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Insurance Claims Processing Jobs in California (NOW HIRING)

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 ...

Founding Senior Engineer

San Francisco, CA ยท On-site

$123K - $169K/yr

About the company Our client is transforming the insurance claims processing industry through AI. Backed by Founders Fund, the company has rapidly grown to six-figure ARR in just three months. Their ...

Insurance Collector I

Chatsworth, CA ยท On-site

$24 - $31.25/hr

Experience in healthcare claims processing and collections * Knowledge of Managed Care Contracts ... Insurance Collector I Pay Rate: $24.00 - $31.25 per hour (Depending on Relevant Experience ...

Insurance Collector I

Chatsworth, CA ยท 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 ...

Claims Supervisor

Los Angeles, CA ยท On-site

$75K - $98K/yr

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 ...

Insurance Collector I

Chatsworth, CA ยท 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 ...

Claims Auditor will be responsible for auditing claims processed by Claims Examiners ... Medical Insurance Dental Insurance Vision Insurance Life Insurance 401K Matching Paid Time Off

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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.
Insurance Claims Coordinator

Insurance Claims Coordinator

ServiceMaster

Irvine, CA โ€ข On-site

$60K - $75K/yr

Other

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Coordinator Position

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 ensuring 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 โ€“ 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 โ€“ 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 Microsoftยฉ 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 with customer interaction and conflict resolution

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.