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Health Insurance Claims Processor Jobs in California

ServiceMaster

Insurance Claims Coordinator

Irvine, CA · On-site

$60K - $75K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Health insurance * Opportunity for advancement * Paid time off * Training & development * Free food ... Understanding of the claims flow process - Water Mitigation, Reconstruction, Contents, and other ...

NORTH EAST MEDICAL SERVICES

CLAIMS EXAMINER II

Burlingame, CA · On-site

$36.92 - $41.85/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Minimum 3-4 years of experience in health insurance claims processing, examination, adjudication, and auditing. * Strong knowledge of managed care and/or healthcare claim reimbursement or medical ...

ServiceMaster

Insurance Claims Coordinator

Irvine, CA · On-site

$60K - $75K/yr

Understanding of the claims flow process - Water Mitigation, Reconstruction, Contents, and other ... insurance/mortgage information not obtained on initial call * Creates and or assists with job ...

IICRC

Insurance Claims Coordinator

Irvine, CA · On-site

$60K - $75K/yr

Understanding of the claims flow process - Water Mitigation, Reconstruction, Contents, and other ... insurance/mortgage information not obtained on initial call * Creates and or assists with job ...

Robert Half

Claims Assistant

Pleasant Hill, CA · On-site

$28 - $29/hr

Communicate with injured employees, member districts, healthcare providers, and external contacts ... Familiarity with Workers' Compensation, insurance claims, or medical claims processes. * Working ...

Premier Ambulance

Insurance Follow Up Specialist

Brea, CA · On-site

$20 - $27.50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Health Insurance Follow-Up Specialist is responsible for ensuring timely and accurate ... Strong understanding of insurance claims, EOBs, and payer reimbursement processes. * Excellent ...

The Hankey Group

Claims Supervisor

Los Angeles, CA

$75K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

We take pride in offering comprehensive insurance solutions and ensuring a seamless claims process for our customers. We are currently seeking a dynamic and experienced individual to join our team as ...

Premier Ambulance

Insurance Follow Up Specialists

Costa Mesa, CA · On-site

$20 - $27.50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Health Insurance Follow-Up Specialist is responsible for ensuring timely and accurate ... Strong understanding of insurance claims, EOBs, and payer reimbursement processes. * Excellent ...

PREMIER AMBULANCE

Insurance Follow Up Specialists

Costa Mesa, CA · On-site

$20 - $27.50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Health Insurance Follow-Up Specialist is responsible for ensuring timely and accurate ... Strong understanding of insurance claims, EOBs, and payer reimbursement processes. * Excellent ...

PREMIER AMBULANCE

Insurance Follow Up Specialist

Brea, CA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Health Insurance Follow-Up Specialist is responsible for ensuring timely and accurate ... Strong understanding of insurance claims, EOBs, and payer reimbursement processes. * Excellent ...

PREMIER AMBULANCE

Insurance Follow Up Specialist

Brea, CA

$20 - $27.50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Health Insurance Follow-Up Specialist is responsible for ensuring timely and accurate ... Strong understanding of insurance claims, EOBs, and payer reimbursement processes. * Excellent ...

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Showing results 21-40

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 14, 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.

Insurance Claims Coordinator

ServiceMaster

Irvine, CA • On-site

$60K - $75K/yr

Full-time

Medical, Dental, Retirement, PTO

Re-posted 16 days ago

Job description

Replies within 24 hours
Benefits:
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Training & development
  • Free food & snacks
  • Free uniforms
  • Parental leave
  • 401(k)
  • 401(k) matching
  • Bonus based on performance
  • Company parties
  • Competitive salary
  • Dental insurance
  • Employee discounts

Position Overview
As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to follow up daily with the OPS team to ensure and that all required documentation, estimates and procedures are followed according to required program guidelines.
A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The coordinator who is detail oriented and able to focus with many projects in varying degrees of completion will be most successful in this position.
Job Responsibilities
  • Understanding of the claims flow process - Water Mitigation, Reconstruction, Contents, and other Environmental work
  • Manages data entry for each claim from First Notice of Loss through to completion of job in the CRM system
  • Daily review of compliance tasks and all job tasks are completed on time
  • Monitor and update jobs in required operating system making sure the job flows efficiently through the claims process requirements and cycle times
  • Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call
  • Creates and or assists with job estimate, reviews final estimate to ensure estimate is complete per company standards
  • Manages Customer Service issues and complaints, documenting actions and resolution
  • Understanding of all company cycle times and SLAs required for each job and phase
  • Client Care Calls - ensure constant, often daily, communication with the customer, may communicate with adjuster
  • Ensure daily notes are entered in all jobs, contacting relevant participants and escalating to the department manager as required
  • May be responsible for creating job estimate and or assisting the Estimator/Project Manager with final estimate

Job Requirements
  • High school diploma/GED required
  • Bachelor's Degree or applicable experience preferred, work experience will be considered
  • IICRC Certifications preferred but not required: WTR, ASD, OCT, STC
  • Exceptional Customer Service skills
  • 1-3 years of Xactimate experience required- proficient use Xactimate 28
  • Experience with Microsoft© Office application (Word, Outlook, PowerPoint, and Excel) required
  • Personal time management and organizational skills
  • Strong verbal and written communication skills
  • Dependable and adaptable to operate within a fast-paced work environment
  • Ability to manage highly confidential information
  • Strong problem-solving skills
  • Proficient at using Microsoft Office, Outlook, CRM software
  • Experience do you have with customer interaction and conflict resolution

Disclaimer
The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities.
Compensation: $60,000.00 - $75,000.00 per year
Built on a foundation of great brands and employees with a passion for service, our vision is to be the leading provider of essential services through empowered people, world-class customer service and convenient access. By joining ServiceMaster, you'll be part of a talented network of employees with a shared vision.
Our environment is a diverse community where successful people work together to achieve common goals.
This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to The ServiceMaster Company, LLC.

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