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Claims Manager Jobs in San Ramon, CA (NOW HIRING)

DELTA HEALTH SYSTEMS MCC

Claims Manager

Stockton, CA · On-site

Manages within established budget of unit. * Collaborates with information services on system enhancements, providing documentation and justification for improvements to system for proper claims flow.

North East Medical Services

MSO CLAIMS MANAGER

Burlingame, CA · On-site

$112K - $128K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

The Claims Manager is responsible for overseeing the end-to-end claims operations within the MSO managed care delegated functions. This role provides guidance on healthcare claims adjudication and ...

SF Health Plan

Manager, Claims Operations

San Francisco, CA · Hybrid

$140K - $150K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Reporting to Director, Claims, the Manager, Claims Operations is responsible for the performance of the San Francisco Health Plan (SFHP) Claims Department. You will ensure compliance with all ...

Chubb

ESIS Claims Compliance Specialist, WC

Fremont, CA · On-site

$78K - $114K/yr

Collaborate with the Claims Manager to improve Quality Review (QR) scores, including auditing individual files for compliance with QR guidelines. * Participate in special projects as assigned ...

Chubb

ESIS Claims Compliance Specialist, WC

Fremont, CA · Hybrid

$27.50 - $38/hr

Collaborate with the Claims Manager to improve Quality Review (QR) scores, including auditing individual files for compliance with QR guidelines. * Participate in special projects as assigned ...

Gallagher

Claims Supervisor

Oakland, CA · Remote

As part of Gallagher, a global leader in insurance, risk management, and consulting, you'll be joining a team that's passionate about helping individuals and organizations thrive. The Claims ...

North East Medical Services

CLAIMS EXAMINER II

Burlingame, CA · On-site

$36.92 - $41.85/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Responsible to prepare files and documents for the annual health plan delegation oversight audits, assist Claims Supervisor with MSO management reports, and other special projects as needed.

NORTH EAST MEDICAL SERVICES

CLAIMS EXAMINER II

Burlingame, CA

$36.92 - $41.85/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Responsible to prepare files and documents for the annual health plan delegation oversight audits, assist Claims Supervisor with MSO management reports, and other special projects as needed.

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All JobsClaims JobsClaims Manager JobsClaims Manager Jobs in San Ramon, CA

Claims Manager information

See San Ramon, CA salary details

$39.1K

$98.2K

$155.3K

How much do claims manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for claims manager in San Ramon, CA is $98,187.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,000.00 and $117,300.00 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 job categories do people searching Claims Manager jobs in San Ramon, CA look for?

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

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

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

Claims Manager jobs near you
Infographic showing various Claims Manager job openings in San Ramon, CA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 74% In-person, 13% Hybrid, and 13% Remote job distribution, with an average salary of $98,187 per year, or $47.2 per hour.

Claims Manager

DELTA HEALTH SYSTEMS MCC

Stockton, CA • On-site

Full-time

Re-posted 14 days ago

Job description

Delta Health Systems (DHS), one of the nation’s leading Third Party Administrators (TPAs) for self-funded health plans, is seeking an experienced and collaborative leader to join our team as Director of Operations. This position oversees day-to-day operational functions for our Stockton and Fresno offices and plays a key role in driving operational excellence, team development, and customer satisfaction.

Essential Duties and Responsibilities

  • Supervise assigned staff in a responsible manner including training, planning, directing work, appraising performance, rewarding, and addresses complaints.
  • Mentors, educates, and provides corrective action, performance improvement plans, and disciplines staff when necessary.
  • Participants in the interview process for the hiring of new staff when necessary.
  • Conducts monthly 1:1, quarterly, and annual performance reviews with staff to discuss productivity, issues, concerns, quality, and expectations.
  • Responds to staff, internal and external customer inquiries, and provides resolution to issues accordingly.
  • Evaluates department performance and takes corrective action, when necessary,
  • Ensures overall inventory and assigned queues and processes are handled within department guidelines.
  • Reviews department reports for accuracy, thoroughness, and timeliness and adjusts measurements when necessary.
  • Interprets plan provisions and make recommendations for system administrative improvements to meet customer expectations.
  • Develop relationships with other departments to ensure interdepartmental communication is effective.
  • Develops and maintains effective relationships with customers and their affiliated partners.
  • Manages within established budget of unit.
  • Collaborates with information services on system enhancements, providing documentation and justification for improvements to system for proper claims flow.
  • Assists Client Services with client requests to meet customer expectations, requests, and deadlines.
  • Participate in new business implementations.
  • Enforces, adheres to, and follows department policies and procedures and Collective Bargaining Agreements.
  • Participates in and contributes to department meetings and continual training.
  • Represents company at existing and prospective customer meetings.
  • Upholds and exemplifies company values.
  • Must occasionally travel to client locations.
  • Performs other duties as assigned.

EDUCATION/EXPERIENCE/QUALIFICATIONS: Two to four years of management and claims experience. Must be computer literate w/proficiency in spreadsheet and word processing applications. Excellent written and verbal communication skills. Must have excellent leadership abilities and interpersonal skills; ability to establish confidence, rapport and foster cooperative relationships with clients, providers, and co-workers.  Must understand self-funded payer claims policies as well as Federal, State and other regulations pertaining to health insurance claims payment including TPL, COB, and coding and reimbursement methodologies.  Experience with automated claims systems; and ability to maintain sound production operations also required

SUPERVISION: This position reports directly to a Stockton Claims Manager,  limited supervision with considerable responsibility for work quality and quantity.

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