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Claims Processing Jobs in California (NOW HIRING)

DELTA HEALTH SYSTEMS MCC

Claims Auditor

Stockton, CA

$22 - $26/hr

Audits Claims, Customer Service and OA personnel by performing the following duties. * Audits work ... Reviews and identifies technical and system quality issues for all aspects of claim processing ...

Astrana Health

Sr. Manager - Claims

Monterey Park, CA · Hybrid

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance, and support the onboarding of new IPAs and implementations. You'll partner closely with internal ...

Health Source MSO

Claims Supervisor

Alhambra, CA

... Claims processing guidelines Providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims Authorizes the appropriate ...

Astrana Health, Inc.

Sr. Manager - Claims

Monterey Park, CA · On-site

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance, and support the onboarding of new IPAs and implementations. You'll partner closely with internal ...

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All JobsClaims Processing JobsClaims Processing Jobs in California

Claims Processing information

See California salary details

$11

$18

$26

How much do claims processing jobs pay per hour?

As of Jun 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 job makes $10,000 a month without a degree?

Claims processing roles can sometimes pay $10,000 or more per month for experienced professionals, especially in senior or specialized positions within insurance companies or third-party claims organizations. These roles often require strong analytical skills, industry knowledge, and certifications but may not require a college degree. High earnings typically depend on experience, performance, and the complexity of claims handled.

What is a claims processing job?

A claims processing job involves reviewing, verifying, and managing insurance claims to determine coverage and payment amounts. It requires attention to detail, knowledge of insurance policies, and often the use of specialized software to ensure accurate and timely claim handling.

What jobs pay 500,000 a year in the US?

Claims processing roles typically do not pay $500,000 annually; high-paying jobs in the US reaching this level are usually executive positions such as CEOs, investment bankers, or specialized medical professionals. Achieving such income often requires extensive experience, advanced skills, and leadership responsibilities across industries like finance, healthcare, or technology.

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 jobs pay 2000 a day?

Claims processing roles typically do not pay $2,000 a day; high earnings in this field are usually associated with senior positions, specialized consultants, or those with extensive experience and certifications. Most claims processors earn a standard salary or hourly wage, with top executives or highly specialized professionals potentially earning higher daily rates through consulting or bonuses.

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 are popular job titles related to Claims Processing jobs in California? For Claims Processing jobs in California, the most frequently searched job titles are:
What job categories do people searching Claims Processing jobs in California look for? The top searched job categories for 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:
Claims Processing jobs near you
Infographic showing various Claims Processing job openings in California as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $39,341 per year, or $18.9 per hour.
Analyst, Claims Research - Remote

Analyst, Claims Research - Remote

Molina Healthcare

Long Beach, CA • Remote

Full-time

Posted 15 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

146th of 261 rated insurance

Job description

JOB DESCRIPTION Job Summary

Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution.

Essential Job Duties

Serves as claims subject matter expert - using analytical skills to conduct research and analysis to address issues, requests, and support high-priority claims inquiries and projects.
Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams.
Manages and leads major claims projects of considerable complexity and volume that may be initiated internally, or through provider inquiries/complaints, or legal requests.
Assists with reducing rework by identifying and remediating claims processing issues.
Locates and interprets claims-related regulatory and contractual requirements.
Tailors existing reports and/or available data to meet the needs of claims projects.
Evaluates claims using standard principles and applicable state-specific regulations to identify claims processing errors.
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 are processed accurately and timely.
Identifies claims requiring reprocessing or readjudication in a timely manner to ensure compliance.
Works collaboratively with internal/external stakeholders to define claims requirements. 
Recommends updates to claims standard operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing.
Fields claims questions from the operations team.
Interprets, communicates, and presents, clear in-depth analysis of claims research results, root-cause analysis, remediation plans and fixes, overall progress, and status of impacted claims.
Appropriately conveys claims-related information and tailors communication based on targeted audiences.
Provides sufficient claims information to internal operations teams that communicate externally with providers and/or members.
Collaborates with other functional teams on claims-related projects, and completes tasks within designated/accelerated timelines to minimize provider/member impacts and maintain compliance.
Supports claims department initiatives to improve overall claims function efficiency.
 

Required Qualifications

At least 3 years of medical claims processing experience, or equivalent combination of relevant education and experience.
Medical claims processing experience across multiple states, markets, and claim types.
Knowledge of claims processing related to inpatient/outpatient facilities contracted with Medicare, Medicaid, and Marketplace government-sponsored programs.
Data research and analysis skills.
Organizational skills and attention to detail.
Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Ability to work cross-collaboratively in a highly matrixed organization.
Customer service skills.
Effective verbal and written communication skills.
Microsoft Office suite (including Excel), and applicable software programs proficiency.
 

Preferred Qualifications

Health care claims analysis experience.
Project management experience.
 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

What Molina Healthcare employees say

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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