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Part Time Remote Claims Analyst Jobs in California

LIBERTY DENTAL

$74 - $82/hr

Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Review dental claims, referrals, and prior authorization requests across multiple lines of business.

Liberty Dental Plan Careers

$74 - $82/hr

Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Review dental claims, referrals, and prior authorization requests across multiple lines of business.

LIBERTY DENTAL

$74 - $82/hr

Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Review dental claims, referrals, and prior authorization requests across multiple lines of business.

Air Aviation LLC

Manufacturing Engineer

San Jose, CA · Remote

$85K - $110K/yr

Air Aviation is seeking a Manufacturing Engineer to support client projects on a part-time remote ... Responsibilities: * Perform engineering analysis, modeling, and design for assigned projects.

Apexchat

Part Time REMOTE Call Center Agent

San Ramon, CA · On-site +1

$11 - $12/hr

Join our team as a PART TIME Call Center Agent, where you'll play a crucial role as the primary ... Analyze issues, troubleshoot problems, and provide efficient solutions. * Product/Service Expertise:

Apexchat

Part Time REMOTE Call Center Agent

San Ramon, CA · Remote

$11 - $12/hr

Join our team as a PART TIME Call Center Agent, where you'll play a crucial role as the primary ... Analyze issues, troubleshoot problems, and provide efficient solutions. * Product/Service Expertise:

Apexchat

Part Time REMOTE Call Center Agent

San Ramon, CA · Remote

$11 - $12/hr

Join our team as a PART TIME Call Center Agent, where you'll play a crucial role as the primary ... Analyze issues, troubleshoot problems, and provide efficient solutions. * Product/Service Expertise:

Apexchat

Part Time REMOTE Call Center Agent

San Ramon, CA · On-site +1

$11 - $12/hr

Join our team as a PART TIME Call Center Agent, where you'll play a crucial role as the primary ... Analyze issues, troubleshoot problems, and provide efficient solutions. * Product/Service Expertise:

Thompson Gray

Budget Analyst

Mountain View, CA · On-site +1

Budget Analyst Full-Time/Part-Time: Part-Time Worksite details ... Onsite/Remote Part-Time/Ames Research Center, CA Required Education and Experience * Bachelor ...

Booz Allen Hamilton, Inc.

Data Analyst

San Diego, CA · On-site +1

$61K - $141K/yr

Remote Work: No Job Number: R0243644 Location: San Diego,CA,US Share job via: Share Data Analyst ... Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible ...

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All JobsClaims Analyst JobsPart Time Remote Claims Analyst JobsPart Time Remote Claims Analyst Jobs in California

Part Time Remote Claims Analyst information

What is the difference between Part Time Remote Claims Analyst vs Part Time Remote Insurance Adjuster?

AspectPart Time Remote Claims AnalystPart Time Remote Insurance Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require certifications like AIC or CPCUHigh school diploma; certifications like AIC or state licensing may be preferred
Work EnvironmentRemote, primarily computer-based, analyzing claims dataRemote, fieldwork sometimes involved, but often claims review remotely
Employer & Industry UsageInsurance companies, third-party administrators, healthcare providersInsurance carriers, adjusting firms, claims management companies

The Part Time Remote Claims Analyst and Part Time Remote Insurance Adjuster roles share similarities in remote work settings and industry usage. However, claims analysts focus on data analysis and claims processing, while insurance adjusters often evaluate damages and investigate claims, sometimes involving fieldwork. Both roles require relevant certifications and are integral to the insurance industry, but their daily tasks and responsibilities differ.

What are the key skills and qualifications needed to thrive as a part time remote claims analyst, and why are they important?

To thrive as a Part Time Remote Claims Analyst, you need strong analytical skills, attention to detail, and a background in insurance, finance, or a related field, often supported by relevant experience or an associate’s/bachelor’s degree. Familiarity with claims management software, Microsoft Office Suite, and sometimes specific certifications like AIC (Associate in Claims) is typically required. Excellent communication, time management, and self-motivation are vital soft skills for success in a remote and often autonomous environment. These abilities ensure accurate claims processing, efficient workflow, and effective collaboration with clients and team members from a distance.

How do part time remote claims analysts typically communicate and collaborate with team members and supervisors?

Part Time Remote Claims Analysts usually rely on a variety of digital tools to stay connected with their teams, such as email, instant messaging platforms, and video conferencing software. Regular virtual meetings are held to discuss claim statuses, share updates, and address any challenges. Collaboration is often facilitated through shared document management systems, which allow for smooth handoffs and real-time feedback. Despite working remotely and part-time, maintaining clear and consistent communication is essential for ensuring accuracy and meeting deadlines.

What does a part time remote claims analyst do?

A Part Time Remote Claims Analyst reviews and processes insurance claims from home, typically working less than 40 hours per week. Their main responsibilities include evaluating claim forms, verifying information, determining coverage, and communicating with clients or medical providers. They ensure that claims are accurate, complete, and comply with company policies before approving or denying them. Working remotely allows for flexible scheduling, making this role ideal for those seeking work-life balance.
What are the most commonly searched types of Remote Claims Analyst jobs in California? The most popular types of Remote Claims Analyst jobs in California are:
What are popular job titles related to Part Time Remote Claims Analyst jobs in California? For Part Time Remote Claims Analyst jobs in California, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Claims Analyst jobs in California look for? The top searched job categories for Part Time Remote Claims Analyst jobs in California are:
What cities in California are hiring for Part Time Remote Claims Analyst jobs? Cities in California with the most Part Time Remote Claims Analyst job openings:
Part Time Remote Claims Analyst jobs near you
Infographic showing various Part Time Remote Claims Analyst job openings in California as of August 2026, with employment types broken down into 1% Internship, 73% Full Time, 17% Part Time, 3% Temporary, and 6% Contract. Highlights an 81% Physical, 7% Hybrid, and 12% Remote job distribution.

Staff Dentist (Part-Time, Remote, California License)

LIBERTY DENTAL

On-site, Remote

$74 - $82/hr

Part-time

Medical, Dental, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Help Shape Better Oral Health Outcomes at Liberty Dental Plan
At Liberty Dental Plan, our mission is to improve oral health by delivering high-quality, accessible, and cost-effective dental benefits. We are seeking an experienced Staff Dentist to join our clinical team and play a critical role in supporting our Utilization Management (UM) and Utilization Review (UR) programs.
This fully remote opportunity offers a consistent 20-hour-per-week schedule, allowing experienced dentists to apply their clinical expertise in a collaborative managed care environment while helping improve access to high-quality oral healthcare. You will review dental claims, prior authorizations, referrals, and treatment requests across Commercial, Marketplace Exchange, Medicare Advantage, and Medicaid populations, helping ensure members receive appropriate, evidence-based care while supporting quality outcomes and regulatory compliance.
About the Role
The Staff Dentist is responsible for performing timely, accurate, and clinically sound reviews of dental claims and service requests. Working closely with providers, dental leadership, and cross-functional teams, you will support consistent coverage determinations, quality improvement initiatives, and exceptional member experiences.
Employment Type: Part-Time, Non-Exempt
Work Arrangement: Fully Remote
Schedule: 20 hours per week
Compensation: $74.00 - $82.00 per hour
What You'll Do
Utilization Management & Clinical Review
  • Review dental claims, referrals, and prior authorization requests across multiple lines of business.
  • Apply clinical expertise to evaluate treatment plans, radiographs, chart notes, and supporting documentation.
  • Make coverage determinations based on benefit plans, clinical guidelines, medical necessity criteria, and applicable policies.
  • Meet established productivity, quality, and turnaround-time standards.
  • Document clinical rationale clearly and accurately in accordance with regulatory and accreditation requirements.
Clinical Quality & Consistency
  • Participate in calibration sessions to promote consistency and accuracy in clinical decision-making.
  • Complete inter-rater reliability assessments and support ongoing quality improvement efforts.
  • Collaborate with leadership and peers to address complex clinical scenarios and interpretation questions.
  • Incorporate audit findings and feedback to continuously enhance determination accuracy and documentation quality.
Provider Engagement & Peer Collaboration
  • Conduct peer-to-peer consultations with treating providers regarding clinical determinations and treatment alternatives.
  • Participate in grievance, appeal, and secondary review activities.
  • Consult with dental specialists and subject matter experts as needed to support informed clinical decision-making.
Regulatory & Operational Support
  • Maintain expertise in Liberty Dental Plan benefit structures and applicable Medicaid programs.
  • Support regulatory reporting and accreditation-related activities.
  • Stay current with ADA CDT coding updates, evidence-based treatment guidelines, and state-specific requirements.
  • Participate in required training programs, departmental meetings, and organizational initiatives.
What You'll Bring
Required Qualifications
  • DDS or DMD degree from an accredited dental school.
  • Current, active, and unrestricted California dental license in good standing.
  • Minimum of six (6) years of experience as a practicing dentist.
  • Ability to successfully complete Liberty Dental Plan credentialing and recredentialing requirements.
  • Strong knowledge of dental procedures, clinical guidelines, coding standards, and medical necessity criteria.
  • Ability to review and interpret dental radiographs, treatment plans, and chart documentation.
  • Excellent written and verbal communication skills.
  • Ability to manage review volumes efficiently while maintaining quality and compliance standards.
Preferred Qualifications
  • Experience in dental claims review, utilization management, managed care, or payer environments.
  • Experience training, coaching, or mentoring clinical peers.
  • Familiarity with claims adjudication systems and clinical review platforms.
  • Experience with AI-assisted review technologies such as Overjet or similar solutions.
  • Exposure to project management and quality improvement initiatives.
Knowledge, Skills & Abilities
  • Understanding of commercial, Medicare, Medicaid, and managed care dental programs.
  • Knowledge of reimbursement methodologies, utilization management principles, and regulatory requirements.
  • Ability to clearly communicate and support evidence-based clinical determinations.
  • Strong computer proficiency and the ability to quickly learn new technology platforms.
  • Ability to work effectively in a collaborative, team-oriented environment.
  • Commitment to maintaining all required licensure and continuing education requirements.
Why Join Liberty Dental Plan?
  • Make a meaningful impact on the oral health of diverse member populations.
  • Apply your clinical expertise in a collaborative, mission-driven organization.
  • Help drive quality, consistency, and innovation in dental utilization management.
  • Work alongside experienced dental and healthcare professionals dedicated to improving access to care.
  • Enjoy the flexibility of a fully remote position with a predictable 20-hour-per-week schedule and competitive hourly compensation.
Ready to Make an Impact?
If you are a licensed California dentist passionate about clinical excellence, evidence-based decision-making, and improving oral health outcomes, we encourage you to apply today and join Liberty Dental Plan's dedicated clinical team.
Location
Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.
What Liberty Offers
Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.
Our first-class benefits package supports employees and their dependents with:
  • Competitive pay structure and savings options to help you reach your financial goals.
  • Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
  • Employee Assistance Program (EAP) to support mental health and well-being.
  • Generous vacation and sick leave policies, with the ability to roll over unused time.
  • Paid company holidays.
  • Remote or hybrid work options available for various positions.

Compensation
In the spirit of pay transparency, the base salary range for this position is $74.00 - $82.00 an hour, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.

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