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Claims Processor Jobs in Fresno, CA (NOW HIRING)

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Third-Party Medical Claims Processor

Fresno, CA · On-site

$18 - $20/hr

Exciting Opportunity for a Medical Biller / Claims Processor in Fresno, CA! We are seeking a skilled Medical Biller or Claims Processor to join one of our top employers in Fresno, CA. This full-time, ...

Tristar Insurance

Claims Examiner III (Hybrid)

Fresno, CA · On-site

$35 - $43/hr

Initiates and conducts claims investigation in a timely manner.* * Determines compensability of ... Ability to transcribe dictation; make appointments and process mail; write form letters or routine ...

Tristar Insurance

Claims Examiner III (Hybrid)

Fresno, CA · Hybrid

$35 - $43/hr

Initiates and conducts claims investigation in a timely manner.* * Determines compensability of ... Ability to transcribe dictation; make appointments and process mail; write form letters or routine ...

Progressive

Claims Specialist Lead

Fresno, CA · Hybrid

$42.69 - $56.73/hr

As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k. Investigating intricate and high-risk ...

Progressive

Claims Adjuster Senior - Litigation

Fresno, CA · Hybrid

$39 - $51/hr

As a senior claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve injury claims. Investigating complex and high-risk claims - which may be ...

Adecco

Stop Loss Claim Specialist

Fresno, CA · On-site

$19 - $21/hr

Review and process stop loss claims for accuracy, completeness, and eligibility. * Analyze medical documentation and claims information to ensure proper claim determination. * Verify policy coverage ...

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Claims Processor information

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$11

$19

$26

How much do claims processor jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for claims processor in Fresno, CA is $19.03, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $20.53 per hour, depending on experience, location, and employer.

What is a claims processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

What does a claims processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.

What are the key skills and qualifications needed to thrive as a claims processor?

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

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

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

Do you need a degree to be a claims processor?

A degree is not typically required to become a claims processor, as most employers prioritize relevant skills such as attention to detail, communication, and familiarity with claims processing software. Many positions accept candidates with a high school diploma or equivalent, and on-the-job training is often provided. Certifications in claims or insurance can enhance job prospects but are not mandatory.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that requires attention to detail and organizational skills. While it can involve handling high volumes of claims and meeting deadlines, stress levels vary depending on workload, workplace environment, and individual resilience. Proper training and time management can help mitigate stress in this job.
More about Claims Processor jobs

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

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

What are popular job titles related to Claims Processor jobs in Fresno, CA?

For Claims Processor jobs in Fresno, CA, the most frequently searched job titles are:

What job categories do people searching Claims Processor jobs in Fresno, CA look for?

The top searched job categories for Claims Processor jobs in Fresno, CA are:

What cities near Fresno, CA are hiring for Claims Processor jobs?

Cities near Fresno, CA with the most Claims Processor job openings:

Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Fresno, CA as of August 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $39,581 per year, or $19 per hour.

Third-Party Medical Claims Processor

Hire Up

Fresno, CA • On-site

$18 - $20/hr

Other

Re-posted 21 days ago

Job description

Exciting Opportunity for a Medical Biller / Claims Processor in Fresno, CA!

We are seeking a skilled Medical Biller or Claims Processor to join one of our top employers in Fresno, CA. This full-time, on-site position runs Monday to Friday from 7:00 AM to 4:00 PM, offering competitive pay ranging from $18 to $20 per hour, depending on experience.

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 administrator (TPA) within an insurance company. Prior TPA exposure is highly preferred due to the nature of this employer's group benefit processing.

Job Requirements:

  • High School Diploma or GED required
  • Minimum of 3 years of experience in a computerized medical billing or claims processing environment

Key Responsibilities:

  • Manage claims across multiple groups with accuracy and speed
  • Process CMS-1500 and UB-04 claims
  • Accurately handle high-dollar claims
  • Work with JAA/BlueCard claims
  • Interpret group SPD's and apply benefits appropriately
  • Perform zero-dollar adjustments and review flagged claims
  • Maintain accurate reporting and resolve issues via FOGBUGZ
  • Use tools like the Anthem Blue Cross website for claims verification
  • Batch and scan correspondence
  • Track spreadsheets for special projects
  • Maintain excellent email communication and confidentiality

If you're detail-oriented, passionate about claims or billing, and thrive in a fast-paced environment, apply today and take the next step in your healthcare career!

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