Claims Manager
$87K - $97K/yr
Experience in MSO, IPA, or delegated managed care environment. Experience with Medicare, Medi-Cal, Commercial, and managed care claims. Experience with claims systems such as EZ Cap, EPIC, or similar ...
$87K - $97K/yr
Experience in MSO, IPA, or delegated managed care environment. Experience with Medicare, Medi-Cal, Commercial, and managed care claims. Experience with claims systems such as EZ Cap, EPIC, or similar ...
$87K - $97K/yr
Experience in MSO, IPA, or delegated managed care environment. Experience with Medicare, Medi-Cal, Commercial, and managed care claims. Experience with claims systems such as EZ Cap, EPIC, or similar ...
San Bernardino, CA · On-site
$87K - $97K/yr
Experience in MSO, IPA, or delegated managed care environment. Experience with Medicare, Medi-Cal, Commercial, and managed care claims. Experience with claims systems such as EZ Cap, EPIC, or similar ...
San Bernardino, CA · On-site
$87K - $97K/yr
Experience in MSO, IPA, or delegated managed care environment. Experience with Medicare, Medi-Cal, Commercial, and managed care claims. Experience with claims systems such as EZ Cap, EPIC, or similar ...
San Bernardino, CA · On-site
$87K - $97K/yr
Experience in MSO, IPA, or delegated managed care environment. Experience with Medicare, Medi-Cal, Commercial, and managed care claims. Experience with claims systems such as EZ Cap, EPIC, or similar ...
San Bernardino, CA · On-site
$87K - $97K/yr
Experience in MSO, IPA, or delegated managed care environment. Experience with Medicare, Medi-Cal, Commercial, and managed care claims. Experience with claims systems such as EZ Cap, EPIC, or similar ...
Rancho Cucamonga, CA · On-site
$60K - $80K/yr
Position: SIU Claims Manager Scope of Position: The SIU Claims Manager is responsible for ... Ability to work independently in a remote environment. * Adjuster's license, FCLA, FCLS, or ...
Rancho Cucamonga, CA · On-site
$60K - $80K/yr
Position: SIU Claims Manager Scope of Position: The SIU Claims Manager is responsible for ... Ability to work independently in a remote environment. * Adjuster's license, FCLA, FCLS, or ...
Rancho Cucamonga, CA · Remote
$73K - $113K/yr
Strong interpersonal, time management and organizational skills * Ability to work both independently and within a team environment * Knowledge of the entire claims administration, case management and ...
Quick apply
Rancho Cucamonga, CA · Remote
$73K - $113K/yr
Strong interpersonal, time management and organizational skills * Ability to work both independently and within a team environment * Knowledge of the entire claims administration, case management and ...
Anaheim, CA · On-site
$69K - $89K/yr
This role requires sound judgment, strong investigative skills, and an understanding of the unique legal and regulatory environment governing public sector claims. The Adjuster will manage litigation ...
Anaheim, CA · On-site
$69K - $89K/yr
This role requires sound judgment, strong investigative skills, and an understanding of the unique legal and regulatory environment governing public sector claims. The Adjuster will manage litigation ...
$69K - $89K/yr
This role requires sound judgment, strong investigative skills, and an understanding of the unique legal and regulatory environment governing public sector claims. The Adjuster will manage litigation ...
$69K - $89K/yr
This role requires sound judgment, strong investigative skills, and an understanding of the unique legal and regulatory environment governing public sector claims. The Adjuster will manage litigation ...
Rancho Cucamonga, CA · Remote
$73K - $113K/yr
Strong interpersonal, time management and organizational skills * Ability to work both independently and within a team environment * Knowledge of the entire claims administration, case management and ...
Rancho Cucamonga, CA · Remote
$73K - $113K/yr
Strong interpersonal, time management and organizational skills * Ability to work both independently and within a team environment * Knowledge of the entire claims administration, case management and ...
Rancho Cucamonga, CA · On-site
... Management regarding quality issues that may arise. · Staff Training-Foster a highly focused training and development environment within the Claims Department. · Complies with state and federal ...
Quick apply
Rancho Cucamonga, CA · On-site
... Management regarding quality issues that may arise. · Staff Training-Foster a highly focused training and development environment within the Claims Department. · Complies with state and federal ...
Rancho Cucamonga, CA · On-site
$73K - $113K/yr
Strong interpersonal, time management and organizational skills * Ability to work both independently and within a team environment * Knowledge of the entire claims administration, case management and ...
Rancho Cucamonga, CA · On-site
$73K - $113K/yr
Strong interpersonal, time management and organizational skills * Ability to work both independently and within a team environment * Knowledge of the entire claims administration, case management and ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
Riverside, CA · Hybrid
$95 - $120K/hr
Ability to work in a team environment * Ability to meet or exceed Performance Competencies WORK ... Management retains the discretion to add or to change the duties of the position at any time. As ...
Riverside, CA · Hybrid
$95 - $120K/hr
Ability to work in a team environment * Ability to meet or exceed Performance Competencies WORK ... Management retains the discretion to add or to change the duties of the position at any time. As ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
... environment and enjoys developing high-performing teams. The ideal candidate brings strong ... Identifies and advises management of trends, problems, and issues as well as recommended course of ...
Irvine, CA · Hybrid
$95 - $120K/hr
Ability to work in a team environment * Ability to meet or exceed Performance Competencies WORK ... Management retains the discretion to add or to change the duties of the position at any time. As ...
Irvine, CA · Hybrid
$95 - $120K/hr
Ability to work in a team environment * Ability to meet or exceed Performance Competencies WORK ... Management retains the discretion to add or to change the duties of the position at any time. As ...
San Bernardino, CA · Hybrid
$95 - $120K/hr
Ability to work in a team environment * Ability to meet or exceed Performance Competencies WORK ... Management retains the discretion to add or to change the duties of the position at any time. As ...
San Bernardino, CA · Hybrid
$95 - $120K/hr
Ability to work in a team environment * Ability to meet or exceed Performance Competencies WORK ... Management retains the discretion to add or to change the duties of the position at any time. As ...
Ontario, CA · Hybrid
$95 - $120K/hr
Ability to work in a team environment * Ability to meet or exceed Performance Competencies WORK ... Management retains the discretion to add or to change the duties of the position at any time. As ...
Ontario, CA · Hybrid
$95 - $120K/hr
Ability to work in a team environment * Ability to meet or exceed Performance Competencies WORK ... Management retains the discretion to add or to change the duties of the position at any time. As ...
$36.5K - $46.4K
4% of jobs
$46.4K - $56.2K
4% of jobs
$56.2K - $66.1K
10% of jobs
$69.9K is the 25th percentile. Wages below this are outliers.
$66.1K - $76K
18% of jobs
$76K - $85.8K
12% of jobs
The median wage is $87.5K / yr.
$85.8K - $95.7K
13% of jobs
$95.7K - $105.6K
14% of jobs
$106K is the 75th percentile. Wages above this are outliers.
$105.6K - $115.4K
12% of jobs
$115.4K - $125.3K
7% of jobs
$125.3K - $135.2K
4% of jobs
$135.2K - $145K
2% of jobs
$36.5K
$91.7K
$145K
| Aspect | Environmental Claims Manager | Environmental Compliance Specialist |
|---|---|---|
| Certifications | Environmental certifications, claims handling training | Environmental certifications, compliance training |
| Work Environment | Claims assessment, client communication, risk management | Regulatory audits, site inspections, policy implementation |
| Industry Usage | Insurance, legal, environmental consulting | Manufacturing, construction, government agencies |
The Environmental Claims Manager focuses on managing environmental claims, assessing damages, and liaising with insurers and clients. In contrast, the Environmental Compliance Specialist ensures organizations adhere to environmental laws and regulations through audits and policy enforcement. Both roles require environmental knowledge and certifications but serve different functions within the industry.
For Environmental Claims Manager jobs in Riverside, CA, the most frequently searched job titles are:
The top searched job categories for Environmental Claims Manager jobs in Riverside, CA are:
Cities near Riverside, CA with the most Environmental Claims Manager job openings:

$87K - $97K/yr
Full-time
Posted 27 days ago
Description
JOB SUMMARY:
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 provides leadership and supervision to Claims Examiners and ensures the accurate, timely, and compliant adjudication of professional and institutional claims in accordance with health plan contracts, regulatory requirements, and organizational policies.
The Claims Manager monitors claims inventory, production, and quality metrics, ensures adherence to turnaround time standards, and supports operational efficiency and compliance with federal and California regulatory requirements, including Department of Managed Health Care (DMHC), Centers for Medicare & Medicaid Services (CMS), and Department of Health Care Services (DHCS) requirements where applicable.
This position plays a critical role in ensuring claims processing accuracy, maintaining provider satisfaction, protecting organizational financial integrity, and supporting delegated managed care operations.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS:
Education/Training
Minimum: High School diploma or equivalent required.
Preferred: Bachelor's degree in Healthcare Administration, Business Administration, or related field.
ExperienceÂ
Minimum: At least five years of managed care claims processing experience. Two or more years of supervisory or leadership experience. Experience processing professional and institutional claims.
Preferred: Experience in MSO, IPA, or delegated managed care environment. Experience with Medicare, Medi-Cal, Commercial, and managed care claims. Experience with claims systems such as EZ Cap, EPIC, or similar platforms. Experience supporting regulatory and delegation audits.
Certification(s)
Preferred: Certified Professional in Healthcare Quality (CPHQ)
Skills, Knowledge & Abilities
Strong knowledge of managed care claims processing and adjudication.
Knowledge of CPT, HCPCS, ICD-10, and UB-04 claim processing standards.Â
Knowledge of DMHC, CMS, DHCS, and managed care regulatory requirements.
Strong leadership and staff supervision skills.
Strong analytical, organizational, and problem-solving skills.
Ability to assess workload and staffing requirements.Â
Excellent written and verbal communication skills.
Proficiency in Microsoft Office Suite, including Excel.Â
Ability to manage multiple priorities in a deadline-driven environment.
Ability to maintain confidentiality and data integrity.
Ability to collaborate effectively with internal and external stakeholders.
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 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 Â
$87,360 - $97,760 / annuallyÂ