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Insurance Claims Processor Jobs in California (NOW HIRING)

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 ...

Claims Assistant

Pleasant Hill, CA ยท On-site

$28 - $29/hr

Familiarity with Workers' Compensation, insurance claims, or medical claims processes. * Working knowledge of medical terminology and the ability to review documentation with accuracy. * Strong data ...

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 Manager

South San Francisco, CA ยท On-site

$120K - $160K/yr

Liaise between employees, departments, and insurance providers during the claims process. * Monitor claim resolution and track claim costs. * Ensure compliance with federal, state, and local ...

Process dental claims, referrals, pre-authorizations, and related transactions within established ... Affordable medical insurance , with low-cost premiums for employee-only coverage. Liberty ...

Process dental claims, pre-authorizations, referrals, and benefit determinations accurately and ... Affordable medical insurance , with low-cost premiums for employee-only coverage. Liberty ...

... stakeholders throughout the claims process * Stay up-to-date with industry developments ... Strong understanding of CA insurance laws and regulations * Ability to work in large teams and be ...

Showing results 21-40

Insurance Claims Processor information

See California salary details

$11

$22

$33

How much do insurance claims processor jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for 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 an insurance claims processor do?

An Insurance Claims Processor reviews and handles insurance claims submitted by policyholders. Their primary responsibilities include verifying information, ensuring all necessary documentation is provided, and assessing claims for accuracy and compliance with policy guidelines. They communicate with policyholders, adjusters, and healthcare providers to gather additional information if needed, and determine how much the insurance company should pay out. The role is essential for ensuring claims are processed efficiently and fairly, maintaining customer satisfaction, and preventing fraud.

What are the key skills and qualifications needed to thrive as an insurance claims processor, and why are they important?

To thrive as an Insurance Claims Processor, you need strong attention to detail, knowledge of insurance policies and regulations, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic databases, and sometimes certifications like the Associate in Claims (AIC) are common requirements. Excellent organizational skills, clear communication, and problem-solving abilities help you stand out in this role. These skills ensure accurate claim processing, effective customer service, and compliance with industry standards.

What are some common challenges faced by insurance claims processors, and how can they be managed effectively?

Insurance Claims Processors often encounter challenges such as managing high volumes of claims, navigating complex policy details, and meeting strict deadlines. Staying organized and detail-oriented is key to ensuring accuracy and timely processing. Effective communication with policyholders, adjusters, and other team members also helps resolve discrepancies quickly and improves overall workflow. Many employers provide ongoing training and support to help processors stay current on regulations and best practices, which can further ease these challenges.

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

AspectInsurance Claims ProcessorInsurance Claims Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are a plusRequires a high school diploma; often holds certifications such as AIC or CPCU
Work EnvironmentOffice setting, processing claims dataField and office work, investigating claims
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusProcessing and data entry of claimsInvestigating, evaluating, and settling claims

While both roles are essential in the insurance industry, Claims Processors focus on handling claim data and documentation, whereas Claims Adjusters investigate and determine claim validity and settlement amounts. Understanding these differences helps job seekers identify the right career path within insurance claims roles.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary education or relevant certifications. Experience with computer software, attention to detail, and strong organizational skills are important, and familiarity with insurance policies and claims processing systems can improve job prospects.

Is an insurance claims processor job in demand?

The demand for insurance claims processors remains steady due to the ongoing need for claims management in the insurance industry. Employment is expected to grow at a rate similar to the average for all occupations, with opportunities increasing as insurance companies seek skilled workers familiar with claims processing software and regulations.

Is claims processing a stressful job?

Claims processing as an insurance claims processor can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires attention to detail, communication skills, and the ability to handle sensitive information, which can contribute to job-related stress levels.

What are popular job titles related to Insurance Claims Processor jobs in CA?

For Insurance Claims Processor jobs in CA, the most frequently searched job titles are:

Infographic showing various Insurance Claims Processor job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $45,853 per year, or $22 per hour.

Claims Counsel, Financial Lines & Cyber

Mitsui Sumitomo Insurance Group

Los Angeles, CA โ€ข On-site

$110 - $185/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

## Claims Counsel, Financial Lines & CyberApplyremote type: Hybridlocations: CA-Los Angeles: GA-Atlanta: IL-Chicago: TX-Dallas (Addison): NY-NYC (Ave of Americas)time type: Full timeposted on: Posted 19 Days Agojob requisition id: JR-000872MSIG USA continues to grow!**Company Overview:**MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the worldโ€™s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your businessโ€™s unique risks.We are seeking an experienced and detail-oriented Financial Lines Claims Counsel & Cyber to join our Financial Lines Claims and Cyber team. The Claims Attorney will be responsible for handling complex matters, including high severity claims and class actions, from inception through resolution for Financial Lines and Cyber products with an emphasis on Directors & Officers (D&O), Financial Institutions Professional Liability (E&O), Pension Trust (Fiduciary), Employment Practices Liability, and Fidelity policies.The team also handles other Specialty Lines such as Cyber, Political Risk & Trade Credit, Transactional and Tax claims.You will work closely with internal and external customers and stakeholders, deliver excellent customer service, analyze coverage, draft coverage letters, evaluate liability, make claim presentations, set judgmental reserves, and formulate and execute resolution strategies.**The role can be located in one of the following office locations: NYC, Atlanta, Chicago, Cincinnati, Dallas, Los Angeles, or Warren NJ hybrid work environment (4 days in office).****Key Responsibilities:*** Proactively manage claims throughout their lifecycle from initial notification through final disposition.* Conduct timely and thorough investigations and analyses to determine coverage, liability and damages.* Work closely with insureds, brokers, legal counsel, vendors, and other stakeholders throughout the claims process.* Collaborate on claim resolution strategies.* Negotiate direct and mediated settlements within designated authority limits.* Prepare claim summaries and reports and make presentations.* Provide feedback on claims and trends to underwriting and stakeholders.* Maintain accurate and up-to-date claim files and diary system.**Qualifications:*** Bachelorโ€™s and Juris Doctorate degrees required* Minimum of 7 years of experience handling insurance coverage litigation, Financial Lines or Cyber insurance claims, commercial litigation or other related experience.* Excellent communication and interpersonal skills to deliver exceptional customer service and build and maintain customer relationships.* Strong negotiation skills.* Detail-oriented with an ability to independently manage a caseload and prioritize tasks and deadlines.* Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint)* Ability to travel as needed.**\*\*\* Candidate must be admitted to practice law in a US jurisdiction and in good standing**#LI-HYBRIDSALARY: The estimated salary range for this position is $110,000.00 - $185,000.00 per year. This is a good-faith assessment of the salary range for this position only. In determining the actual salary within this range, MSIG USA will consider a candidateโ€™s relevant experience, location, and other job-related factors. Additional Benefits: Healthcare and Retirement Benefits Comprehensive medical, dental, and vision coverage 401(k) with a generous employer match and profit-sharing contribution Wellness incentive program Life and accidental death and dismemberment (AD&D) insurance Flexible spending programs Short-term and long-term disability plans Additional Benefit Programs Paid time off program Paid charitable leave Paid parental leave Tuition reimbursement program Personal insurance (auto/homeowners) discounts It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group!It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities. #J-18808-Ljbffr