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Claims Research Associate Jobs in California (NOW HIRING)

Tmhcc

Associate Bond Claims Attorney

Santa Ana, CA

$85K - $117K/yr

... research skills Excellent written and verbal communication Ability to quickly learn systems ... This job posting is for Associate Bond Claims Attorney - Trainee, and its material job duties ...

Key Staffing, Inc

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Senior Claims Processor III

Visalia, CA · On-site

$20/hr

  • Medical

... research skills. * Experience handling escalated provider and member inquiries. * Previous experience mentoring or training junior claims processors. Preferred Qualifications * Associate's or ...

ICONMA

Claims Assistant

Los Angeles, CA · On-site

$20.25 - $25.50/hr

  • Medical

Claims Assistant Our client, a Property and Casualty Insurance company, is looking for a Claims ... associate degree preferred * Prior clerical and technical experience in researching and indexing ...

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All JobsClaims Research Associate JobsClaims Research Associate Jobs in California

Claims Research Associate information

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How much do claims research associate jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for claims research associate in California is $20.71, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $22.79 per hour, depending on experience, location, and employer.

What is a claims research associate?

Claims Research Associates are professionals who investigate and analyze insurance claims to determine their validity and ensure they comply with policy terms. They gather and review documentation, interview relevant parties, and communicate findings to claims adjusters or insurance companies. Their work helps prevent fraud and ensures that clients receive fair compensation. Claims Research Associates often work in insurance companies, healthcare organizations, or third-party administrators.

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

To thrive as a Claims Research Associate, you need strong analytical abilities, attention to detail, and a background in insurance, finance, or a related field—often supported by a relevant degree or experience. Familiarity with claims management software, databases, and Microsoft Office Suite is typically required, and some positions may value industry certifications like AIC (Associate in Claims). Excellent communication, problem-solving skills, and the ability to manage time effectively help set top performers apart. These skills ensure accurate investigation and resolution of claims, which is essential for minimizing risk and providing excellent customer service.

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

Claims Research Associates often encounter challenges such as analyzing incomplete or ambiguous claim information, managing a high volume of cases, and coordinating with multiple departments to resolve discrepancies. Successfully managing these challenges requires strong attention to detail, effective organizational skills, and clear communication with both internal teams and external parties. Utilizing available claims management systems and regularly collaborating with colleagues can help streamline processes and ensure accurate claim resolution.

What is the difference between Claims Research Associate vs Claims Adjuster?

AspectClaims Research AssociateClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer associate degreesHigh school diploma or equivalent; licensing may be required depending on state
Work EnvironmentOffice setting, research-focused tasksField and office settings, investigating claims
Industry UsageInsurance companies, third-party administratorsInsurance companies, public agencies
Common Search/ComparisonClaims Research Associate vs Claims Adjuster

The main difference between a Claims Research Associate and a Claims Adjuster lies in their roles. Claims Research Associates primarily focus on gathering and analyzing information related to insurance claims, often working in an office environment. Claims Adjusters, on the other hand, investigate claims directly, sometimes in the field, and make decisions on claim validity and settlement. Both roles require knowledge of insurance policies, but Claims Adjusters typically need licensing, whereas Claims Research Associates focus more on research skills.

How can I become a claims research associate?

To become a claims research associate, candidates typically need a high school diploma or equivalent, with some roles preferring a bachelor's degree in fields like insurance, business, or related areas. Relevant skills include attention to detail, analytical thinking, and proficiency with data management tools. Gaining experience through internships or entry-level positions in insurance or claims processing can also improve job prospects.

Is claims research a stressful job?

Claims research as a Claims Research Associate involves analyzing insurance claims, which can be demanding due to tight deadlines and the need for accuracy. The job may involve repetitive tasks and detailed data review, but stress levels vary depending on workload, company environment, and individual coping skills.

What cities in California are hiring for Claims Research Associate jobs?

Cities in California with the most Claims Research Associate job openings:

Claims Research Associate jobs near you

Research Associate I

THRESHOLD ENTERPRISES LTD

Scotts Valley, CA

$25 - $27/hr

Full-time

Posted 28 days ago

Job description

Summary of Job Duties: 

Perform thorough research and analysis of scientific literature for active dietary ingredients and nutritional supplement products to support new product development, maintenance of existing product literature and collateral, and compliance of FDA regulations and guidance. Prepare written research summaries and collaboratively develop marketing, sales and educational collateral. Contribute well-written documentation for product substantiations, which includes, reviewing and justifying structure function claims. Support the development of raw material and product specifications, with a particular emphasis on literature research of active constituents in complex botanical ingredients. Will collaborate intra- and inter-departmentally, in addition to working with out of house resources, to achieve company goals.

Specific Job Duties:

  1. Support product formulation research
  2. Work cross-functionally to support product development & innovation
    1. Product substantiation
    2. Structure-function claims
    3. Dosage rationale & suggested use instructions
    4. Educational literature
    5. Marketing and Sales promotional collateral
  3. Collaborate with ingredient suppliers
    1. Directly communicate with potential suppliers
    2. Investigate innovative new materials and formulas
  4. Provide ongoing research support for QA and QC compliance projects
    1. Marker compound identification and rationale for botanical ingredients
    2. Develop raw material specifications with ranges based on available data and safety research.
  5. Perform all other tasks as assigned by Threshold management.
 

Minimum Qualifications Required:

  1. M.S. in nutrition, food science, biological sciences or related field, or B.S./B.A. with at least 3 years work experience.
  2. Strong understanding of human physiology and biological processes, especially in relation to essential nutritional ingredients.
  3. Experience working with botanicals or natural products.
  4. Experience conducting literature searches and analyzing and summarizing scientific research articles.
  5. Excellent written and oral communication skills.
  6. Basic understanding of common analytical chemistry methods and experience reviewing data from such methods.
  7. Well-versed in Microsoft Office

Skills and/or Training Desired:

  1. Three years of experience in FDA regulated industry.
  2. M.S., work experience, or academic coursework in food science, nutritional science, or physiology
  3. Interest and experience in nutrition, natural products, dietary supplements, and/or herbal medicine

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