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Disability Claims Processor Jobs in California (NOW HIRING)

In this role, you will be responsible for processing medical record requests accurately and ... disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance ...

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Senior Claims Processor III Location: Visalia, CA Employment Type: Temp-to-Hire Industry: Healt ... disability and actively foster inclusion in all forms both within our company and across ...

Process all Release of Information (ROI) requests in a timely and accurate manner. * Review ... disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance ...

In this role, you will be responsible for processing medical record requests accurately and ... Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee ...

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Process all Release of Information (ROI) requests in a timely and accurate manner. * Review ... Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee ...

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Provides disability case management and complex claim determinations based on medical documentation ... Informs claimants of documentation required to process claims, required time frames, payment ...

Provides disability case management and complex claim determinations based on medical documentation ... Informs claimants of documentation required to process claims, required time frames, payment ...

Provides disability case management and routine claim determinations based on medical documentation ... Informs claimants of documentation required to process claims, required time frames, payment ...

Provides disability case management and routine claim determinations based on medical documentation ... Informs claimants of documentation required to process claims, required time frames, payment ...

Provides disability case management and routine claim determinations based on medical documentation ... Informs claimants of documentation required to process claims, required time frames, payment ...

Provides disability case management and complex claim determinations based on medical documentation ... Informs claimants of documentation required to process claims, required time frames, payment ...

Provides disability case management and complex claim determinations based on medical documentation ... Informs claimants of documentation required to process claims, required time frames, payment ...

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Disability Claims Processor information

What does a disability claims processor do?

A Disability Claims Processor reviews and evaluates disability insurance claims to determine whether applicants are eligible for benefits. They analyze medical records, employment history, and other relevant documentation to make informed decisions in accordance with policy guidelines and legal regulations. These professionals communicate with claimants, healthcare providers, and employers to gather necessary information and explain claim decisions. Their goal is to ensure accurate, timely, and fair processing of disability claims.

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

To thrive as a Disability Claims Processor, you need strong analytical skills, attention to detail, and a solid understanding of insurance regulations, often supported by a background in business, healthcare, or insurance. Familiarity with claims management systems, medical terminology, and relevant software like MS Office or specialized claims platforms is typically required. Excellent communication, empathy, and problem-solving abilities are important soft skills for working with claimants and coordinating with medical professionals. These competencies ensure accurate, timely claims processing while maintaining compliance and delivering compassionate service to clients.

What are some common challenges faced by disability claims processors, and how can applicants prepare for them?

Disability Claims Processors often encounter challenges such as managing a high volume of complex cases, interpreting medical and legal documentation, and maintaining compliance with evolving regulations. Applicants can prepare by developing strong organizational skills, attention to detail, and the ability to communicate clearly with claimants, healthcare providers, and legal professionals. Familiarity with specialized claims processing software and a willingness to stay updated on policy changes will also help new hires succeed in this dynamic role.

What is the difference between Disability Claims Processor vs Disability Claims Examiner?

AspectDisability Claims ProcessorDisability Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsBachelor's degree often preferred; certifications in insurance or healthcare are common
Work EnvironmentOffice setting, processing claims, data entry, customer communicationOffice or government agency, reviewing detailed claims and medical documentation
Employer & Industry UsageInsurance companies, government agencies, third-party administratorsInsurance companies, government disability programs, healthcare organizations
Common Search & ComparisonYesYes

Disability Claims Processors primarily handle the initial processing of disability claims, focusing on data entry and customer communication. Disability Claims Examiners review detailed medical documentation and make determinations on claim validity. While both roles work within the disability insurance industry and require similar credentials, Examiners typically have more in-depth review responsibilities and may require higher education or certifications.

How to get a job as a disability claims processor?

To become a disability claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring post-secondary education or relevant experience. Strong organizational skills, attention to detail, and familiarity with claims processing software are important. Certification in claims or insurance processing can enhance job prospects, and positions often require working in an office environment with standard business hours.

Is claims processing a stressful job?

Disability claims processing can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling sensitive information and managing a high volume of cases, which can contribute to work-related stress. However, workload and stress levels vary depending on the employer and individual workload management skills.

Who processes disability claims?

Disability claims are processed by claims processors or adjudicators working for government agencies, insurance companies, or third-party administrators. These professionals review medical records, application forms, and supporting documentation to determine eligibility based on policy or program criteria, often using specialized software and adhering to regulatory guidelines.

What job categories do people searching Disability Claims Processor jobs in California look for?

The top searched job categories for Disability Claims Processor jobs in California are:

Infographic showing various Disability Claims Processor job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, and 40% Remote job distribution.

$21/hr

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

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Job description

Job Summary

We are seeking a detail-oriented Medical Records Release of Information (ROI) Specialist to join our healthcare team. In this role, you will be responsible for processing medical record requests accurately and efficiently while maintaining strict compliance with HIPAA regulations and organizational policies. The ideal candidate has strong customer service skills, experience working with medical records, and the ability to manage multiple requests in a fast-paced healthcare environment.

Key Responsibilities
  • Process release of information (ROI) requests in a timely, accurate, and efficient manner.
  • Verify authorizations and ensure all requests comply with HIPAA regulations and company policies.
  • Protect patient confidentiality by ensuring medical records are released only to authorized individuals.
  • Communicate professionally with patients, healthcare providers, attorneys, insurance companies, and other requestors regarding record requests.
  • Manage incoming phone calls, faxes, emails, and work queues related to medical record requests.
  • Scan, fax, copy, and distribute documents as needed.
  • Maintain accurate documentation of requests and completed releases.
  • Meet established productivity, quality, and service standards.
  • Collaborate with team members and healthcare staff to resolve issues and ensure timely request fulfillment.
Required Qualifications
  • High School Diploma or GED required.
  • Minimum of 2 years of experience in a medical records department, health information management, or a similar healthcare setting preferred.
  • Proficiency with Microsoft Office applications, including Word, Outlook, and Excel.
  • Experience operating office equipment such as fax machines, copiers, and scanners.
  • Strong attention to detail and organizational skills.
  • Excellent written and verbal communication skills.
  • Ability to work independently and as part of a team.
  • Reliable, dependable, and self-motivated with a strong work ethic.
Preferred Skills
  • Customer Service
  • Patient-Facing Communication
  • Phone Handling
  • Medical Records Management
  • Release of Information (ROI) Processing
  • Healthcare Environment Experience
  • Fax & Queue Management
  • HIPAA Compliance
  • Documentation & Records Management
  • Attention to Detail
  • Reliability
Ideal Candidate

The ideal candidate is customer-focused, highly organized, and committed to maintaining patient privacy and confidentiality. They thrive in a fast-paced healthcare environment and take pride in delivering exceptional service while ensuring accuracy and compliance in every record request processed.

Job Type & Location

This is a Contract to Hire position based out of Escondido, CA.

Pay and Benefits

The pay range for this position is $21.00 - $21.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Escondido,CA.

Application Deadline

This position is anticipated to close on Aug 31, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.


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About TEKsystems

Sourced by ZipRecruiter

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Hanover, MD, US