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Claims Processing Jobs in California (NOW HIRING)

Claims Processor

Sherman Oaks, CA · On-site

$17.75 - $22.50/hr

Maintain detailed records of claims processing activities. Analyze claims data to identify trends and areas for improvement. Assist in training new team members on claims processing procedures.

Ideal candidate: The perfect fit for this role has at least 3 years of experience in medical billing or claims processing--especially if that experience includes working with a third-party ...

Claims Examiner

Whittier, CA · On-site

$30 - $32/hr

Accurately process, adjudicate, and pay UB-92 and HCFA-1500 claims. * Handle claims received from hospitals and affiliated medical groups for HMO patients. * Apply correct payment methodologies for ...

Claims Specialist

Irvine, CA · On-site

$27 - $30/hr

Review and process incoming claims for accuracy, completeness, and compliance with policies and regulations. • Claims Evaluation: Evaluate and assess the validity of claims based on established ...

Claims Specialist

Irvine, CA · On-site

$27 - $30/hr

Review and process incoming claims for accuracy, completeness, and compliance with policies and regulations. • Claims Evaluation: Evaluate and assess the validity of claims based on established ...

Process and adjudicate UB-92 and HCFA-1500 claims for medical groups, hospitals, and ancillary providers. * Ensure claims are paid accurately and in compliance with timeliness and payment guidelines.

Analyst, Claims Research

Long Beach, CA · On-site

$19.84 - $38.69/hr

Applies claims processing and technical knowledge to appropriately define a path for short/long-term systematic or operational fixes. Seeks to improve overall claims performance, and ensure claims ...

Analyst, Claims Research

Long Beach, CA · On-site +1

$19.84 - $38.69/hr

... processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through ...

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Showing results 1-20

Claims Processing information

See California salary details

$11

$18

$26

How much do claims processing jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for claims processing in California is $18.91, according to ZipRecruiter salary data. Most workers in this role earn between $16.15 and $20.38 per hour, depending on experience, location, and employer.

What is the difference between Claims Processing vs Claims Adjuster?

AspectClaims ProcessingClaims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; often state licensing or certifications
Work EnvironmentOffice-based, administrative settingFieldwork and office-based, investigative environment
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusReviewing and processing claims for paymentInvestigating claims, determining liability and settlement

Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.

What are some common challenges faced by professionals in claims processing, and how can they be managed effectively?

Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.

What are the key skills and qualifications needed to thrive as a Claims Processor, and why are they important?

To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.

What is claims processing?

Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.
What are the most commonly searched types of Claims Processing jobs in California? The most popular types of Claims Processing jobs in California are:
What cities in California are hiring for Claims Processing jobs? Cities in California with the most Claims Processing job openings:
Infographic showing various Claims Processing job openings in California as of July 2026, with employment types broken down into 89% Full Time, 8% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $39,341 per year, or $18.9 per hour.
Claims Processor

Claims Processor

MedPOINT Management

Sherman Oaks, CA • On-site

$17.75 - $22.50/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago


Job description

Benefits:

401(k)

401(k) matching

Company parties

Dental insurance

Employee discounts

Health insurance

Opportunity for advancement

Paid time off

Parental leave

Savings bank

Training & development

Vision insurance

Wellness resources

About the Role:

Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where you will play a crucial role in our dynamic team. This position offers an exciting opportunity to work in a fast-paced environment while ensuring accurate and timely processing of claims.

Responsibilities:

Review and process insurance claims with accuracy and efficiency.

Ensure compliance with company policies and regulatory requirements.

Communicate with clients and insurance companies to resolve claims discrepancies.

Maintain detailed records of claims processing activities.

Analyze claims data to identify trends and areas for improvement.

Assist in training new team members on claims processing procedures.

Participate in team meetings to discuss workflow and process enhancements.

Stay updated on industry changes and best practices related to claims processing.

Requirements:

High school diploma or equivalent; associate degree preferred.

Minimum of 2 years experience in claims processing or related field.

Strong attention to detail and excellent organizational skills.

Proficient in claims management software and Microsoft Office Suite.

Ability to work independently and collaboratively in a team environment.

Effective communication skills, both written and verbal.

Knowledge of medical terminology and insurance policies is a plus.

Strong problem-solving skills and ability to handle challenging situations.

About Us:

MedPOINT Management has been a leader in healthcare management for over a decade, providing exceptional services to our clients. Our commitment to excellence and innovation is why customers love us, and our supportive work environment is why employees thrive here.

This is a remote position.