data, preparing reports, and following up on outstanding items. Their role is essential in keeping the claims process organized and moving forward smoothly. Claims Assistants often work in offices for insurance companies or third-party administrators.
More about Claims Assistant jobs
What are the most commonly searched types of Claims jobs in Riverside, CA? The most popular types of Claims jobs in Riverside, CA are:
What are popular job titles related to Claims Assistant jobs in Riverside, CA? For Claims Assistant jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Claims Assistant jobs in Riverside, CA look for? The top searched job categories for Claims Assistant jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Claims Assistant jobs? Cities near Riverside, CA with the most Claims Assistant job openings:
Claims Assistant jobs near you

Senior Claims Specialist

Artius Solutions

Orange, CA • On-site

$110K - $130K/yr

Full-time

Posted 17 days ago

Job description

Senior Claims Specialist – Medical Malpractice
Location: Orange, CA 92859 (Onsite)
Employment Type: Contract / Contract-to-Hire (Based on Performance)
 Schedule: Full-Time
Position Overview

We are seeking an experienced Senior Claims Specialist to manage high-exposure and complex medical malpractice claims. This role involves full lifecycle claim handling, litigation coordination, case evaluation, and mentoring junior claims professionals.

The ideal candidate will bring strong analytical expertise, litigation management experience, and the ability to handle multiple high-level claims simultaneously.

Key Responsibilities

  • Manage medical malpractice claims including high complexity and large financial exposure cases

  • Assign, direct, and coordinate with defense counsel in compliance with internal claims guidelines

  • Investigate and evaluate claims by:

    • Reviewing medical records

    • Interviewing involved parties

    • Communicating with plaintiff attorneys

    • Securing expert evaluations/opinions

  • Prepare detailed case evaluation reports for review committees

  • Participate in litigation activities including:

    • Discovery planning

    • Mediation

    • Mandatory Settlement Conferences (MSC)

    • Negotiations

  • Monitor trials and arbitrations; provide daily progress updates

  • Maintain accurate claims documentation and database updates

  • Code and document key case developments in claims systems

  • Review and index documents in document management systems (OnBase or similar)

  • Identify and address coverage-related issues

  • Respond to hotline calls and prepare hotline reports

  • Assist in training and mentoring Claims Specialist I & II team members

  • Support management with special projects as needed

Education & Experience

  • Bachelor’s degree required (Legal or Medical background preferred)

  • Minimum 5+ years of medical malpractice claims management experience
    OR

  • 3+ years of CAP claims experience

  • Strong experience managing litigation and high-value claims

  • Valid California Driver’s License required

Required Skills

  • Excellent written and verbal communication skills

  • Strong analytical and investigative abilities

  • Effective time management and ability to meet deadlines

  • Ability to manage multiple high-priority claims simultaneously

  • Proficiency with claims management systems and Microsoft Office

  • Strong documentation and reporting skills

Preferred

  • Experience working in structured claims environments

  • Familiarity with Claims Technical Manuals & Defense Attorney Guidelines

  • Experience mentoring or training junior staff

  • Work on complex, high-impact medical malpractice cases

  • Opportunity to mentor and lead within claims operations

  • Stable and professional work environment

  • Potential for long-term engagement

.