Claims Analyst Jobs in California
Claims Analyst jobs in California are among the most active in the country, with strong demand concentrated in insurance carriers, managed care organizations, workers' compensation firms, and large self-insured employers, at levels from entry-level examiner through senior claims specialist. The heaviest hiring clusters around Los Angeles, Sacramento, and San Francisco, where major employers like Zenith Insurance, State Farm, and Kaiser Permanente maintain significant California operations. The most in-demand specialties are workers' compensation, medical claims review, and property and casualty claims. Find a role that fits below and apply directly.
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INTRODUCTION
Applies skills as a seasoned clinical applications professional to projects of medium size at all levels of complexity, or portions of large projects.
The APeX Application Analyst will primarily be responsible for developing, supporting and maintaining Epic's Professional and Hospital Billing Claims applications. They work under the direction of the Team Lead and/or Manager to configure, build, install and maintain the application. They coordinate all issues that arise during the project for their application area. Key operational activities include primary responsibility to analyze work flows and understand policies, procedures and constraints of the clinical or business operations support by the application. In depth and precise investigation and documentation of operational specifications and application functionality is required. Key technical activities include the analysis of new releases to determine how workflow should be modified, performing the build and conducting system testing. The application analyst develops and documents internal procedures and establishes change control processes for the application.
ROLE AND RESPONSIBILITIES
- Develops/design advance/complex programs and guides their develop with members of a cross functional team
- Works independently and in consultation with team lead and/or manager
- Application expertise to define “integrated” system design requirements and develop/implement complex application components
- Able to negotiate scope/approach with team, end users and IT infrastructure partners
- Principal contact for resolution of complex integrated issues and/or solutions
- Must have certification and strong experience with Epic Hospital Billing application
- Ability to be a Subject Matter Expert in financial functionality related to Hospital Billing, revenue-cycle workflows, revenue-cycle user’s support
- Meeting with operational partners to understand workflows, billing and collections, and overall revenue cycle requirements
Department Overview:
The Clinical Systems Applications Team is responsible for designing, testing, and implementing the clinical and business application aspects of UCSF’s Electronic Health Record. This includes interoperability with other third party systems and devices.
Our Core Values include:
- Judgment: Makes wise decisions, root causes, thinks strategically, and prioritizes what to do now and what can be improved later.
- Communication: Listens well, concise and articulate in speech and writing, treat people with respect independent of their status or disagreement with you & maintain calm poise in stressful situations.
- Impact: Accomplish amazing amounts of important work, colleagues can rely upon you, focus on results, exhibit bias-to-action, and avoid analysis-paralysis.
- Innovation: Find practical solutions to hard problems, suggest better approaches, new ideas that prove useful, stay nimble by minimizing complexity and finding time to simplify.
INTRODUCTION
Applies skills as a seasoned clinical applications professional to projects of medium size at all levels of complexity, or portions of large projects.
The APeX Application Analyst will primarily be responsible for developing, supporting and maintaining Epic's Professional and Hospital Billing Claims applications. They work under the direction of the Team Lead and/or Manager to configure, build, install and maintain the application. They coordinate all issues that arise during the project for their application area. Key operational activities include primary responsibility to analyze work flows and understand policies, procedures and constraints of the clinical or business operations support by the application. In depth and precise investigation and documentation of operational specifications and application functionality is required. Key technical activities include the analysis of new releases to determine how workflow should be modified, performing the build and conducting system testing. The application analyst develops and documents internal procedures and establishes change control processes for the application.
ROLE AND RESPONSIBILITIES
- Develops/design advance/complex programs and guides their develop with members of a cross functional team
- Works independently and in consultation with team lead and/or manager
- Application expertise to define “integrated” system design requirements and develop/implement complex application components
- Able to negotiate scope/approach with team, end users and IT infrastructure partners
- Principal contact for resolution of complex integrated issues and/or solutions
- Must have certification and strong experience with Epic Hospital Billing application
- Ability to be a Subject Matter Expert in financial functionality related to Hospital Billing, revenue-cycle workflows, revenue-cycle user’s support
- Meeting with operational partners to understand workflows, billing and collections, and overall revenue cycle requirements
Department Overview:
The Clinical Systems Applications Team is responsible for designing, testing, and implementing the clinical and business application aspects of UCSF’s Electronic Health Record. This includes interoperability with other third party systems and devices.
Our Core Values include:
- Judgment: Makes wise decisions, root causes, thinks strategically, and prioritizes what to do now and what can be improved later.
- Communication: Listens well, concise and articulate in speech and writing, treat people with respect independent of their status or disagreement with you & maintain calm poise in stressful situations.
- Impact: Accomplish amazing amounts of important work, colleagues can rely upon you, focus on results, exhibit bias-to-action, and avoid analysis-paralysis.
- Innovation: Find practical solutions to hard problems, suggest better approaches, new ideas that prove useful, stay nimble by minimizing complexity and finding time to simplify.
See All 9 Claims Analyst Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find Claims Analyst JobsClaims Analyst Jobs by City in California
Where California roles are concentrated, by current openings.
Claims Analyst Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring
- Netflix2
- CVS Health1
- Clever Care Health Plan1
- Great American Insurance1
- Monster Energy1
Top Industries Hiring
- Insurance2
- Media & Entertainment2
- Technology & Software2
- Agriculture & Farming1
- Consulting & Professional Services1
What California Employers Look For
The qualifications that appear most often in claims analyst jobs across California.
- Active California workers' compensation claims adjuster certificate or comparable state-recognized credential
- Two or more years of insurance claims processing or examination experience
- Proficiency in claims management software such as Guidewire or Duck Creek
- Working knowledge of California insurance regulations and the California Labor Code
- Strong analytical and written communication skills for coverage determinations and documentation
- Associate or bachelor's degree in business, healthcare administration, or a related field
Claims Analyst Jobs in California: Frequently Asked Questions
How do you become a claims analyst in California?
Most claims analyst positions in California require at minimum an associate degree, though a bachelor's degree in business, finance, or healthcare administration is increasingly preferred. Workers' compensation claims adjusters must obtain a self-insurance certificate or work under a licensed third-party administrator regulated by the California Department of Industrial Relations. For insurance carrier roles, the California Department of Insurance oversees adjuster licensing requirements. Building experience in adjacent roles such as billing specialist or customer service representative is a common starting point.
Which companies hire claims analysts in California?
Employers hiring claims analysts in California right now include Netflix, CVS Health, and Clever Care Health Plan, based on current listings on Migrate Mate as of June 2026. California's large self-insured employers, managed care organizations, and workers' compensation carriers generate consistent demand for claims analysts across the state throughout the year.
Which California cities have the most claims analyst jobs?
Los Angeles, Sacramento, and Huntington Beach have the most claims analyst openings in California. Los Angeles dominates due to its concentration of insurance carriers, healthcare systems, and large self-insured employers, while Sacramento draws significant hiring from state government agencies and workers' compensation administrators, and San Francisco reflects demand from the region's large tech and finance sector employers managing complex benefit and liability claims.
Are there remote claims analyst jobs in California?
Yes, and more than most fields. Claims analyst work is largely desk-based and documentation-driven, making it well suited to remote arrangements. About 56% of claims analyst openings tied to California are remote or hybrid as of June 2026, reflecting how broadly insurers and third-party administrators have adopted distributed teams. Medical claims review and workers' compensation desk adjuster roles tend to have the highest share of remote positions.
How can I get hired as a claims analyst in California with little or no experience?
The most realistic entry path is a claims support or claims assistant role at a California insurance carrier or third-party administrator, where you handle documentation and data entry while learning adjudication workflows. Large California employers such as workers' compensation carriers and managed care organizations regularly hire into these support positions without requiring prior claims experience. Moving laterally from medical billing, customer service, or administrative coordinator roles is common. Earning a California Department of Insurance adjuster license or completing a vocational claims training program strengthens a first application significantly.
Where can I find and apply to claims analyst jobs in California?
You can find and apply to claims analyst jobs in California on Migrate Mate, which lists current California openings from employers actively hiring. Find roles that fit your experience and specialization, then apply directly to each one.
See All 9 Claims Analyst Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
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