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Health Insurance Claims Processor Jobs in California

Key Staffing, Inc

Be Seen First

Senior Claims Processor III

Visalia, CA · On-site

$20/hr

Temp-to-Hire Industry: Healthcare / Medical Insurance Position Overview: Key Staffing is partnering ... Claims Processing * Process complex inpatient, outpatient, and high-dollar facility claims.

TEKsystems

Claims Processor

Escondido, CA

$21/hr

Communicate professionally with patients, healthcare providers, attorneys, insurance companies, and ... Release of Information (ROI) Processing * Healthcare Environment Experience * Fax & Queue ...

New

TEKsystems

Claims Processor

Escondido, CA

$21/hr

Process all Release of Information (ROI) requests in a timely and accurate manner. * Review ... Communicate professionally with patients, healthcare providers, attorneys, insurance companies, and ...

TEKsystems

Claims Processor

Escondido, CA

$21/hr

Communicate professionally with patients, healthcare providers, attorneys, insurance companies, and ... Release of Information (ROI) Processing * Healthcare Environment Experience * Fax & Queue ...

New

TEKsystems

Claims Processor

Escondido, CA

$21/hr

Process all Release of Information (ROI) requests in a timely and accurate manner. * Review ... Communicate professionally with patients, healthcare providers, attorneys, insurance companies, and ...

New

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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 20, 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 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.

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 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.

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.

Is a health insurance claims processor job in demand?

The demand for health insurance claims processors remains steady due to ongoing healthcare industry needs and the increasing complexity of insurance claims. Employment in this field is expected to grow as insurance companies seek skilled workers familiar with claims processing software and regulations. Job opportunities are often available in healthcare organizations, insurance companies, and third-party administrators.

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 August 2026, with employment types broken down into 2% As Needed, 80% Full Time, 13% Part Time, 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.

Senior Claims Processor III

Key Staffing, Inc

Visalia, CA • On-site

$20/hr

Full-time

Medical

Posted 7 days ago

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Job description

Job description:

Senior Claims Processor III

Location: Visalia, CA
Employment Type: Temp-to-Hire
Industry: Healthcare / Medical Insurance


Position Overview:

Key Staffing is partnering with a leading healthcare organization in Visalia that is seeking an experienced Senior Claims Processor III. This position is responsible for processing complex medical claims while ensuring accuracy, compliance, and timely adjudication.

The ideal candidate will have extensive experience processing high-dollar facility claims, a strong understanding of medical terminology and coding, and the ability to independently research and resolve complex claims issues. This role also serves as a resource for junior claims processors and assists with escalated provider and member inquiries.


Key Responsibilities

  • Claims Processing
  • Process complex inpatient, outpatient, and high-dollar facility claims.
  • Review and adjudicate medical claims accurately and efficiently.
  • Verify claim accuracy, coding, and payment information.
  • Interpret contracts and ensure claims are processed in accordance with applicable guidelines.
  • Maintain productivity and quality standards while meeting processing deadlines.


Research & Resolution

  • Independently research and resolve complex claims issues.
  • Investigate discrepancies and coordinate with internal departments as needed.
  • Handle escalated provider and member inquiries professionally and efficiently.
  • Ensure all claims are processed in compliance with company policies and industry regulations.


Leadership & Support

  • Serve as a mentor and resource for lower-level Claims Processors.
  • Provide guidance on claims processing procedures and best practices.
  • Assist in maintaining a high level of quality and accuracy across the claims team.


Qualifications/Required Experience

  • 3–7+ years of health claims processing experience.
  • Experience processing inpatient, outpatient, and high-dollar facility claims.
  • Extensive knowledge of:
  • Medical terminology
  • CPT coding
  • HCPCS coding
  • ICD coding
  • Knowledge of Coordination of Benefits (COB).
  • Ability to interpret provider contracts and reimbursement guidelines.
  • Strong analytical, problem-solving, and research skills.
  • Experience handling escalated provider and member inquiries.
  • Previous experience mentoring or training junior claims processors.


Preferred Qualifications

  • Associate's or Bachelor's degree in Healthcare Administration or a related field.
  • Facility coding and/or medical billing credential preferred.


Technical Skills

  • Claims processing systems
  • Microsoft Office Suite
  • Medical billing and coding software
  • Data entry and electronic documentation


Commitment to Diversity: As an equal opportunity employer committed to meeting the needs of a multi-generational and multicultural workforce, Key Staffing recognizes that a diverse staff, reflective of our community, is an integral and welcome part of a successful and ethical business. We hire local talent at all levels regardless of race, color, religion, age, national origin, gender, gender identity, sexual orientation, or disability and actively foster inclusion in all forms both within our company and across interactions with clients, candidates, and partners.