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Medical Only Claim Adjuster Jobs in Riverside, CA

Corvel

Medical Only Claims Specialist

Rancho Cucamonga, CA · On-site

$16.74 - $26.92/hr

The Workers' Compensation Medical Only Claims Specialist manages non-complex and non-problematic ... Communicates claim status with the customer, claimant and client * Adheres to client and carrier ...

Corvel

Medical Only Claims Specialist

Rancho Cucamonga, CA · Remote

$16.74 - $26.92/hr

The Workers' Compensation Medical Only Claims Specialist manages non-complex and non-problematic ... Communicates claim status with the customer, claimant and client * Adheres to client and carrier ...

CCMSI

Workers' Compensation Claim Consultant

Irvine, CA · Remote

$80K - $95K/yr

This is a full lifecycle WC adjuster position within a TPA environment, and only candidates with ... Review, approve, and negotiate medical, legal, damage estimate, and related claim expenses.

CCMSI

Workers' Compensation Claim Consultant

Irvine, CA · Remote

$80K - $95K/yr

This is a full lifecycle WC adjuster position within a TPA environment, and only candidates with ... Review, approve, and negotiate medical, legal, damage estimate, and related claim expenses.

CCMSI

Workers' Compensation Claim Consultant

Irvine, CA · On-site

$80K - $95K/yr

This is a full life-cycle WC adjuster position within a TPA environment, and only candidates with ... Review, approve, and negotiate medical, legal, damage estimate, and related claim expenses.

Trean Corporation

Senior Claims Adjuster

Ontario, CA · On-site

$67K - $86K/yr

POSITION SUMMARY: The Senior Claims Adjuster is responsible for managing complex workers ... medical provider. This must be done within 24 hours of receipt of the claim or notification of a ...

Trean Corporation

Senior Claims Adjuster

Ontario, CA

$85K - $95K/yr

The Senior Claims Adjuster is responsible for managing complex workers compensation claims and ... medical provider. This must be done within 24 hours of receipt of the claim or notification of a ...

Trean Corporation

Senior Claims Adjuster

Ontario, CA · On-site

$85K - $95K/yr

POSITION SUMMARY: The Senior Claims Adjuster is responsible for managing complex workers ... medical provider. This must be done within 24 hours of receipt of the claim or notification of a ...

CCMSI

Workers' Compensation Insurance Adjuster

Irvine, CA · On-site

$70K - $85K/yr

As a Claim Specialist, you play a vital role in delivering the highquality service our clients ... Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices ...

CCMSI

Workers' Compensation Claim Supervisor

Irvine, CA · Remote

$90K - $105K/yr

Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

CCMSI

Workers' Compensation Claim Supervisor

Irvine, CA · Remote

$90K - $105K/yr

Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

CCMSI

Workers' Compensation Claim Supervisor

Irvine, CA · On-site

$90K - $105K/yr

Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

CCMSI

Workers' Compensation Claim Specialist

Irvine, CA · On-site +1

$85K - $95K/yr

Review and approve medical, legal, and other claim-related expenses to ensure accuracy and cost ... Adjuster's license may be required based on jurisdiction. Nice to Have: * Bilingual (Spanish ...

CCMSI

Workers' Compensation Claim Supervisor

Irvine, CA · On-site

$98K - $108K/yr

Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if ... Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment ...

CCMSI

Workers' Compensation Claim Supervisor

Irvine, CA · On-site

$98K - $108K/yr

Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if ... Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment ...

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All JobsMedical Only Claim Adjuster JobsMedical Only Claim Adjuster Jobs in Riverside, CA

Medical Only Claim Adjuster information

See Riverside, CA salary details

$42.8K

$79.3K

$103.3K

How much do medical only claim adjuster jobs pay per year?

As of Aug 27, 2026, the average yearly pay for medical only claim adjuster in Riverside, CA is $79,329.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,900.00 and $89,200.00 per year, depending on experience, location, and employer.

What is a medical only claim adjuster?

A Medical Only Claim Adjuster is a professional who handles workers’ compensation claims that involve only medical treatment, without any lost time from work or wage replacement. Their primary responsibility is to review, process, and manage claims where employees have sustained minor injuries or illnesses at work that require medical attention but do not prevent them from returning to their job. Medical Only Claim Adjusters communicate with claimants, healthcare providers, and employers to ensure proper documentation and timely payment of medical bills. They also help ensure that claims comply with state laws and company policies. This role is vital in maintaining cost-effective and efficient claims management for employers and insurance companies.

What are the key skills and qualifications needed to thrive as a medical only claim adjuster?

To thrive as a Medical Only Claim Adjuster, you need a solid understanding of insurance claims processes, medical terminology, and state regulations, often supported by a relevant bachelor's degree or industry certification. Familiarity with claims management software, such as Guidewire or ClaimCenter, and experience with electronic document management systems are typically required. Strong analytical thinking, attention to detail, and effective communication help adjusters investigate claims thoroughly and interact professionally with medical providers and claimants. These skills ensure accurate claim resolution, compliance with legal standards, and positive outcomes for both insurers and clients.

What are some common challenges faced by medical only claim adjusters, and how can they be managed?

Medical Only Claim Adjusters often navigate challenges such as handling high claim volumes, ensuring timely communication with medical providers, and staying updated on changing regulations. Managing these challenges requires strong organizational skills, attention to detail, and effective communication to clarify medical documentation and expedite claim resolution. Building positive relationships with healthcare professionals and keeping up with continuing education can also help adjusters manage their caseload efficiently and stay compliant with industry standards.

What is the difference between Medical Only Claim Adjuster vs Workers' Compensation Claims Adjuster?

AspectMedical Only Claim AdjusterWorkers' Compensation Claims Adjuster
CertificationsAdjuster license, medical claims knowledgeAdjuster license, workers' comp regulations
Work EnvironmentInsurance companies, healthcare providersInsurance companies, employers, healthcare providers
Industry UsageHealth insurance, medical claimsWorkers' compensation insurance, injury claims

The Medical Only Claim Adjuster primarily handles medical claims related to health insurance, focusing on medical bills and provider communications. In contrast, the Workers' Compensation Claims Adjuster manages claims related to workplace injuries, including both medical and disability benefits. While both roles require adjuster licensing and knowledge of insurance processes, their focus areas and industry applications differ significantly.

What are popular job titles related to Medical Only Claim Adjuster jobs in Riverside, CA?

For Medical Only Claim Adjuster jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Medical Only Claim Adjuster jobs in Riverside, CA look for?

The top searched job categories for Medical Only Claim Adjuster jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Medical Only Claim Adjuster jobs?

Cities near Riverside, CA with the most Medical Only Claim Adjuster job openings:

Medical Only Claim Adjuster jobs near you
Infographic showing various Medical Only Claim Adjuster job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $79,329 per year, or $38.1 per hour.

Medical Only Claims Specialist

Rancho Cucamonga, CA • On-site

Corvel
Insurance Services • 1 - 5K employees

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

85th of 152 rated financial services

People enjoy working here

Good employer

Paid breaks

Learn more about Corvelexternal

$16.74 - $26.92/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

The Workers' Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
  • Receives Workers' Compensation claims, confirms policy coverage and acknowledgement of the claim
  • Determines the validity and compensability of the claim
  • Establishes reserves and authorizes payments within established reserving authority limits
  • Communicates claim status with the customer, claimant and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Assists other claims professionals with more complex or problematic claims as necessary
  • Additional duties as assigned

KNOWLEDGE & SKILLS:
  • Excellent customer service skills
  • Excellent written and verbal communication skills
  • Fast learner; develops knowledge and understanding of claims practice, relevant statutes, and medical terminology
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude to utilize Microsoft Office, including Excel spreadsheets
  • Strong interpersonal, time management, and organizational skills
  • Ability to work both independently and within a team environment
  • Bilingual (Preferred, not required)

EDUCATION & EXPERIENCE:
  • Bachelor's degree or a combination of education and related experience
  • Minimum of 1 year industry experience and claim handling
  • Workers' Compensation experience required
  • Licensed as required jurisdictionally
  • SIP Certification Preferred

PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $16.74 - $26.92 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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