ZipRecruiter

Log In

1

At Home Claims Processing Jobs in California (NOW HIRING)

WinMax

Claims Processing Specialist

Mather, CA · On-site

$25 - $28/hr

Claims Processing Specialist Location: Rancho Cordova, CA (Resources are required to work 100% onsite in Rancho Cordova from 6:00AM - 2:30PM) Contract: 6+ Months The Claims Processing Specialist ...

Winmax Systems

Claims Processing Specialist

Mather, CA · On-site

$25 - $28/hr

Claims Processing Specialist Location:Rancho Cordova, CA (Resources are required to work 100% onsite in Rancho Cordova from 6:00AM - 2:30PM) Contract: 6+ Months The Claims Processing Specialist ...

Astrana Health

Lead - Claims Operations

Monterey Park, CA · Hybrid

$27 - $32/hr

This is a hybrid role where the expectation is to work both in office and at home on a weekly basis ... Knowledge of claims processing systems configuration and architecture, which will facilitate ...

Managed Staffing

Claims Examiner

Whittier, CA · On-site

$30 - $32/hr

Accurately process, adjudicate, and pay UB-92 and HCFA-1500 claims. * Handle claims received from hospitals and affiliated medical groups for HMO patients. * Apply correct payment methodologies for ...

LSMA Management Inc

Claims Manager

San Bernardino, CA · On-site

$87K - $97K/yr

At least five years of managed care claims processing experience. Two or more years of supervisory or leadership experience. Experience processing professional and institutional claims. Preferred:

LSMA Management Inc

Claims Manager

San Bernardino, CA · On-site

$87K - $97K/yr

At least five years of managed care claims processing experience. Two or more years of supervisory or leadership experience. Experience processing professional and institutional claims. Preferred:

LSMA Management Inc

Claims Manager

San Bernardino, CA · On-site

$87K - $97K/yr

At least five years of managed care claims processing experience. Two or more years of supervisory or leadership experience. Experience processing professional and institutional claims. Preferred:

LIBERTY DENTAL

... Dental Plan At Liberty Dental Plan, we are committed to improving the oral health of the ... Process dental claims, pre-authorizations, referrals, and benefit determinations accurately and ...

Astrana Health

Sr. Manager - Claims

Monterey Park, CA · On-site +1

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance ... The home office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754. * The national ...

next page

Showing results 1-20

All JobsAt Home Claims Processing JobsAt Home Claims Processing Jobs in California

At Home Claims Processing information

See California salary details

$11

$18

$26

How much do at home claims processing jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for at home claims processing in California is $18.91, according to ZipRecruiter salary data. Most workers in this role earn between $16.15 and $20.38 per hour, depending on experience, location, and employer.

What is at home claims processing?

At home claims processing jobs involve evaluating and handling insurance claims from a remote location, usually your own home. These positions require you to review claims submitted by customers, verify information, process payments, and ensure all documentation is accurate and complete. Most employers provide secure software and training to help you manage claims efficiently. Strong attention to detail, confidentiality, and good communication skills are important for this role. These jobs are popular for those seeking flexible, remote work in the insurance or healthcare industries.

What are the key skills and qualifications needed to thrive as an at home claims processor?

To thrive as an At Home Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, typically supported by a high school diploma or relevant experience. Proficiency with claims management software, document management systems, and secure communication platforms is commonly required. Excellent organizational skills, time management, and clear written communication help you excel in a remote environment. These capabilities are essential for ensuring accurate and timely claims processing, maintaining compliance, and delivering high-quality customer service from a home-based setting.

What are some common challenges faced by remote claims processors, and how can they be effectively managed?

Remote claims processors often face challenges such as maintaining clear communication with team members, staying organized without in-person supervision, and managing a high volume of claims efficiently. To overcome these, it's helpful to establish a consistent daily routine, utilize digital collaboration tools, and regularly check in with supervisors and colleagues. Staying updated on company policies and industry regulations is also crucial for accurate and timely claims processing.

What is the difference between At Home Claims Processing vs Customer Service Representative?

AspectAt Home Claims ProcessingCustomer Service Representative
CredentialsInsurance knowledge, claims processing certificationsCommunication skills, customer service training
Work EnvironmentRemote, home-basedRemote or in-office, customer-facing
Industry UsageInsurance companies, claims departmentsVarious industries including retail, telecom
Job FocusReviewing and processing insurance claimsAssisting customers, resolving inquiries

At Home Claims Processing involves handling insurance claims remotely, requiring specific industry knowledge and certifications. Customer Service Representatives focus on assisting customers across various sectors, often with a broader skill set. While both roles can be remote, their core responsibilities and credentials differ significantly.

What are the most commonly searched types of Claims Processing jobs in California?

The most popular types of Claims Processing jobs in California are:

What cities in California are hiring for At Home Claims Processing jobs?

Cities in California with the most At Home Claims Processing job openings:

At Home Claims Processing jobs near you
Infographic showing various At Home Claims Processing job openings in California as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 71% Physical, 1% Hybrid, and 28% Remote job distribution, with an average salary of $39,341 per year, or $18.9 per hour.

Claims Processing Specialist

Mather, CA • On-site

WinMax
See more jobs at WinMaxexternal

$25 - $28/hr

Other

Medical, Retirement

Posted 6 days ago

Job description

Claims Processing Specialist

Location: Rancho Cordova, CA (Resources are required to work 100% onsite in Rancho Cordova from 6:00AM - 2:30PM) Contract: 6+ Months

Job Description: The Claims Processing Specialist identifies and provides solutions for processing unique claims, refunds, overpayments, and underpayments. Other duties include processing special claims which may involve manual review of actual treatment compared to authorized treatment, and adjudicating VA CCN claims.

Essential Duties:

  • Performs analysis of authorizations compared to submitted claims.
  • Processes special claim payments, specifically for VA CCN client.
  • Processes returned client checks, personal checks, undeliverable checks, stale dated checks, and requests for voids/stop-payments/re-issues. Determines refund amounts, changes status of outstanding overpayments.
  • Reviews monthly reports for outstanding overpayments and coordinates with finance on special issues.
  • Reviews and handles special professional reviews and service issues, quality complaints and coordinates with Special Correspondence Unit.
  • This list is not all-inclusive and you are expected to perform other duties as requested or assigned

Skills/Experience: Minimum Qualifications

  • 2+ years of experience w/High School Diploma/GED
  • Previous/recent experience in claims processing
  • Ideal to have Dental Claims processing experience
  • High attention to detail
  • Some customer service experience and claims adjudication experience including the understanding of re-adjudication is preferred.

Additional Experience:

  • Proficient in MS Excel
  • Strong analytical and critical thinking skills.
  • Ability to maintain strict attention to detail.
  • Excellent customer service skills with ability to evaluate and respond to the contact needs.
  • Ability to independently prioritize work and establish, understand, and follow work rules and procedures, and take action to improve existing processes.
  • Ability to confront difficult situations and make appropriate and timely decisions.
  • Excellent organizational skills, including the ability to follow-up on commitments on a timely basis and adhere to deadlines.
  • Ability to collaborate effectively with others.
  • Basic knowledge of accounting principles.
  • Knowledge of Enterprise policies, procedures, and guidelines

Pay Transparency: "The expected pay range for this position is $25.00–$28.00 per hour. Final compensation will be determined based on experience, skills, and qualifications. Non-exempt employees are eligible for overtime. Full-time employees are eligible to select from different benefits packages. Packages may include medical, 401(k) without employer match. Paid Sick leave is provided based on state or local laws.

Apply