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Health Insurance Claims Processor Jobs in California

HEALTH ADVOCATES

Insurance Collector I

Chatsworth, CA · On-site

$24.75 - $32.25/hr

Experience in healthcare claims processing and collections * Knowledge of Managed Care Contracts ... Insurance Collector I Pay Rate: $24.75 - $32.25 per hour (Depending on Relevant Experience ...

Health Advocates

Insurance Collector I

Chatsworth, CA · On-site

$24.75 - $32.25/hr

Experience in healthcare claims processing and collections * Knowledge of Managed Care Contracts ... Insurance Collector I Pay Rate: $24.75 - $32.25 per hour (Depending on Relevant Experience ...

HEALTH ADVOCATES

Insurance Collector I

Chatsworth, CA · On-site

$24.75 - $32.25/hr

Experience in healthcare claims processing and collections * Knowledge of Managed Care Contracts ... Insurance Collector I Pay Rate: $24.75 - $32.25 per hour (Depending on Relevant Experience ...

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All JobsHealth Insurance Claims Processor JobsHealth Insurance Claims Processor Jobs in California

Health Insurance Claims Processor information

See California salary details

$11

$22

$33

How much do health insurance claims processor jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for health insurance claims processor in California is $22.04, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $25.14 per hour, depending on experience, location, and employer.

What is the difference between Health Insurance Claims Processor vs Medical Billing Specialist?

AspectHealth Insurance Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certifications like Certified Claims Professional (CCP)High school diploma; certifications like Certified Medical Billing Specialist (CMBS)
Work EnvironmentInsurance companies, healthcare providers, claims departmentsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesReview and process insurance claims, ensure accuracy, follow up on denialsPrepare and submit medical bills, verify insurance coverage, manage patient accounts

While both roles involve handling healthcare financial transactions, the Health Insurance Claims Processor primarily focuses on reviewing and processing insurance claims submitted by providers, whereas the Medical Billing Specialist manages the billing process from patient registration to payment collection. Both roles require knowledge of insurance policies and coding, but their daily tasks and work environments differ slightly.

Is a health insurance claims processor job in demand?

Health insurance claims processor jobs are in steady demand due to the ongoing need for healthcare administration and insurance processing. Employment in this field is expected to grow as healthcare coverage expands and companies seek skilled workers familiar with claims software and regulations.

What does a health insurance claims processor do?

A Health Insurance Claims Processor reviews and evaluates insurance claims submitted by policyholders or healthcare providers. They verify the accuracy of the information, ensure that the claims comply with policy terms, and determine the amount payable for each claim. Claims processors may also correspond with providers or claimants for additional documentation, resolve discrepancies, and help prevent fraudulent claims. Their work ensures that claims are processed efficiently and payments are made accurately according to insurance policies.

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

To thrive as a Health Insurance Claims Processor, you need attention to detail, knowledge of insurance policies and medical terminology, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic health record (EHR) systems, and basic coding (ICD-10, CPT) is standard in this role. Strong organizational skills, problem-solving abilities, and effective communication help you manage claims efficiently and resolve discrepancies. These competencies ensure accurate processing, minimize errors, and support timely reimbursement within the healthcare system.

How to become a health insurance claims processor?

To become a health insurance claims processor, candidates typically need a high school diploma or equivalent and should develop skills in data entry, attention to detail, and knowledge of insurance policies. Some employers prefer candidates with postsecondary education or certifications in health insurance or medical billing, and on-the-job training is common. Proficiency with claims processing software and understanding of healthcare terminology are also beneficial.

What are some common challenges health insurance claims processors face, and how can they effectively manage them?

Health Insurance Claims Processors often encounter challenges such as interpreting complex policy language, managing high volumes of claims, and ensuring compliance with changing regulations. To effectively manage these challenges, processors benefit from developing strong attention to detail, staying up to date with industry guidelines, and utilizing time management strategies. Collaboration with other departments such as customer service and medical coding teams is also key to resolving discrepancies and ensuring accurate claim outcomes.
What are popular job titles related to Health Insurance Claims Processor jobs in California? For Health Insurance Claims Processor jobs in California, the most frequently searched job titles are:
What job categories do people searching Health Insurance Claims Processor jobs in California look for? The top searched job categories for Health Insurance Claims Processor jobs in California are:
Health Insurance Claims Processor jobs near you
Infographic showing various Health Insurance Claims Processor job openings in California as of July 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, 1% Temporary, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $45,853 per year, or $22 per hour.

Claims Processor 3

Zenith American Solutions, Inc.

San Francisco, CA • On-site

$27.81/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 29 days ago

Zenith American Solutions rating

8.6

Company rating: 8.6 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

53rd of 482 rated business services

Job description

Title: Claims Processor 3 Department: Claims
Union: OPEIU 29 Grade: 18
Position Summary:
Responsible for independently processing all types of health claims on an assigned Plan(s), and for assuming primary or back-up customer service responsibilities as necessary.
General Duties:
  • Independently process all types of health claims in accordance with assigned Plan(s).
  • Perform customer service responsibilities for providers and members as needed.
  • Generate correspondence and form letters.
  • Maintain current knowledge of assigned Plan(s) and effectively apply this knowledge in the payment of claims.
  • Assist other processors with claims as needed to minimize backlog.
  • Perform other related duties and special projects as assigned.

Minimum Qualifications:
  • High school diploma or general education degree (GED); two years related experience processing all types of group health and/or dental benefit claims.
  • Knowledge of all aspects of benefits claims processing and basic claims adjudication principles and procedures, medical and/or dental terminology, and ICD-9 and CPT-4 codes.
  • Ability to type 45 WPM.
  • Ability to read and interpret documents such as procedure manuals and health plans.
  • Write routine reports and correspondence. Ability to speak effectively and present information in one-on-one and small group situations to customers, clients and other employees of the organization.
  • Calculate figures and amounts such as discounts, interest, proportions, and percentages.
  • Ability to solve practical problems.
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Ability to meet production and quality goals on a consistent basis.

Please note that in compliance with certain state law, we are displaying salary. This rate is intended for hires into this location.
Compensation: $27.81/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!

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