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Claims Manager Jobs in Riverside, 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 ...

Rebel Convenience Stores

Retail Claims Investigator

Upland, CA · On-site

$25 - $30/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position partners closely with the Claims Manager and collaborates with internal teams, insurance carriers, third-party administrators, and legal partners. If you have a background in ...

Rebel Convenience Stores

Retail Claims Investigator

Upland, CA · On-site

$25 - $30/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position partners closely with the Claims Manager and collaborates with internal teams, insurance carriers, third-party administrators, and legal partners. If you have a background in ...

Rebel Convenience Stores

Retail Claims Investigator

Upland, CA · On-site

$25 - $30/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position partners closely with the Claims Manager and collaborates with internal teams, insurance carriers, third-party administrators, and legal partners. If you have a background in ...

AmTrust Financial Services, Inc.

Manager, Claims Reso

Irvine, CA · On-site

$105K - $130K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Overview The Resolution Manager is responsible for leading a team of resolution claim adjusters who are responsible for prompt, efficient review and disposition of workers compensation claims through ...

AmTrust Financial Services, Inc.

Manager, Claims Reso

Irvine, CA · On-site

$105K - $130K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

The Resolution Manager is responsible for leading a team of resolution claim adjusters who are responsible for prompt, efficient review and disposition of workers compensation claims through ...

AmTrust Financial Services, Inc.

Manager, Claims Reso

Irvine, CA · On-site

$105K - $130K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Overview The Resolution Manager is responsible for leading a team of resolution claim adjusters who are responsible for prompt, efficient review and disposition of workers compensation claims through ...

Corvel

Claims Supervisor

Rancho Cucamonga, CA · Remote

$73K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and ...

Corvel

Claims Supervisor

Rancho Cucamonga, CA · On-site

$73K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and ...

Venbrook

Senior Claims Examiner

Anaheim, CA · On-site

$69K - $89K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Manager / Director of Claims FLSA STATUS: Exempt COMPANY OVERVIEW Venbrook Claims Services is the claims business group of Venbrook Group, LLC, a holding company with subsidiaries engaged in ...

Venbrook

Senior Claims Examiner

Anaheim, CA · On-site

$69K - $89K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Manager / Director of Claims FLSA STATUS: Exempt COMPANY OVERVIEW Venbrook Claims Services is the claims business group of Venbrook Group, LLC, a holding company with subsidiaries engaged in ...

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Showing results 1-20

All JobsClaims JobsClaims Manager JobsClaims Manager Jobs in Riverside, CA

Claims Manager information

See Riverside, CA salary details

$36.5K

$91.7K

$145K

How much do claims manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for claims manager in Riverside, CA is $91,663.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,900.00 and $109,500.00 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 higher. Salaries can vary based on location, industry, and level of experience, and many claims managers hold certifications such as the Chartered Property Casualty Underwriter (CPCU).

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.
More about Claims Manager 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 Manager jobs in Riverside, CA?

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

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

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

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

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

Claims Manager jobs near you
Infographic showing various Claims Manager job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $91,663 per year, or $44.1 per hour.

Claims Manager

LSMA Management Inc

San Bernardino, CA • On-site

$87K - $97K/yr

Full-time

Posted 16 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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