ZipRecruiter

Log In

1

Claims Associate Jobs in Fallbrook, CA (NOW HIRING)

Acrisure

Associate Account Manager

San Diego, CA · On-site

$28 - $38/hr

Receive phone calls from clients and companies regarding insurance, claims, or administrative problems, and comply with the request and/or refer to the Associate Account Manager/Account Manager and ...

Sam's Club

Café Associate

Murrieta, CA · On-site

$19 - $27/hr

Our prepared meal and rotisserie chicken associates prepare fresh food items daily for our members ... claims and returns, zoning the area, arranging and organizing merchandise, and identifying shrink ...

Saviance

Customer Care Associate I

San Diego, CA · On-site

$15.50 - $21.25/hr

Educates providers on how to submit claims and when/where to submit a treatment plan. Identifies ... High School Diploma or GED (Required), Associates (Preferred), Bachelors (Preferred)

Sam's Club

Food Market Associate

Murrieta, CA · On-site

$19 - $27/hr

Our prepared meal and rotisserie chicken associates prepare fresh food items daily for our members ... claims and returns, zoning the area, arranging and organizing merchandise, and identifying shrink ...

REXEL INC

Warehouse Associate/Driver

San Diego, CA · On-site

$18 - $21.75/hr

Warehouse Associate/Driver I, II or Senior level: Employee's level and pay will be dependent on ... claims * Prepare branch orders from the warehouse and ensure that the correct number and type of ...

The UPS Store #6012

Retail Sales Associate

San Diego, CA

$16 - $18.25/hr

Clearly write/scan/email documents for traces, log shipping claims, and customer conversations. * Assist in merchandising the center, including: stocking shelves with product, ensuring a clean and ...

Sam's Club

Meal Prep Associate

Murrieta, CA · On-site

$19 - $27/hr

Our prepared meal and rotisserie chicken associates prepare fresh food items daily for our members ... claims and returns, zoning the area, arranging and organizing merchandise, and identifying shrink ...

previous page

Showing results 41-60

All JobsClaims Associate JobsClaims Associate Jobs in Fallbrook, CA

Claims Associate information

See Fallbrook, CA salary details

$14

$21

$31

How much do claims associate jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for claims associate in Fallbrook, CA is $22.00, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $24.18 per hour, depending on experience, location, and employer.

What does a claims associate do?

A claims associate handles claims for an insurance company. As a claims associate, your job duties may include reviewing a customer’s insurance coverage and interviewing those who have filed a claim. Your job is to ensure that a claim is processed correctly, so the customer receives the financial payout to which they are entitled. In this career, you usually work in an office, but you may need to travel to gather information about the claim. There are positions in every insurance industry so that you may work in anything from auto to life insurance. This position requires excellent research and interpersonal skills, and experience in customer service is a plus. Additional qualifications may include an associate degree.

What is the difference between Claims Associate vs Claims Examiner?

AspectClaims AssociateClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance-related certificationsHigh school diploma; insurance certifications like CPCU or similar beneficial
Work EnvironmentOffice setting, interacting with customers and internal teamsOffice setting, reviewing claims and documentation
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, adjusting departments
Common Search & ComparisonClaims Associate vs Claims Examiner

The main difference between a Claims Associate and a Claims Examiner lies in their responsibilities. Claims Associates typically handle initial customer interactions and basic claim processing, while Claims Examiners review and assess claims in detail, often making determinations on claim validity. Both roles require similar credentials and work in comparable environments, but Claims Examiners usually have more specialized knowledge and decision-making authority.

What are the key skills and qualifications needed to thrive as a claims associate?

To thrive as a Claims Associate, you need a solid understanding of insurance policies, attention to detail, and basic analytical skills, usually supported by a high school diploma or equivalent. Familiarity with claims management systems, CRM software, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong communication, problem-solving, and customer service abilities set top performers apart. These skills are essential for accurately processing claims, ensuring compliance, and providing a positive experience for clients and policyholders.

What does a claims associate do?

A Claims Associate is responsible for reviewing, processing, and managing insurance claims submitted by policyholders. Their duties include verifying information, evaluating the validity of claims, and ensuring all necessary documentation is complete. They often communicate with customers, healthcare providers, or other parties to gather additional information and resolve any issues. Claims Associates play a crucial role in ensuring claims are processed accurately and efficiently according to company policies and regulatory guidelines.

What are some common challenges a claims associate may face, and how can they effectively handle them?

Claims Associates often encounter challenges such as managing a high volume of claims, navigating complex policy details, and communicating with clients who may be experiencing stress or frustration. Effectively handling these situations requires strong organizational skills, attention to detail, and clear, empathetic communication. Many Claims Associates find success by proactively prioritizing tasks, seeking guidance from senior team members when needed, and utilizing available technology to streamline documentation and follow-ups.
More about Claims Associate jobs

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

The most popular types of Claims jobs in Fallbrook, CA are:

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

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

Claims Associate jobs near you
Infographic showing various Claims Associate job openings in Fallbrook, CA as of July 2026, with employment types broken down into 65% Full Time, 32% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $45,754 per year, or $22 per hour.

Epic Resolute Hospital Billing Associate Analyst

Deloitte

San Diego, CA • Hybrid

$51K - $67K/yr

Full-time

Posted 26 days ago

Deloitte rating

8.2

Company rating: 8.2 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

44th of 150 rated financial services

Job description

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced EPIC Resolute Hospital Billing Associate Analyst, you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery.

Work you'll do/Responsibilities  

  • Review AR aging reports and work queues to identify unpaid and delayed claims.
  • Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
  • Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
  • Document claim status details and payer-provided information
  • Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
  • Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
  • Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
  • Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows.
  • Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.

Recruiting for this role ends on Thursday, December 31st, 2026. 

The successful candidate would possess these skills:

  • Ability to work independently and collaborate as part of a team
  • Effective written and verbal communication skills
  • Meticulous attention to detail and quality of work product
  • Ability to build and sustain professional relationships 
  • Ability to lead projects or workstreams
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  • Strong interpersonal skills and professional demeanor 
  • Ability to meet deadlines
  • Ability to provide clear guidance to others

The Team 

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Qualifications

Required

  • 1+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area
  • 1+ years of foundational proficiency in Epic Resolute Hospital Billing application
  • 1+ years of experience working according to high performing productivity and quality standards; experience working in claims clearinghouse system
  • Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience
  • Limited immigration sponsorship may be available

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $50,000-$60,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Qualifications:

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced EPIC Resolute Hospital Billing Associate Analyst, you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery.

Work you'll do/Responsibilities  

  • Review AR aging reports and work queues to identify unpaid and delayed claims.
  • Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
  • Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
  • Document claim status details and payer-provided information
  • Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
  • Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
  • Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
  • Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows.
  • Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.

Recruiting for this role ends on Thursday, December 31st, 2026. 

The successful candidate would possess these skills:

  • Ability to work independently and collaborate as part of a team
  • Effective written and verbal communication skills
  • Meticulous attention to detail and quality of work product
  • Ability to build and sustain professional relationships 
  • Ability to lead projects or workstreams
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  • Strong interpersonal skills and professional demeanor 
  • Ability to meet deadlines
  • Ability to provide clear guidance to others

The Team 

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Qualifications

Required

  • 1+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area
  • 1+ years of foundational proficiency in Epic Resolute Hospital Billing application
  • 1+ years of experience working according to high performing productivity and quality standards; experience working in claims clearinghouse system
  • Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience
  • Limited immigration sponsorship may be available

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $50,000-$60,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Education:OtherEmployment Type:

What Deloitte employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply