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Insurance Reviewer Jobs in California (NOW HIRING)

cathaybank

Escrow Insurance Specialist

Rosemead, CA · On-site

$23.07 - $28.85/hr

Reviews Insurance Expiration Tracking reports daily. * Collects evidence of renewals or replacement coverage prior to expiration of the existing coverage. * Reviews insurance policies for accuracy ...

cathaybank

Escrow Insurance Specialist

Rosemead, CA

$23.07 - $28.85/hr

Reviews Insurance Expiration Tracking reports daily. * Collects evidence of renewals or replacement coverage prior to expiration of the existing coverage. * Reviews insurance policies for accuracy ...

Cathay Bank

Escrow Insurance Specialist

Rosemead, CA · On-site

$23.07 - $28.85/hr

Reviews insurance policies for accuracy and adequate coverage. * Resolves gaps by contacting carriers and agencies to gather policy information and other missing data and update systems as ...

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All JobsInsurance Reviewer JobsInsurance Reviewer Jobs in California

Insurance Reviewer information

See California salary details

$10

$29

$47

How much do insurance reviewer jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for insurance reviewer in California is $29.49, according to ZipRecruiter salary data. Most workers in this role earn between $22.31 and $36.06 per hour, depending on experience, location, and employer.

What does a claims reviewer do?

A claims reviewer evaluates insurance claims to determine their validity and ensure they comply with policy terms. They analyze documentation, assess damages or losses, and decide whether to approve, deny, or request additional information, often using specialized software and following company guidelines.

What are some common challenges faced by Insurance Reviewers and how can they be addressed?

Insurance Reviewers often encounter challenges such as interpreting complex policy language, managing high volumes of documentation, and staying updated with frequently changing regulations. To address these, many reviewers develop strong organizational skills, utilize specialized software to streamline document management, and participate in ongoing training or professional development. Collaborating closely with underwriters, claims adjusters, and legal teams also helps ensure accurate and timely policy assessments, reducing the risk of errors.

What skills do you need to be a medical reviewer?

A medical reviewer needs strong knowledge of medical terminology, healthcare regulations, and insurance policies. Critical thinking, attention to detail, and the ability to interpret medical records are essential. Familiarity with electronic health record systems and relevant certifications, such as a medical license or coding credentials, are often required.

What does an Insurance Reviewer do?

An Insurance Reviewer is responsible for evaluating insurance claims, policies, and related documents to ensure compliance with company and regulatory guidelines. They review submitted claims to determine their validity, check for completeness and accuracy, and may communicate with policyholders or healthcare providers for additional information. Insurance Reviewers help prevent fraud, reduce errors, and ensure that claims are processed fairly and efficiently. Their work is crucial in maintaining the integrity and cost-effectiveness of an insurance company's operations.

What jobs pay 2000 a day?

Insurance reviewers typically do not earn $2,000 a day; their salaries are usually hourly or salaried. High-paying roles in finance, consulting, or executive management can reach or exceed this level, but such positions often require extensive experience, specialized skills, or certifications. Freelance or consulting professionals in certain industries may also achieve this income with significant client volume or project complexity.

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

To thrive as an Insurance Reviewer, you need strong analytical skills, attention to detail, and a solid understanding of insurance policies and regulations, often supported by relevant experience or a degree in business or finance. Familiarity with claims management systems, insurance software, and sometimes certifications like AINS (Associate in General Insurance) are typically required. Excellent communication, problem-solving abilities, and organizational skills help you manage cases efficiently and interact with clients or colleagues. These competencies ensure accurate claim assessments, compliance with industry standards, and high-quality customer service.

What jobs pay $500,000 a year in the US?

Insurance reviewers typically do not earn $500,000 annually; high-paying roles in the insurance industry, such as senior executives or specialized underwriters, can reach or exceed this level. Achieving such income often requires extensive experience, advanced certifications, and leadership positions within large organizations or niche markets.
What are popular job titles related to Insurance Reviewer jobs in California? For Insurance Reviewer jobs in California, the most frequently searched job titles are:
What job categories do people searching Insurance Reviewer jobs in California look for? The top searched job categories for Insurance Reviewer jobs in California are:
Insurance Reviewer jobs near you
Infographic showing various Insurance Reviewer job openings in California as of June 2026, with employment types broken down into 100% Full Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $61,345 per year, or $29.5 per hour.
Insurance Reviewer-Clinical

Insurance Reviewer-Clinical

The US Oncology Network

Antioch, CA • On-site

Full-time

Posted 24 days ago

US Oncology rating

7.4

Company rating: 7.4 out of 10

Based on 104 frontline employees who took The Breakroom Quiz

251st of 872 rated healthcare providers

Job description

Overview
HOURY RATE (DEPENDING ON SKILLS/EXPERIENCE): $25.75 - $33.60
SCOPE: Responsible for working in assigned referral WQs to obtain required referrals/authorizations for requested patient care. Review orders and interpret what services/CPT/HCPCs are required. Perform required follow up until receipt of final decision; if not favorable reach out to provider to request next steps. Provide communication between Authorization Department and sites via email, phone and/or in-basket. Proficient in navigation and interpretation of payer requirements, contracted facilities and payer preferred drugs if applicable. Ability to easily understand and interpret orders and therapy plans to insure accuracy and efficiency of authorization submissions. Based on payer requirements enter request attaching required medical records.
Responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Perform timely review of assigned WQs to ascertain next steps; prioritizing requests based on due date, stat, urgent, etc. Monitor and process external order WQs
  • Review patient chart for MD orders to determine services/CPTs/HCPCs and reasons for requests.
  • Review insurance guidelines. If services requested meet medical necessity, gather data to be prepared for phone call, on-line and/or fax to insurance. If no auth required request a Pre D and return authorization approved.
  • If services do not meet payer guidelines, reach out to RCAUTHSUP and/or ordering provider for next steps. If request is denied by insurance, request for peer to peer and/or submit written appeal.
  • Enter authorized services into system and all notes pertaining to phone calls
  • Provide communication for sites/providers via email, phone and/or in-basket.
  • Maintain in box and fax folder; import medical guidelines via E-scan into EPIC.
  • Assist in managing in-basket messages; ensuring all have been appropriately responded to within 48 hrs.
  • Assist in managing WQ ; ensuring WQ is meeting goal, all WQ notes are updated and any delayed referrals reviewed and identifying trends
  • Maintain a 95% or greater audit and productivity score.
  • Be able to navigate and trouble shoot authorizations related issues/denials : IE non-contracted facility chosen, non-preferred drug etc.

Qualifications
MINIMUM QUALIFICATIONS:
  • High school degree or equivalent.
  • Associates degree in Business Admin/related field preferred.
  • Certificate Medical Billing or Insurance preferred.

EXPERIENCE REQUIREMENTS:
  • 1 Year Healthcare Insurance in Medical/Hospital environment required.
  • 1 Year EMR required.
  • 1 Year RCAurh required.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 20lbs. Requires corrected vision and hearing to normal range.
WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.

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