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Career and Education Opportunities for Insurance Claims Processors in Santa Rosa, California

Insurance claims processors can find many career and educational opportunities in the Santa Rosa, California area. About 32,200 people are currently employed as insurance claims processors in California. By 2016, this is expected to grow 1% to 32,500 people employed. This is better than the nation as a whole, where employment opportunities for insurance claims processors are expected to grow by about 0.3%. Insurance claims processors generally obtain information from insured or designated persons for purpose of settling claim with insurance carrier.

The income of an insurance claims processor is about $17 hourly or $36,050 annually on average in California. In the U.S. as a whole, their income is about $15 hourly or $33,100 yearly on average. Compared with people working in the overall category of Clerical, people working as insurance claims processors in California earn more. They earn more than people working in the overall category of Clerical nationally.

There are two schools within twenty-five miles of Santa Rosa where you can study to be an insurance claims processor, among seven schools of higher education total in the Santa Rosa area. The most common level of education for insurance claims processors is a high school diploma or GED. You can expect to spend only a short time studying to be an insurance claims processor if you already have a high school diploma.

CAREER DESCRIPTION: Insurance Claims Processor

In general, insurance claims processors obtain information from insured or designated persons for purpose of settling claim with insurance carrier.

Insurance claims processors contact insured or other involved persons to obtain missing data. They also post or attach data to claim file. Equally important, insurance claims processors have to ready insurance claim forms and related documents and review them for completeness. They are often called upon to furnish customer service. Finally, insurance claims processors inspect insurance policies to establish coverage.

Every day, insurance claims processors are expected to be able to read and understand documents and reports. They need to articulate ideas and problems. It is also important that they see details at a very fine level of focus.

It is important for insurance claims processors to transmit claims for payment or further investigation. They are often called upon to organize and coordinate with detailed office or warehouse archives, using computers to enter, access, search and retrieve data. They also pay small claims. Somewhat less frequently, insurance claims processors are also expected to calculate amount of claim.

They also have to be able to apply insurance rating systems And finally, they sometimes have to ready insurance claim forms and related documents and review them for completeness.

Like many other jobs, insurance claims processors must be reliable and be thorough and dependable.

Similar jobs with educational opportunities in Santa Rosa include:

  • Broker Assistant. Perform clerical duties involving the purchase or sale of securities. Duties include writing orders for stock purchases and sales, computing transfer taxes, verifying stock transactions, accepting and delivering securities, tracking stock price fluctuations, computing equity, and keeping records of daily transactions and holdings.
  • Clerk. Compile data, compute fees and charges, and prepare invoices for billing purposes. Duties include computing costs and calculating rates for goods, services, and shipment of goods; posting data; and keeping other relevant records. May involve use of computer or typewriter, calculator, and adding and bookkeeping machines.
  • Correspondence Clerk. Compose letters in reply to requests for merchandise, damage claims, credit and other information, delinquent accounts, or unsatisfactory services. Duties may include gathering data to formulate reply and typing correspondence.
  • Courtroom Clerk. Perform clerical duties in court of law; prepare docket of cases to be called; secure information for judges; and contact witnesses, attorneys, and litigants to obtain information for court.
  • File Clerk. File correspondence, cards, and other records in alphabetical or numerical order or according to the filing system used. Locate and remove material from file when requested.
  • Front Desk Manager. Accommodate hotel, motel, and resort patrons by registering and assigning rooms to guests, issuing room keys, transmitting and receiving messages, keeping records of occupied rooms and guests' accounts, making and confirming reservations, and presenting statements to and collecting payments from departing guests.
  • Insurance Processing Clerk. Process applications for, changes to, and cancellation of insurance policies. Duties include reviewing insurance applications to ensure that all questions have been answered, compiling data on insurance policy changes, changing policy records to conform to insured party's specifications, compiling data on lapsed insurance policies to determine automatic reinstatement according to company policies, canceling insurance policies as requested by agents, and verifying the accuracy of insurance company records.
  • License Clerk. Issue licenses or permits to qualified applicants. Obtain necessary information; record data; advise applicants on requirements; collect fees; and issue licenses. May conduct oral, written, or performance testing.
  • Medical Secretary. Perform secretarial duties utilizing specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Duties include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence.
  • Municipal Clerk. Draft agendas and bylaws for town or city council; record minutes of council meetings; answer official correspondence; keep fiscal records and accounts; and prepare reports on civic needs.
  • Office Clerk. Perform duties too varied and diverse to be classified in any specific office clerical occupation, requiring limited knowledge of office management systems and procedures. Clerical duties may be assigned in accordance with the office procedures of individual establishments and may include a combination of answering telephones, bookkeeping, typing or word processing, stenography, office machine operation, and filing.
  • Order Clerk. Receive and process incoming orders for materials, merchandise, or services such as repairs, installations, or rental of facilities. Duties include informing customers of receipt, prices, and delays; preparing contracts; and handling complaints.
  • Payroll Bookkeeper. Compile and post employee time and payroll data. May compute employees' time worked, production, and commission. May compute and post wages and deductions. May prepare paychecks.
  • Postal Clerk. Perform any combination of tasks in a post office, such as receive letters and parcels; sell postage and revenue stamps, postal cards, and stamped envelopes; fill out and sell money orders; place mail in pigeon holes of mail rack or in bags according to State, address, or other scheme; and examine mail for correct postage.
  • Procurement Clerk. Compile information and records to draw up purchase orders for procurement of materials and services.
  • Receptionist. Answer inquiries and obtain information for general public, customers, and other interested parties. Provide information regarding activities conducted at establishment; location of departments, offices, and employees within organization.
  • Secretary. Perform routine clerical and administrative functions such as drafting correspondence, scheduling appointments, organizing and maintaining paper and electronic files, or providing information to callers.
  • Statement Clerk. Prepare and distribute bank statements to customers, answer inquiries, and reconcile discrepancies in records and accounts.
  • Statistical Clerk. Compile and compute data according to statistical formulas for use in statistical studies. May perform actuarial computations and compile charts and graphs for use by actuaries. Includes actuarial clerks.
  • Store Clerk. Receive, store, and issue sales floor merchandise. Stock shelves, racks, and tables with merchandise and arrange merchandise displays to attract customers. May periodically take physical count of stock or check and mark merchandise.
  • Weighter. Weigh, measure, and check materials, supplies, and equipment for the purpose of keeping relevant records. Duties are primarily clerical by nature.

EDUCATIONAL OPPORTUNITIES: Insurance Claims Processor Training

Pacific Union College - Angwin, CA

Pacific Union College, One Angwin Ave, Angwin, CA 94508-9707. Pacific Union College is a small college located in Angwin, California. It is a private not-for-profit school with primarily 4-year or above programs. It has 1,279 students and an admission rate of 76%. Pacific Union College has an associate's degree program in General Office Occupations and Clerical Services which graduated one student in 2008.

Empire College School of Business - Santa Rosa, CA

Empire College School of Business, 3035 Cleveland Ave, Santa Rosa, CA 95403-2126. Empire College School of Business is a small college located in Santa Rosa, California. It is a private for-profit school with primarily 2-year programs and has 832 students. Empire College School of Business has a one to two year program in General Office Occupations and Clerical Services.


Certified Patient Account Technician: The Certified Patient Account Manager exam is every bit as challenging for patient account managers as the CPA and Bar exams are for their respective fields.

For more information, see the American Association of Healthcare Administrative Management website.

Certified Clinic Account Technician: AAHAM developed the Certified Clinic Account Technician (CCAT) examination to test the proficiency of individuals involved in the collection of patient accounts and to prepare them for the many changes to come.

For more information, see the American Association of Healthcare Administrative Management website.

LOCATION INFORMATION: Santa Rosa, California

Santa Rosa, California
Santa Rosa, California photo by Njaelkies Lea

Santa Rosa is situated in Sonoma County, California. It has a population of over 155,796, which has grown by 5.6% over the last ten years. The cost of living index in Santa Rosa, 159, is far greater than the national average. New single-family homes in Santa Rosa are priced at $193,300 on average, which is far less than the state average. In 2008, one hundred fifty new homes were built in Santa Rosa, down from three hundred sixty-eight the previous year.

The three big industries for women in Santa Rosa are health care, educational services, and finance and insurance. For men, it is construction, professional, scientific, and technical services, and accommodation and food services. The average travel time to work is about 23 minutes. More than 27.6% of Santa Rosa residents have a bachelor's degree, which is higher than the state average. The percentage of residents with a graduate degree, 9.1%, is lower than the state average.

The unemployment rate in Santa Rosa is 10.1%, which is less than California's average of 12.3%.

The percentage of Santa Rosa residents that are affiliated with a religious congregation, 32.1%, is less than both the national and state average. United Pentecostal Church, Bethlehem Lutheran Church and Bennett Valley Baptist Church are among the churches located in Santa Rosa. The most common religious groups are the Catholic Church, the LDS (Mormon) Church and the Southern Baptist Convention.

Santa Rosa is home to the Sonoma County Administration Center and the Quarry Picnic Area as well as Live Oak Park and Coffey Park. Shopping malls in the area include Montgomery Village Shopping Center, Saint Francis Shopping Center and Flamingo One Stop Shopping Center. Visitors to Santa Rosa can choose from Amansi, Astro Motel and Beautiful Weddings & Events for temporary stays in the area.