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Insurance Claims Processing Jobs in California (NOW HIRING)

Claims Processor

Sherman Oaks, CA ยท On-site

$17.75 - $22.50/hr

Communicate with clients and insurance companies to resolve claims discrepancies. Maintain detailed records of claims processing activities. Analyze claims data to identify trends and areas for ...

Claims Specialist

Irvine, CA ยท On-site

$27 - $30/hr

Minimum of 2-3 years of experience in claims processing or a related field. โ€ข Knowledge: Understanding of insurance policies, claims procedures, and industry regulations. Competencies: โ€ข Detail ...

Claims Specialist

Irvine, CA ยท On-site

$27 - $30/hr

Minimum of 2-3 years of experience in claims processing or a related field. โ€ข Knowledge: Understanding of insurance policies, claims procedures, and industry regulations. Competencies: โ€ข Detail ...

Job Summary We are seeking a Remote Med Insurance Claims Rep for California Residents this is a ... If you need a reasonable accommodation for any part of the employment process, please contact your ...

New

Claims Support Onsite

Sherman Oaks, CA ยท On-site

$19 - $21/hr

Process and review insurance claims for accuracy and completeness. * Communicate with healthcare providers and insurance companies to resolve claim issues. * Maintain detailed records of claims ...

... insurance company. Prior TPA exposure is highly preferred due to the nature of this employer ... Minimum of 3 years of experience in a computerized medical billing or claims processing environment ...

Claims Specialist II

CA ยท On-site

$44K - $77K/yr

... Mercury Insurance Claims team could be the place for you! We offer dynamic and challenging ... You will investigate and process claims for damage to vehicles and other property as well as ...

Insurance Claims Coordinator

Irvine, CA ยท 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 ...

Insurance Claims Coordinator

Irvine, CA ยท 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 ...

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Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

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.
What cities in California are hiring for Insurance Claims Processing jobs? Cities in California with the most Insurance Claims Processing job openings:
Infographic showing various Insurance Claims Processing job openings in California as of July 2026, with employment types broken down into 89% Full Time, 8% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution.
Claims Processor

Claims Processor

MedPOINT Management

Sherman Oaks, CA โ€ข On-site

$17.75 - $22.50/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago


Job description

Benefits:

401(k)

401(k) matching

Company parties

Dental insurance

Employee discounts

Health insurance

Opportunity for advancement

Paid time off

Parental leave

Savings bank

Training & development

Vision insurance

Wellness resources

About the Role:

Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where you will play a crucial role in our dynamic team. This position offers an exciting opportunity to work in a fast-paced environment while ensuring accurate and timely processing of claims.

Responsibilities:

Review and process insurance claims with accuracy and efficiency.

Ensure compliance with company policies and regulatory requirements.

Communicate with clients and insurance companies to resolve claims discrepancies.

Maintain detailed records of claims processing activities.

Analyze claims data to identify trends and areas for improvement.

Assist in training new team members on claims processing procedures.

Participate in team meetings to discuss workflow and process enhancements.

Stay updated on industry changes and best practices related to claims processing.

Requirements:

High school diploma or equivalent; associate degree preferred.

Minimum of 2 years experience in claims processing or related field.

Strong attention to detail and excellent organizational skills.

Proficient in claims management software and Microsoft Office Suite.

Ability to work independently and collaboratively in a team environment.

Effective communication skills, both written and verbal.

Knowledge of medical terminology and insurance policies is a plus.

Strong problem-solving skills and ability to handle challenging situations.

About Us:

MedPOINT Management has been a leader in healthcare management for over a decade, providing exceptional services to our clients. Our commitment to excellence and innovation is why customers love us, and our supportive work environment is why employees thrive here.

This is a remote position.