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Claims Associate Jobs in Riverside, CA (NOW HIRING)

Progressive

Claims Specialist Lead

Riverside, CA · Hybrid

$42.69 - $56.73/hr

Five years of relevant work experience with three years in claims handling and an associate degree Preferred skills * Ability to quickly build rapport and successfully effect settlements * Strong ...

Progressive

Claims Specialist Lead

Irvine, CA · Hybrid

$42.69 - $56.73/hr

Five years of relevant work experience with three years in claims handling and an associate degree Preferred skills * Ability to quickly build rapport and successfully effect settlements * Strong ...

Progressive

Claims Adjuster Senior - Injury

Irvine, CA · Hybrid

$39 - $51/hr

Four years of relevant work experience with two years in claims handling and an associate degree Preferred skills * Ability to quickly build rapport and successfully effect settlements * Strong ...

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Claims Associate information

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$14

$21

$31

How much do claims associate jobs pay per hour?

As of Jul 3, 2026, the average hourly pay for claims associate in Riverside, CA is $21.90, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $24.09 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, and why are they important?

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 Riverside, CA? The most popular types of Claims jobs in Riverside, CA are:
What are popular job titles related to Claims Associate jobs in Riverside, CA? For Claims Associate jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Claims Associate jobs in Riverside, CA look for? The top searched job categories for Claims Associate jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Claims Associate jobs? Cities near Riverside, CA with the most Claims Associate job openings:
Claims Associate jobs near you
Infographic showing various Claims Associate job openings in Riverside, CA as of June 2026, with employment types broken down into 1% As Needed, 92% Full Time, 4% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $45,542 per year, or $21.9 per hour.
Claims Adjudicator Sr

Claims Adjudicator Sr

Loma Linda University Health

Redlands, CA

Other

Posted 11 days ago

Loma Linda University Health rating

8.2

Company rating: 8.2 out of 10

Based on 87 frontline employees who took The Breakroom Quiz

109th of 1,004 rated hospitals

Job description

Department: UHC: Managed Care

Job Summary: The Claims Adjudicator Sr is responsible mentoring and training Claims Adjudicators. The Lead will also analyze and process professional and hospital HMO Risk claims in accordance with the managed care contract provisions in an accurate and timely manner. Responds to questions from other adjudicators and processors. Verifies system assigned risk pool determination in accordance with the Division of Financial Responsibility matrix. Assists Director in creating, reviewing, and enhancing policies and procedures governing full risk claims processing on an annual basis or as needed. Assists other adjudicators and/or examiners as needed in order to assure that claims are completed within standards. Performs other duties as needed.
Education and Experience: High School Diploma or GED required. Associate's Degree preferred. Minimum five years managed care claims processing experience with professional and/or institutional claims required.
Knowledge and Skills: Extensive experience in health insurance claims processing, HMO claims or managed care environment is required, in-depth knowledge of medical billing and coding, knowledge of health insurance, HMO and managed care principles. Claims Payment System including Claim Hierarchy Categories, CPT, ICD-10, HCPCS, UB-04. Knowledge in UB and HCFA-1500 Insurance Claims, reading and interpreting Contracts and DOFR. Understanding of all CMS guidelines and regulations in relation to Claims Processing and Payments. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position; Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Valid California Driver's License required at time of hire.

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.
Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.

We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at (909) 651-4001.

Loma Linda University Health Care is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant's consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management.

We appreciate your interest in Loma Linda and wish you success in your job search!

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About Loma Linda University Health

Sourced by ZipRecruiter

Loma Linda University Health (LLUH) is an esteemed healthcare organization situated in Loma Linda, California, US. Established in 1905, it was initially known as the College of Medical Evangelists, and it operated as the official medical institution of the Seventh-day Adventist Church until the name was changed to LLUH in 1961. LLUH is very much active in the healthcare and education sectors, providing a vast range of services such as medical treatment, research, and health education. The organization’s core mission is "to continue the teaching and healing ministry of Jesus Christ", which underlines its binding values of compassion, integrity, excellence, freedom, and justice.

Industry

Health care and social assistance and hospitality services

Company size

10,000+ Employees

Headquarters location

Loma Linda, CA, US

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