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Direct Remote Claims Adjuster Jobs in Riverside, CA

Kaizen Stackup

Senior Case Manager

Norco, CA · Remote

You'll direct intake and support staff to obtain police reports, open insurance claims, and build ... and pressure adjusters where it counts. Requirements: * 3-5+ years of Personal Injury Case ...

Kaizen Stackup

Senior Case Manager

Riverside, CA · Remote

You'll direct intake and support staff to obtain police reports, open insurance claims, and build ... and pressure adjusters where it counts. Requirements: * 3-5+ years of Personal Injury Case ...

Inspire Healthcare

Medical Director Physician

Pomona, CA · Remote

$250K - $350K/yr

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement ...

Qodoro Global LLC

Accounting Manager

Irvine, CA · Remote

Primarily Remote - Onsite one week per quarter Employment Type: Full-Time / Direct Hire Industry ... Manage claims check runs, credit card expenses, and wire transfers * Oversee MGA transfer templates ...

Western Growers

Director of EDI

Irvine, CA · Remote

$102K - $145K/yr

This is a remote position. SUMMARY The Director of Electronic Data Interchange (EDI) is responsible ... Advanced knowledge of healthcare processes, including eligibility verification, claims processing ...

USAA

Executive Director, Managing Attorney

Irvine, CA · On-site +1

$195K - $351K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Collaborates with Litigation Group leadership, P&C Claims Litigation and other practice areas ...

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All JobsDirect Claims Adjuster JobsDirect Remote Claims Adjuster JobsDirect Remote Claims Adjuster Jobs in Riverside, CA

Direct Remote Claims Adjuster information

See Riverside, CA salary details

$31.8K

$67.4K

$93.9K

How much do direct remote claims adjuster jobs pay per year?

As of Jul 17, 2026, the average yearly pay for direct remote claims adjuster in Riverside, CA is $67,404.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,200.00 and $78,800.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Direct Remote Claims Adjuster, and why are they important?

To thrive as a Direct Remote Claims Adjuster, you need a solid understanding of insurance policies, claims investigation, and loss assessment, often supported by relevant certifications or prior experience in insurance. Familiarity with claims management software, remote communication tools, and digital documentation systems is typically required. Strong analytical thinking, attention to detail, and effective customer service skills help you stand out in this role. These competencies are crucial for accurately processing claims, ensuring compliance, and providing timely support to policyholders in a remote environment.

How do Direct Remote Claims Adjusters typically manage communication and collaboration with team members while working remotely?

Direct Remote Claims Adjusters regularly use digital communication tools such as email, video conferencing, and specialized claims management software to stay connected with their team and supervisors. They often participate in virtual meetings to discuss complex cases, share updates, and ensure alignment on company policies. Effective adjusters proactively reach out to colleagues for guidance or collaboration, which helps maintain a cohesive workflow despite the physical distance. This remote setup requires strong self-management skills and comfort with technology, but also offers flexibility and independence in handling daily tasks.

What is the difference between Direct Remote Claims Adjuster vs Independent Claims Adjuster?

AspectDirect Remote Claims AdjusterIndependent Claims Adjuster
CredentialsAdjuster license, insurance knowledgeAdjuster license, insurance knowledge
Work EnvironmentRemote, employed by insurance companyRemote or on-site, contracted independently
EmployerInsurance carriers or companiesIndependent contracting firms or self-employed
Industry UsageCommonly used in insurance industry for claims processingUsed for specialized or independent claims assessments

The main difference is that a Direct Remote Claims Adjuster is employed directly by an insurance company to handle claims remotely, while an Independent Claims Adjuster works independently or through contracting firms, often handling claims for multiple insurers. Both roles require licensing and insurance knowledge, but their employment structure and work arrangements differ.

What is a Direct Remote Claims Adjuster?

A Direct Remote Claims Adjuster is an insurance professional who evaluates and processes insurance claims while working remotely, usually from home. They investigate claims, review policy details, gather evidence, and determine the amount an insurance company should pay for a loss or damage. Working remotely, they use digital tools and communication platforms to interact with claimants, witnesses, and other parties involved. This role requires strong analytical, communication, and organizational skills, as well as familiarity with claims management software. The position allows for flexible work arrangements while still providing essential customer service and claims resolution.
What are popular job titles related to Direct Remote Claims Adjuster jobs in Riverside, CA? For Direct Remote Claims Adjuster jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Direct Remote Claims Adjuster jobs in Riverside, CA look for? The top searched job categories for Direct Remote Claims Adjuster jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Direct Remote Claims Adjuster jobs? Cities near Riverside, CA with the most Direct Remote Claims Adjuster job openings:
Direct Remote Claims Adjuster jobs near you
Infographic showing various Direct Remote Claims Adjuster job openings in Riverside, CA as of July 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 100% Remote job distribution, with an average salary of $67,404 per year, or $32.4 per hour.
Claims Manager - Workers Compensation | Riverside, CA

Claims Manager - Workers Compensation | Riverside, CA

Sedgwick

Riverside, CA • Remote

$115K - $125K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 316 frontline employees who took The Breakroom Quiz

190th of 281 rated insurance

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Claims Manager - Workers Compensation | Riverside, CA

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
  • Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
  • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
  • Enjoy flexibility and autonomy in your daily work
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

OFFICE LOCATIONS
Riverside, CA

PRIMARY PURPOSE: To manage the technical and operational functions within assigned office including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to be responsible for staffing and training needs; and to be responsible for budget preparation and profit and loss management. Has direct responsibility for 25-40 colleagues.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Responsible for overall operational management for assigned locations/offices.

  • Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements.

  • Establishes business plan with goal and objectives for the partnership and assigned locations/offices.

  • Monitors management reports relating to the partnership/office performance.

  • Assists with the coordination of sales and client service efforts.

SUPERVISORY RESPONSIBILITIES

  • Administers company personnel policies in all areas and follows company staffing standards and training recommendations.

  • Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.

  • Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS

Education & Licensing: Baccalaureate degree from an accredited college or university preferred.Licenses as required.

Experience: Eight (8) years claims management experience including two (2) years supervisory experience or equivalent combination of experience and education.

Licensing / Jurisdiction Knowledge: California workers compensation claims knowledge required; SIP certificate required

TAKING CARE OF YOU

  • Flexible work schedule.
  • Referral incentive program.
  • Opportunity to work in an agile environment. [If Applicable]
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding, travel as required

Auditory/Visual:Hearing, vision and talking

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $115,000 - $125,000 per year. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

#Claims #ClaimsManager #Hybrid #LI-Remote #LI-AM1

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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