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Senior Claims Examiner Jobs in Riverside, CA (NOW HIRING)

Senior Claims Examiner

Irvine, CA ยท On-site

$400K/yr

Under the supervision of the Vice President of Claims, the Senior Claims Examiner is responsible for managing all aspects of workers' compensation claims, including complex and litigated matters ...

Senior Claims Examiner

Irvine, CA ยท On-site

$400K/yr

Responsibilities Under the supervision of the Vice President of Claims, the Senior Claims Examiner is responsible for managing all aspects of workers' compensation claims, including complex and ...

Senior Claims Examiner

Anaheim, CA ยท On-site

$69K - $89K/yr

Claims Adjuster, Public Entity DEPARTMENT: Claims Services REPORTS TO: Claims Manager / Director of Claims FLSA STATUS: Exempt COMPANY OVERVIEW Venbrook Claims Services is the claims business group ...

Senior Claims Examiner

Anaheim, CA ยท On-site

$69K - $89K/yr

Claims Adjuster, Public Entity DEPARTMENT: Claims Services REPORTS TO: Claims Manager / Director of Claims FLSA STATUS: Exempt COMPANY OVERVIEW Venbrook Claims Services is the claims business group ...

Sr Claim Examiner-WC (CA)

Brea, CA ยท On-site

$25.65 - $46.91/hr

Senior Claims Examiner - Workers Compensation (California) This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise Why You'll ...

Sr Claim Examiner-WC (CA)

Brea, CA ยท On-site

$33.75 - $45.75/hr

Senior Claims Examiner - Workers Compensation (California) This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise Why You'll ...

Sr Claim Examiner-WC (CA)

Brea, CA

$33.75 - $45.75/hr

Senior Claims Examiner - Workers Compensation (California) This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise Why You'll ...

Sr Claim Examiner-WC (CA)

Brea, CA ยท On-site

$33.75 - $45.75/hr

Senior Claims Examiner - Workers Compensation (California) This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise Why You'll ...

Senior Claims Examiner Commercial GL

Anaheim, CA ยท On-site

$34.25 - $46.50/hr

Claims Adjuster, Public Entity DEPARTMENT: Claims Services EFFECTIVE DATE: COMPANY OVERVIEW: Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944. Carl Warren ...

Senior Claims Examiner Commercial GL

Anaheim, CA ยท On-site

$34.25 - $46.50/hr

Claims Adjuster, Public Entity DEPARTMENT: Claims Services EFFECTIVE DATE: COMPANY OVERVIEW: Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944. Carl Warren ...

Senior Claims Examiner Commercial GL

Anaheim, CA ยท On-site

$34.25 - $46.50/hr

Claims Adjuster, Public Entity DEPARTMENT: Claims Services EFFECTIVE DATE: COMPANY OVERVIEW: Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944. Carl Warren ...

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Showing results 1-20

Senior Claims Examiner information

See Riverside, CA salary details

$38.5K

$89.7K

$133.7K

How much do senior claims examiner jobs pay per year?

As of Aug 25, 2026, the average yearly pay for senior claims examiner in Riverside, CA is $89,653.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,700.00 and $108,200.00 per year, depending on experience, location, and employer.

What does a senior claims examiner do?

A Senior Claims Examiner is responsible for reviewing, analyzing, and processing complex insurance claims to determine their validity and ensure compliance with policy terms. They handle escalated or high-value claims, investigate details, evaluate evidence, and communicate with policyholders, medical professionals, or legal teams as necessary. Senior Claims Examiners also mentor junior staff, recommend claim settlements, and contribute to improving claims processing procedures. Their expertise helps minimize company risk and maintain customer satisfaction.

What are the key skills and qualifications needed to thrive as a senior claims examiner, and why are they important?

To thrive as a Senior Claims Examiner, you need strong analytical skills, in-depth knowledge of insurance policies, and significant experience in claims processing, usually supported by a relevant degree or professional certification. Familiarity with claims management systems, regulatory compliance tools, and advanced Excel functions is typically required. Exceptional attention to detail, critical thinking, and effective communication skills set top performers apart in this role. These skills are essential for ensuring accurate claims assessment, minimizing risk, and maintaining regulatory compliance within the organization.

What are some common challenges faced by senior claims examiners, and how can they be addressed?

Senior Claims Examiners often face challenges such as handling complex or high-value claims, staying updated on evolving regulations, and managing a high volume of detailed casework. To address these, it's important to maintain strong organizational skills, leverage technology for efficiency, and participate in ongoing training. Collaboration with legal teams, underwriters, and other examiners is also key to resolving difficult cases and ensuring accurate claim assessments.

What is the difference between Senior Claims Examiner vs Claims Adjuster?

AspectSenior Claims ExaminerClaims Adjuster
Required CredentialsClaims licensing, insurance certifications, experience in claims processingInsurance licenses, certifications vary by state, claims handling experience
Work EnvironmentInsurance companies, government agencies, claims departmentsInsurance companies, third-party administrators, independent agencies
Employer & Industry UsageCommonly employed in insurance firms and government programsWidely used across insurance sectors, including auto, health, and property claims

While both roles involve handling insurance claims, Senior Claims Examiners typically focus on reviewing complex claims and ensuring compliance, often working within insurance companies or government agencies. Claims Adjusters generally handle a broader range of claims, including initial assessments and settlements, and may work independently or for third-party firms. The roles overlap in credentials and work environment but differ in scope and responsibilities.

What are the most commonly searched types of Claims Examiner jobs in Riverside, CA?

The most popular types of Claims Examiner jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Senior Claims Examiner jobs?

Cities near Riverside, CA with the most Senior Claims Examiner job openings:

Infographic showing various Senior Claims Examiner job openings in Riverside, CA as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $89,653 per year, or $43.1 per hour.

Senior Claims Examiner

Berkley

Irvine, CA โ€ข On-site

$400K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post hasย expired 6 days ago.ย Applications are no longer accepted.


Job description

Berkley Enterprise Risk Solutions, A Berkley Company specializes in working with large, motivated employers operating in a broad range of industries. We seek companies who are looking for customized risk management solutions to their workplace safety challenges, and who at the time of account submission, generate a minimum of $400,000 in annual workers compensation premium. In addition to basic Guaranteed Cost, BERSโ€™ offers a variety of loss sensitive plans, including Retrospectively Rated and Large Deductible. BERSโ€™ is an open brokerage market. The company is rated A+, XV by AM Best & Company.

The company is an equal employment opportunity employer.


Under the supervision of the Vice President of Claims, the Senior Claims Examiner is responsible for managing all aspects of workersโ€™ compensation claims, including complex and litigated matters, from inception through resolution.

This role actively supports and participates in the companyโ€™s culture of continuous learning and innovation, including engagement in innovation groups focused on identifying opportunities for process improvement, enhancement, and transformational change.

Our ideal Claims professional will demonstrate strong technical expertise in claims adjusting, claims workflow, investigation, and effective time management. Travel is required approximately 30% of the time. Spanish-speaking adjusters are highly preferred.

Key functions include but are not limited to:

  • Adjust all aspects of complex claims and loss notices, including coverage and compensability analysis, reserve setting, reinsurance reporting, and coverage litigation.
  • Attend and participate in mediations, settlement conferences, trials, and other claimrelated proceedings, including required travel.
  • Assist with or conduct large loss handling and reinsurance reporting, ensuring accuracy and timeliness.
  • Maintain adjuster licenses and certifications in all required states, and obtain additional certifications as requested.
  • Actively engage in the companyโ€™s innovation culture and crossfunctional collaboration initiatives.
  • Demonstrate continued, selfdriven professional learning and development.
  • Travel as needed to support claim resolution and business needs.

  • Spanish speaking, is strong preferred
  • BA or BS, preferred not required
  • Adjusterโ€™s certification in California is required, other state licensing/certification is a plus
  • 8 + years claims-related, adjusting experience handling workers compensation claims in California

We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:
Base Salary Range: $110,000 $125,000
Eligible to participate in annual discretionary bonus.
Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.