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Remote Claims Assistant Jobs in California (NOW HIRING)

Allcat Claims Service

Claims Examiner

Los Angeles, CA · On-site +1

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

LIBERTY DENTAL

Registered Dental Assistant (RDA) certification. * Front office and/or back office dental practice experience. What to Expect This is a fully remote position supporting claims operations. Team ...

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Remote Claims Assistant information

What is a remote claims assistant?

Remote Claims Assistants are professionals who help process insurance claims from a remote location, often working from home. Their main duties include reviewing claim documents, verifying information, communicating with clients or claimants, and assisting claims adjusters in resolving cases. Using digital tools and secure platforms, they ensure claims are handled efficiently and in compliance with company policies. This role requires strong organizational skills, attention to detail, and the ability to communicate clearly with both customers and colleagues.

What skills and qualifications are needed to be a remote claims assistant?

To thrive as a Remote Claims Assistant, you need strong organizational abilities, attention to detail, and a background in administrative support or insurance claims processing. Familiarity with claims management software, basic data entry tools, and secure document handling systems is typically required. Outstanding communication, time management, and problem-solving skills help you excel in a virtual team environment. These competencies are crucial for ensuring efficient, accurate claims handling and superior customer service from a remote setting.

What are common challenges faced by remote claims assistants and how can they be managed?

Remote Claims Assistants often face challenges such as staying organized while handling multiple claims, maintaining clear communication with claimants and team members across different time zones, and adapting to various claims management systems. To manage these effectively, it's important to develop strong time management skills, utilize digital tools for tracking tasks, and establish regular check-ins with supervisors or peers. Proactive communication and ongoing training on the company's claims process can also help ensure accuracy and efficiency in claim handling.

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

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

What are popular job titles related to Remote Claims Assistant jobs in California?

For Remote Claims Assistant jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Claims Assistant jobs in California look for?

The top searched job categories for Remote Claims Assistant jobs in California are:

What cities in California are hiring for Remote Claims Assistant jobs?

Cities in California with the most Remote Claims Assistant job openings:

Remote Claims Assistant jobs near you
Infographic showing various Remote Claims Assistant job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Experienced Claims Adjuster

Berkshire Hathaway Homestate Companies

Sacramento, CA • On-site, Remote

$70K - $95K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted yesterday

Job description

WHAT WE'RE LOOKING FOR
Berkshire Hathaway Homestate Companies has an immediate opportunity for an experienced workers compensation adjuster. We're looking for self-starters who can work under minimum direction, can achieve defined results, and are willing to accept ownership for their work product.
 
This Claims Professional is responsible for the management of a caseload of workers compensation indemnity claims from inception to resolution, performing initial investigation and compensability determination, reserve analysis and strategic planning, timely benefit administration to injured workers, and coordination of medical care and legal process, while maintaining the highest level of service to our insureds.
ESSENTIAL RESPONSIBILITIES
  • Conducts the investigation of reported claims via three-point contact calls to determine coverage, compensability and severity, and to gather all other relevant information, documenting all relevant information thoroughly and escalating the investigation for further investigation when appropriate.
  • Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines.
  • Calculates and administers benefits in accordance with statutory requirements, including timely issuance of appropriate notices and filings.
  • Develops and updates a Plan of Action for the successful resolution of each claim; timely updates Plan as new information is obtained.
  • Makes prompt, sound decisions on issues that arise in claims based on the best information available, ensuring that work is performed in accordance with Company standards, training, supervisory direction, and applicable laws.  Timely escalates issues/red flags to Supervisor and/or appropriate internal team.
  • Ensures that the actions of all other professionals involved in claim, including attorneys, nurse case managers, and investigators, are coordinated to achieve a successful resolution of the claim.
  • Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently.
  • Accurately and thoroughly prepares litigation referrals, AOE/COE investigation referrals, and MSA referrals for submission to vendor; obtains proper approval from Management.
  • Prepares timely and accurate settlement recommendations (within designated authority parameters) and effectively negotiates settlement of claims.
  • Fosters a positive and close working relationship with partner company staff, including the Call Center, Medical Management, Special Investigations, Client Services, Underwriting, and Claims Legal.
  • Communicates effectively with individuals outside the company, including clients, medical providers, and injured workers.
  • Collaborates with Adjusting staff and relevant interdepartmental personnel on special projects focused on process efficiency.
  • Ensures continual education requirements are met.
REQUIRED QUALIFICATIONS
  • EDUCATION: Minimum of a High School diploma required or equivalent certificate required; Bachelor's degree from four-year College or university preferred.
  • DESIGNATION: Designated as a Claims Adjuster or Experienced Claims Adjuster per the California Code of Regulations and has completed the minimum required continuing education credits to adjust workers compensation claims for the State of California; Self-Insured certification a plus.
  • EXPERIENCE: Minimum of three years of indemnity adjusting experience managing large and/or complex claims and accounts within a workers' compensation carrier required
  • Maintains qualifying educational criteria to adjust workers' compensation claims for the State of California; Self-Insured certification preferred. 
  • Inquisitive, critical thinker; agile learner with adaptive, smart time management skills.
  • To perform this job successfully, an individual should be proficient in the Microsoft Office Suite of applications (highly proficient in Excel preferred), and be proficient on applicable databases, systems and vendor software programs.
WHAT WE OFFER
  • Work-Life Balance
  • Work From Home Program (up to 2 days per week)
  • Reasonable caseload with in-house Medical Management support (UR, Med Bill Review, Resource Nurses); In-house Claims Assistant support
  • Free On-Site Parking
  • Paid Time Off
  • Paid Holidays
  • Retirements Savings Match
  • Group Health Insurance (Medical, Dental, and Vision)
  • Life and AD&D Insurance
  • Long Term Disability Insurance
  • Accident and Critical Illness Insurance
  • Flexible Savings Accounts
  • Paid Community Volunteer Day
  • Employee Assistance Program
  • Tuition Reimbursement Program
  • Employee Referral Program
  • Diversity, Equity and Inclusion Program
$70,304 - $95,130 a year
This pay scale is an estimate of the salary range the employer reasonably expects to pay for the position based on potential employee qualifications, operational needs and other considerations consistent with applicable law. The actual salary may be above or below the range. The pay scale applies only to this position and only if it is filled in California. The pay scale may be different for other positions or in other locations.
ABOUT US
With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.
 
At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace-something we truly value. We've created an approachable and collaborative atmosphere. Here you'll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.
 
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