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Remote Claims Analyst Jobs in Riverside, CA (NOW HIRING)

Allstate

Telephone Claims Adjuster

Ontario, CA · On-site +1

$35.82 - $50.24/hr

Hybrid/remote options available within 6-12 months. Every claim presents a new challenge. This role ... Adjuster Analyst III: $21.20 -- $34.69/hr Adjuster Consultant I: $26.49 -- $40.99/hr Adjuster ...

Corvel

CA Senior Claims Specialist

Rancho Cucamonga, CA · Remote

$29.35 - $47.28/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Ability to identify, analyze and solve problems * Computer proficiency and technical aptitude with ...

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How much do remote claims analyst jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for remote claims analyst in Riverside, CA is $28.58, according to ZipRecruiter salary data. Most workers in this role earn between $21.06 and $32.84 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Claims Analyst position, and why are they important?

Excelling as a Remote Claims Analyst requires strong analytical skills, attention to detail, and a solid understanding of insurance policies and claims processes, typically supported by a relevant bachelor's degree or work experience in insurance or finance. Familiarity with claims management software (such as Guidewire or Xactimate), proficiency in Microsoft Office Suite, and knowledge of data security protocols are highly valuable, while certifications like AIC (Associate in Claims) can be advantageous. Outstanding organizational abilities, time management, strong written and verbal communication, and problem-solving skills help set top performers apart in this remote role. These competencies ensure accurate claim assessments, efficient remote collaboration, and high levels of customer satisfaction.

What are some common challenges faced by Remote Claims Analysts, and how can they be overcome?

Remote Claims Analysts often encounter challenges such as managing a high volume of claims, communicating complex case details virtually, and staying organized without on-site supervision. To overcome these, successful analysts use robust task tracking systems, maintain proactive communication with colleagues and clients through digital channels, and regularly update their knowledge of industry practices. Time management and self-motivation are key to meeting deadlines in a remote work environment. Many employers also provide online training and resources to help analysts adapt and grow in their roles.

What is a Remote Claims Analyst job?

A Remote Claims Analyst reviews and processes insurance claims from a remote location, ensuring accuracy, compliance, and adherence to company policies. They analyze claim details, verify documentation, and determine coverage eligibility. The role may also involve communicating with policyholders, healthcare providers, or other parties to gather necessary information. Strong analytical skills and knowledge of insurance regulations are essential for success in this position.

What are popular job titles related to Remote Claims Analyst jobs in Riverside, CA? For Remote Claims Analyst jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Claims Analyst jobs in Riverside, CA look for? The top searched job categories for Remote Claims Analyst jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Claims Analyst jobs? Cities near Riverside, CA with the most Remote Claims Analyst job openings:
Remote Claims Analyst jobs near you
Claims Examiner - Xcelys Remote, Temporary

Claims Examiner - Xcelys Remote, Temporary

NTT DATA Services

Ontario, CA • On-site, Remote

Temporary

This job post has expired 1 day ago. Applications are no longer accepted.

NTT Data rating

7.3

Company rating: 7.3 out of 10

Based on 90 frontline employees who took The Breakroom Quiz

108th of 204 rated it services

Job description

Req ID: 372350
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a Claims Examiner - Xcelys Remote, Temporary to join our team in Ontario, California (US-CA), United States (US).
  • Reviews written dispute requests received from providers of denied or incorrect payments based on contractual arrangements with providers and non-contractual providers. Regarding either Professional or Institutional Claims.
  • Ability to interpret provider and health plan contracts to ensure accurate payment of claims or denial of services based on the terms of the provider contract and the financial responsibility as set in the health plan contract. Including RBRVS and Medicare guidelines as it applies to contracted and non-contracted providers.
  • Adjust claims, as appropriate, including calculation of interest and penalties due when applicable.
  • Ability to identify potential issues related to system configuration, benefits, eligibility, authorizations, etc. affecting the Claims Departments ability to process claims accurately and forwarding those issues to the correct internal department, attaching all necessary documentation, to ensure the system is updated, as appropriate and follow-up with these departments.
  • Plan and organize workload to ensure efficient and compliance resolution of issues.
  • Communicate to Provider in writing, for all disputes utilizing system formatted letters in a clear and concise manner in accordance with all guidelines set by the department
  • Responsible for requesting special check run requests to insure compliance
  • Warning reports are monitored daily to insure compliance
  • Provider education calls completed based on outcomes of PDR
  • Responsible for documenting each dispute in Provider Dispute Database accurately for reporting purposes for management reports to all customers internally and externally as required by AB1455.
  • Maintain minimum standards set for the department for quality and quantity of appeals received
  • Update Provider Dispute Database with the outcome resolution of issues as appeals are completed
  • Responsible for keeping Team Supervisor aware of potential problem issues for our education to all departments involved with claim issues. Advise management of issues identified which have an impact on accurate processing or system configuration of claims per contracts or guidelines for non-contracted providers.
  • Any other assigned duties and delegated by the Management.

About NTT DATA
NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.
Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us.
NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.

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About NTT DATA

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NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967

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