ZipRecruiter

Log In

1

Disability Claims Processor Jobs in California (NOW HIRING)

Kaiser Permanente

claims processor I

Ontario, CA · On-site

$17.25 - $21.75/hr

Obtains employer/carrier information for billing/reporting purposes; contact employers/carriers to obtain authorization for treatment or report status of claims. Review of records to identify ...

Sedgwick

Disability Representative Sr

Los Angeles, CA · On-site

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

Sedgwick

Disability Representative Sr

West Hills, CA · On-site

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

Sedgwick

Disability Specialist

Los Angeles, CA

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

Sedgwick

Disability Representative

West Hills, CA · On-site

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

Sedgwick

Disability Representative

West Hills, CA · On-site

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

Sedgwick

Disability Representative

Los Angeles, CA · On-site

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

Sedgwick

Disability Specialist

West Hills, CA · On-site

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

Sedgwick

Disability Representative

Los Angeles, CA · On-site

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

Sedgwick

Disability Representative Sr

Los Angeles, CA · On-site

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

Sedgwick

Disability Representative Sr

West Hills, CA · On-site

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

next page

Showing results 1-20

All JobsDisability Claims Processor JobsDisability Claims Processor Jobs in California

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 are popular job titles related to Disability Claims Processor jobs in California?

For Disability Claims Processor jobs in California, the most frequently searched job titles are:

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:

Disability Claims Processor jobs near you
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.

Claims Processor 1

San Francisco, CA • On-site

Zenith American Solutions, Inc.
Insurance and Employee Benefit Funds • 5 - 10K employees
Learn more about Zenith American Solutions, Inc.external

$25.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Key responsibilities

  • Processes routine health and welfare claims according to plan guidelines and company policies.

  • Maintains current knowledge of assigned plans and applies that knowledge in the payment of claims.

  • Provides customer service by responding to and documenting inquiries related to claims.

Zenith American Solutions rating

8.6

Company rating: 8.6 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

Job description

Title: Claims Processor 1 Department: Claims
Union: OPEIU 29 Grade: 16
Position Summary
The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.
"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
Key Duties and Responsibilities
  • Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims.
  • Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability.
  • May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
  • Performs other duties as assigned.

Minimum Qualifications
  • High school diploma or GED.
  • Six months of experience processing health and welfare claims.
  • Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.
  • Possesses a strong work ethic and team player mentality.
  • Highly developed sense of integrity and commitment to customer satisfaction.
  • Ability to communicate clearly and professionally, both verbally and in writing.
  • Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
  • Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
  • Must be able to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion
  • Computer proficiency including Microsoft Office tools and applications.

Preferred Qualifications
  • Experience working in a third-party administrator.

*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.
Working Conditions/Physical Effort
  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.
Disability Accommodation
Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at recruiting@zenith-american.com, and we would be happy to assist you.
Please note that in compliance with certain state law, we are displaying salary. This rate is intended for hires into this location.
Compensation: $25.75/hr
Zenith American Solutions
Real People. Real Solutions. National Reach. Local Expertise.
We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.
We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!
We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!

What Zenith American Solutions employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply