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Claims Manager Jobs in Carson, CA (NOW HIRING)

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CLAIMS MANAGER

Costa Mesa, CA · Remote

$80K - $110K/yr

The Claims Manager at MSO, Inc. of Southern California leads the Claims Department, overseeing a small team to ensure accurate and timely adjudication of managed care claims, primarily Medicare and ...

Claims Manager Location: Pasadena, CA Duration: 3+months Workers' Compensation manager oversees all activity related to workers' compensation claims including the development of successful ...

Under general direction manages a team of claims professionals for our General Liability line of business. Responsibilities include overseeing all claim resolution activities of the team to ensure ...

Under general direction manages a team of claims professionals for our General Liability line of business. Responsibilities include overseeing all claim resolution activities of the team to ensure ...

Claims Supervisor

Los Angeles, CA · On-site

$90 - $120/hr

Division Claims Manager FLSA Status: Exempt Job Grade: 14 Next step in progression could include Division Claims Manager ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have ...

This role reports directly to the Claims Manager and requires prior experience working in a healthcare or managed care environment. Key Responsibilities * Process and adjudicate UB-92 and HCFA-1500 ...

Sr. Manager - Claims

Monterey Park, CA · On-site +1

$125K - $140K/yr

Manage claims inventory and prioritize workloads to consistently meet SLAs * Support onboarding and implementation of new IPAs and claims operations * Drive continuous improvement initiatives to ...

Manage and complete all settlements, negotiations, and disputes * Assist with total loss claims * Process check payment allocation and posting * Process credit card payments for claims * Set up ...

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Claims Manager information

See Carson, CA salary details

$36.6K

$91.9K

$145.4K

How much do claims manager jobs pay per year?

As of Sep 6, 2026, the average yearly pay for claims manager in Carson, CA is $91,888.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,100.00 and $109,800.00 per year, depending on experience, location, and employer.

What does a claims manager do?

A Claims Manager oversees the processing and resolution of insurance claims within an organization. Their responsibilities include evaluating claims, ensuring compliance with company policies and legal regulations, and managing a team of claims adjusters or examiners. Claims Managers work to ensure claims are handled efficiently and fairly, often acting as a point of escalation for complex or disputed cases. They also analyze data to improve claims processes and mitigate risk. Effective communication and leadership skills are essential in this role.

What skills and qualifications are needed to be a claims manager?

To thrive as a Claims Manager, you need expertise in insurance policies, risk assessment, and claims processing, usually supported by a degree in business, finance, or a related field. Familiarity with claims management software, regulatory compliance tools, and industry certifications such as AIC (Associate in Claims) is typically required. Strong analytical thinking, negotiation skills, and effective communication help you manage complex cases and lead teams successfully. These skills and qualities are vital for ensuring accurate claims resolution, minimizing financial loss, and maintaining client trust.

How does a claims manager balance high case volumes with thorough and accurate claim assessments?

Claims Managers often face the challenge of managing a large number of claims while maintaining quality and compliance. To address this, they implement efficient workflows, delegate tasks among team members, and use claims management software to automate routine processes. Regular team meetings and performance tracking help ensure that each claim is processed accurately and within regulatory timelines. Strong organizational skills and effective communication are key to balancing these demands and supporting both claimants and internal stakeholders.

What is the difference between Claims Manager vs Claims Adjuster?

AspectClaims ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceUsually requires a high school diploma or bachelor’s degree, with certifications like AIC or CPCU preferred
Work EnvironmentOversees claims departments, manages teams, and develops policies within insurance companiesEvaluates individual claims, investigates damages, and determines settlement amounts
Employer & Industry UsageCommonly employed in insurance companies, handling claims processes and team managementFound in insurance firms, adjusting claims directly with policyholders and providers

In summary, Claims Managers oversee the claims process and manage teams, requiring leadership skills and industry certifications. Claims Adjusters focus on evaluating individual claims, investigating damages, and determining payouts. Both roles are essential in the insurance industry but differ in scope and responsibilities.

How much do claims managers make in the US?

Claims managers in the US typically earn a median annual salary of around $80,000 to $100,000, with experienced professionals and those in senior roles earning over $120,000. Salaries vary based on location, industry, and level of experience, and many claims managers hold certifications such as the CPCU or ARM to advance their careers.

What is the role of a claims manager?

A claims manager oversees the processing and settlement of insurance claims, ensuring accuracy and compliance with policies. They evaluate claim validity, coordinate with adjusters and clients, and may use claims management software to streamline operations.

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

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

What are popular job titles related to Claims Manager jobs in Carson, CA?

For Claims Manager jobs in Carson, CA, the most frequently searched job titles are:

What job categories do people searching Claims Manager jobs in Carson, CA look for?

The top searched job categories for Claims Manager jobs in Carson, CA are:

What cities near Carson, CA are hiring for Claims Manager jobs?

Cities near Carson, CA with the most Claims Manager job openings:

Infographic showing various Claims Manager job openings in Carson, CA as of August 2026, with employment types broken down into 84% Full Time, 14% Part Time, 1% Contract, and 1% Nights. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $91,888 per year, or $44.2 per hour.

CLAIMS MANAGER

MSO, INC. OF SOUTHERN CALIFORNIA

Costa Mesa, CA • Remote

$80K - $110K/yr

Full-time

Posted 21 days ago

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Job description

The Claims Manager at MSO, Inc. of Southern California leads the Claims Department, overseeing a small team to ensure accurate and timely adjudication of managed care claims, primarily Medicare and Medi-Cal. Reporting directly to the CEO/President and Compliance Officer, this remote position requires expertise in regulatory compliance and claims processing within a healthcare management environment. Southern California residency is preferred for occasional on-site meetings.

Responsibilities

  • Supervise and develop a small claims team of 1-5 staff
  • Ensure accurate, timely adjudication of Medicare, Medi-Cal, and Commercial claims
  • Train claims staff and support ongoing professional development
  • Prepare and submit detailed Claims Timeliness and Health Plan reports with proof of submission
  • Manage provider and Health Plan appeals and oversee payment recovery processes
  • Coordinate claims audits and corrective actions with Health Plans, auditors, and providers
  • Develop and update departmental policies, procedures, and process improvements
  • Create performance reports to monitor staff metrics and identify training needs
  • Support electronic claims submission integration, system upgrades, and auto-adjudication enhancements
  • Collaborate with Provider Services on provider, vendor, and contract data management
  • Communicate regularly with executive leadership and clients regarding claims status and issues

Required Qualifications

  • Some college coursework
  • Minimum five years medical claims adjudication experience in managed healthcare
  • Proficiency in ICD, CPT, and HCPCS coding
  • Strong knowledge of DHCS, DMHC, CMS, and Health Plan regulations for Medi-Cal, Medicare, and Commercial claims
  • Definitive understanding of provider and Health Plan contracting and reimbursement methodologies
  • Proficient Excel and computer skills
  • Strong verbal and written communication skills
  • Analytical and problem-solving abilities
  • Effective team leadership and supervisory experience

Company Description

see website www.msosocal.com