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Insurance Claim Processor Jobs in California (NOW HIRING)

... insurance claim adjudication processes. • Knowledge of patient financial responsibility concepts, including copays, deductibles, coinsurance, and out-of-pocket maximums. • Familiarity with ...

Claim Examiner

Los Angeles, CA · On-site

$62K - $105K/yr

... process. * Reviews claim and policy information to provide background for investigation. * Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured ...

Account Analyst

Santa Ana, CA · On-site

$26 - $33/hr

... for resolving insurance claim issues, recovering outstanding accounts receivable, researching ... Knowledge of insurance claims processing and denial management. * Strong analytical and problem ...

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Showing results 1-20

Insurance Claim Processor information

See California salary details

$11

$22

$33

How much do insurance claim processor jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for insurance claim 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 Insurance Claim Processor vs Insurance Adjuster?

AspectInsurance Claim ProcessorInsurance Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; state licensing or certifications often required
Work EnvironmentOffice setting, processing claims via computer systemsField and office work, inspecting damages and assessing claims
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding roles related to claims processingAssessing damage and determining claim payouts

The main difference is that Insurance Claim Processors handle the administrative side of claims, verifying information and processing payments, while Insurance Adjusters evaluate damages and determine claim validity. Both roles require insurance knowledge but differ in responsibilities and work environments.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.

How to become a claim processor?

To become an insurance claim processor, typically a high school diploma or equivalent is required, and some employers prefer candidates with postsecondary education or relevant experience. Training is often provided on the job, and familiarity with insurance policies, computer skills, and attention to detail are important for success in this role.

What are the key skills and qualifications needed to thrive as an Insurance Claim Processor, and why are they important?

To excel as an Insurance Claim Processor, you need strong attention to detail, analytical abilities, and familiarity with insurance policies, often supported by a high school diploma or associate degree. Proficiency with claims management software, databases, and sometimes certification like the Associate in Claims (AIC) is commonly required. Excellent organizational skills, clear communication, and customer service orientation are crucial soft skills for managing case loads and client interactions. These competencies ensure accurate claim handling, efficient workflow, and positive customer experiences, which are vital to maintaining trust and operational success in the insurance industry.

What does an Insurance Claim Processor do?

An Insurance Claim Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of claim information, check for policy coverage, and ensure that all required documentation is complete. Additionally, they may communicate with claimants, healthcare providers, or adjusters to resolve discrepancies and approve or deny claims based on company guidelines. Their work is essential in making sure that claims are handled efficiently and customers receive the appropriate benefits.

Is claims processing a stressful job?

Insurance claim processing can be stressful due to tight deadlines, high accuracy requirements, and dealing with sensitive customer information. The role often involves detailed review of claims, which requires attention to detail and strong organizational skills. However, workload and stress levels can vary depending on the employer and individual workload management.

What are some common challenges faced by Insurance Claim Processors, and how can they be managed?

Insurance Claim Processors often encounter challenges such as handling high volumes of claims, ensuring the accuracy of documentation, and meeting tight deadlines. To manage these challenges effectively, strong organizational skills and attention to detail are essential, as well as the ability to prioritize tasks and communicate clearly with both clients and internal teams. Many organizations provide ongoing training and supportive team structures to help processors stay updated on changing policies and procedures, making it easier to adapt and perform efficiently.

Which claim adjusters make the most money?

Senior claim adjusters, especially those with specialized expertise in complex or high-value claims, tend to earn the highest salaries in the field. Adjusters working for large insurance companies or in regions with a high cost of living often have higher compensation, and certifications like the Chartered Property Casualty Underwriter (CPCU) can also lead to increased earnings.
What are popular job titles related to Insurance Claim Processor jobs in California? For Insurance Claim Processor jobs in California, the most frequently searched job titles are:
What job categories do people searching Insurance Claim Processor jobs in California look for? The top searched job categories for Insurance Claim Processor jobs in California are:
Infographic showing various Insurance Claim Processor job openings in California as of July 2026, with employment types broken down into 80% Full Time, 16% Part Time, 2% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $45,853 per year, or $22 per hour.
Office Manager

Office Manager

Our Best Life Companies

Monterey Park, CA • On-site

$22 - $26/hr

Other

This job post has expired today. Applications are no longer accepted.


Job description

Office Manager Opportunity - Our Best Life Companies
Grow Your Career with a Team That Feels Like Family
Our Best Life Companies are hiring an Office Manager to join our team and serve the community!
As an OM at Our Best Life, you will have the opportunity to work with an amazing team of dental professionals and grow your career. We offer competitive salaries, benefits, and bonus plans!
Key Responsibilities
  • Oversee daily office operations to ensure efficiency, productivity, and a high standard of patient care
  • Lead, coach, and evaluate administrative and clinical support staff to drive performance and accountability
  • Manage patient scheduling to optimize provider productivity and minimize downtime
  • Monitor key performance indicators (KPIs) and implement strategies to improve operational and financial results
  • Ensure compliance with all applicable healthcare regulations, including HIPAA, OSHA, and state dental board requirements
  • Supervise billing, coding, and insurance claim processes to ensure accuracy and timely reimbursement
  • Resolve patient concerns and escalations in a professional and service-oriented manner
  • Maintain accurate financial records, including budgeting, forecasting, and expense tracking
  • Oversee inventory management, ensuring adequate supplies while controlling costs and reducing waste
  • Coordinate staff training, onboarding, and continuing education to support professional development
  • Partner with dentists and clinical leaders to align operational goals with patient care objectives
  • Implement and maintain standard operating procedures to promote consistency and efficiency
  • Conduct regular team meetings to communicate goals, updates, and performance expectations
  • Manage vendor relationships and negotiate contracts to ensure cost-effective services and supplies
  • Support marketing and patient retention initiatives to drive practice growth and community engagement
Qualifications & Requirements
  • High school diploma or GED
  • Strong interpersonal and administrative skills, attention to detail
  • Experience working in a dental office required
Our Best Life Companies is proud to be an Equal Opportunity Employer.
Requirements
  • Previous experience in a dental office

Salary Description
$22-$26