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Claims Trainee Jobs in Rialto, CA (NOW HIRING)

Claims Examiner

San Bernardino, CA ยท On-site

$28.85 - $33.65/hr

Description JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical clinics and ...

Claims Examiner

San Bernardino, CA ยท On-site

$28.85 - $33.65/hr

JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical clinics and Independent ...

Claims Examiner

San Bernardino, CA ยท On-site

$28.85 - $33.65/hr

Job Type Full-time Description JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical ...

Claims Manager

San Bernardino, CA ยท On-site

$87K - $97K/yr

The Claims Manager is responsible for overseeing the daily operations, performance, and regulatory compliance of the Claims Department within the Managed Services Organization (MSO). This role ...

Claims Manager

San Bernardino, CA ยท On-site

$87K - $97K/yr

The Claims Manager is responsible for overseeing the daily operations, performance, and regulatory compliance of the Claims Department within the Managed Services Organization (MSO). This role ...

Claims Manager

San Bernardino, CA ยท On-site

$87K - $97K/yr

The Claims Manager is responsible for overseeing the daily operations, performance, and regulatory compliance of the Claims Department within the Managed Services Organization (MSO). This role ...

Claims Supervisor

Rancho Cucamonga, CA ยท Remote

$73K - $113K/yr

The WC Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote ...

Claims Supervisor

Rancho Cucamonga, CA ยท On-site

$73K - $113K/yr

The WC Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote ...

Showing results 21-40

Claims Trainee information

See Rialto, CA salary details

$29.1K

$32.6K

$35.1K

How much do claims trainee jobs pay per year?

As of Aug 12, 2026, the average yearly pay for claims trainee in Rialto, CA is $32,590.00, according to ZipRecruiter salary data. Most workers in this role earn between $31,100.00 and $34,100.00 per year, depending on experience, location, and employer.

What is the difference between Claims Trainee vs Claims Adjuster?

AspectClaims TraineeClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer a relevant certificationHigh school diploma; often requires licensing or certification depending on the region
Work EnvironmentTraining programs, supervised settings, office or remoteFieldwork, office, or remote; handling claims directly with clients and providers
Employer & Industry UsageInsurance companies, training roles for entry-level claims positionsInsurance companies, claims departments, adjusting claims for damages or losses

Claims Trainee roles are entry-level positions focused on training and learning the claims process, often under supervision. Claims Adjusters handle actual claims, assess damages, and make settlement decisions. While Claims Trainees are in a learning phase, Claims Adjusters are responsible for managing claims independently once trained.

What is a claims trainee?

Claims Trainees are entry-level professionals in the insurance industry who are learning how to evaluate, process, and settle insurance claims. They typically work under the supervision of experienced adjusters or managers and receive on-the-job training to understand company policies, claims procedures, and relevant legal regulations. Claims Trainees investigate claims, communicate with policyholders, and gradually take on more responsibility as they gain experience. This role is often a starting point for a career in claims adjusting or insurance management.

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

To thrive as a Claims Trainee, you need a bachelor's degree (often in business or a related field), analytical thinking, and basic knowledge of insurance principles. Familiarity with claims management systems, Microsoft Office Suite, and sometimes industry certifications such as AIC (Associate in Claims) is beneficial. Strong attention to detail, effective communication, and a customer-oriented mindset are standout soft skills for this role. These competencies are crucial for accurately evaluating claims, ensuring customer satisfaction, and supporting efficient claims resolution.

What are some common challenges a claims trainee might face during their initial training period?

As a Claims Trainee, one common challenge is quickly understanding complex insurance policies and regulations while handling real claims. Trainees often need to develop strong attention to detail and effective communication skills to gather information from claimants and collaborate with more experienced adjusters. Balancing training sessions, shadowing opportunities, and managing a growing caseload can feel overwhelming at first. However, most organizations provide mentorship and structured support to help trainees build confidence and proficiency as they progress.
What are the most commonly searched types of Claims jobs in Rialto, CA? The most popular types of Claims jobs in Rialto, CA are:
What are popular job titles related to Claims Trainee jobs in Rialto, CA? For Claims Trainee jobs in Rialto, CA, the most frequently searched job titles are:
What job categories do people searching Claims Trainee jobs in Rialto, CA look for? The top searched job categories for Claims Trainee jobs in Rialto, CA are:
What cities near Rialto, CA are hiring for Claims Trainee jobs? Cities near Rialto, CA with the most Claims Trainee job openings:
Infographic showing various Claims Trainee job openings in Rialto, CA as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $32,590 per year, or $15.7 per hour.

Claims Examiner

LSMA Management Inc

San Bernardino, CA โ€ข On-site

$28.85 - $33.65/hr

Full-time

Re-posted 29 days ago


Job description

Description

JOB SUMMARY

The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical clinics and Independent Practice Association (IPA) groups. This role applies plan and contract rules, reimbursement methodologies, and medical billing/coding guidelines to ensure claims are processed accurately, timely, and in compliance with federal and California requirements. The Claims Examiner collaborates with Provider Relations/Network, Contracting, Utilization Management, Finance, Member/Patient Services, and Compliance to resolve pended claims, denials, adjustments, and provider disputes while meeting production and quality standards.

Requirements

MINIMUM & PREFERRED QUALIFICATIONS


Education

Minimum: High school diploma or equivalent, or equivalent combination of education and experience.

Experience

Minimum: Two years of healthcare claims processing or claims adjudication experience, including experience interpreting benefits and reimbursement rules. Experience working with claim denials, adjustments, and provider inquiries. Working knowledge of medical billing/coding basics (CPT, HCPCS, ICD-10, revenue codes) and how coding impacts adjudication. Experience using claims systems and/or EDI workflows preferred.


Skills, Knowledge & Abilities

Knowledge of end-to-end claims lifecycle including intake, edits, adjudication, pricing, payment, denials, adjustments, and recoveries.

Ability to interpret provider contracts, fee schedules, and reimbursement methodologies (FFS, DRG/APC, capitation, bundled payments).

Strong analytical and problem-solving skills; able to research discrepancies and determine appropriate resolution.

Attention to detail and accuracy with ability to meet production, turnaround time, and quality standards.

Effective written and verbal communication; professional customer service with providers and internal stakeholders.

Working knowledge of HIPAA transactions (837/835) and claims-related regulatory requirements including prompt pay and dispute resolution.

Proficient with claims systems, Microsoft Office/Google Workspace, and basic reporting tools.ย 


PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS:

The physical demands described here are represented by those that must be met by an employee to successfully perform the essential functions of this job. Work is primarily performed in an office or hybrid office environment and involves ย ย prolonged periods of sitting, computer use, and data review. The role requires sustained concentration, analytical thinking, and attention to detail to ensure claims accuracy and regulatory compliance. Occasional lifting of materials up to approximately 10-20 pounds may be required. The position may require extended work hours or weekend work to meet operational and regulatory deadlines.


PAY RANGE

$28.85 - $33.65 / hourly