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Remote Claims Examiner Jobs in Rialto, CA (NOW HIRING)

Gallagher

Claims Assistant

Corona, CA · Remote

$19.25 - $24.50/hr

Overview This is a remote position based in California, and candidates must reside within the state ... As a Claims Assistant, you'll be the backbone of our claims team, assisting Examiners in every ...

Corvel

Claims Supervisor

Rancho Cucamonga, CA · Remote

$73K - $113K/yr

This is a remote work arrangement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in their day-to-day operations * Assists Claims Manager with recruitment, interviewing, and ...

CorVel Corporation

Claims Supervisor

Rancho Cucamonga, CA · Remote

$73K - $113K/yr

This is a remote work arrangement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in their day-to-day operations * Assists Claims Manager with recruitment, interviewing, and ...

Corvel

Medical Only Claims Specialist

Rancho Cucamonga, CA · Remote

$16.74 - $26.92/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation claims, confirms policy coverage and acknowledgement of the claim * Determines the validity and ...

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Remote Claims Examiner information

See Rialto, CA salary details

$15

$29

$46

How much do remote claims examiner jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote claims examiner in Rialto, CA is $29.48, according to ZipRecruiter salary data. Most workers in this role earn between $22.40 and $35.19 per hour, depending on experience, location, and employer.

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

To thrive as a Remote Claims Examiner, you need a solid understanding of insurance policies, analytical skills, and attention to detail, typically supported by a degree in business or a related field and relevant claims experience. Familiarity with claims management software, document management systems, and sometimes certifications like AIC (Associate in Claims) are often required. Strong communication, time management, and problem-solving abilities help you effectively assess claims and collaborate remotely. These skills are crucial for accurate, efficient claims processing and maintaining trust with clients and insurers in a remote environment.

What are some common challenges remote claims examiners face, and how can they overcome them?

Remote Claims Examiners often encounter challenges such as maintaining clear communication with team members and accessing required documentation efficiently. Since the role is remote, staying organized and disciplined is essential to meet deadlines and manage caseloads effectively. Utilizing secure digital platforms, setting regular check-in meetings, and proactively seeking clarification on complex claims can help overcome these challenges. Additionally, embracing ongoing training on claims software and staying updated with industry regulations ensures accurate and timely claim processing.

What does a remote claims examiner do?

Remote claims examiners review insurance claims to ensure they are accurate and completed properly. Instead of working in the office, remote claims examiners work from home or another location outside of the office. As a remote claims examiner, your job duties include researching the claim and gathering supportive documentation, such as medical records, invoices with services rendered, and policy guidelines. Once you have all the necessary information, you may make adjustments to the claim and determine payments or denial of service. You may also be responsible for contacting all parties involved. Complicated claims may require collaboration with a claims adjuster or investigator. Claims examiners work in healthcare, real estate, automotive, government agencies, and other insurance-related industries.

What is a remote claims examiner?

A Remote Claims Examiner is a professional who reviews insurance claims from home or another remote location. Their primary job is to investigate, evaluate, and process claims to determine their validity and the amount that should be paid out. They work for insurance companies, healthcare providers, or third-party administrators, handling documentation, communicating with claimants, and ensuring compliance with regulations. By working remotely, they use digital tools to manage claims and collaborate with other team members online.
More about Remote Claims Examiner jobs
What are the most commonly searched types of Claims Examiner jobs in Rialto, CA? The most popular types of Claims Examiner jobs in Rialto, CA are:
What are popular job titles related to Remote Claims Examiner jobs in Rialto, CA? For Remote Claims Examiner jobs in Rialto, CA, the most frequently searched job titles are:
What job categories do people searching Remote Claims Examiner jobs in Rialto, CA look for? The top searched job categories for Remote Claims Examiner jobs in Rialto, CA are:
What cities near Rialto, CA are hiring for Remote Claims Examiner jobs? Cities near Rialto, CA with the most Remote Claims Examiner job openings:
Remote Claims Examiner jobs near you
Infographic showing various Remote Claims Examiner job openings in Rialto, CA as of August 2026, with employment types broken down into 82% Full Time, and 18% Temporary. Highlights an 100% Remote job distribution, with an average salary of $61,326 per year, or $29.5 per hour.

Workers Compensation Claims Examiner

TEEMA Group

Chino, CA • Remote

$93K - $104K/yr

Full-time

Re-posted 16 days ago

Job description


Claims Examiner (Workers’ Compensation)

Position Summary

Our client is seeking an experienced Claims Examiner to independently manage a full-cycle caseload of workers’ compensation claim from inception through resolution. This role requires strong technical expertise, sound judgment, and the ability to handle highly complex indemnity claims within established authority limits.

This is a highly interactive role requiring regular communication with clients, claimants, attorneys, medical providers, and internal stakeholders. Consistent, reliable attendance and strong organizational discipline are essential to success.

Key Responsibilities

  • Manage a caseload of 150–180 workers’ compensation claims, including complex indemnity cases

  • Conduct timely and thorough investigations to determine claim compensability

  • Administer benefits in accordance with state regulations and company guidelines

  • Oversee medical treatment plans and authorize medical services and billing as appropriate

  • Coordinate with and manage defense counsel on litigated claims

  • Communicate effectively with claimants, providers, vendors, and clients regarding claim status and issues

  • Establish and maintain appropriate claim reserves within authority guidelines

  • Negotiate and finalize claim settlements within designated authority levels

  • Maintain accurate and up-to-date claim documentation and diary systems

  • Provide clients with timely updates, including injury trends and risk insights

  • Conduct independent file reviews and ensure compliance with internal policies

  • Perform additional duties as assigned

Qualifications

Education & Experience

  • Bachelor’s degree in a related field (preferred)

  • 5+ years of workers’ compensation claims experience or equivalent combination of education and experience
    Must have an active California SIP certification - Self Insurance Plans)

Knowledge, Skills & Abilities

  • Strong knowledge of workers’ compensation laws and regulations

  • Familiarity with medical terminology and claims processes

  • Excellent analytical and problem-solving skills

  • Strong written and verbal communication skills

  • Ability to manage high-volume, complex caseloads independently

  • Proficiency in Microsoft Office (Word, Excel preferred)

  • Ability to collaborate effectively with stakeholders at all levels

Certifications

  • Relevant state licenses and/or certifications as required

Work Environment & Physical Requirements

  • Primarily office-based role requiring extended periods of sitting and computer use

  • Frequent communication via phone and email

  • Occasional light physical activity (lifting, reaching, etc.) consistent with a standard office environment

Why This Opportunity Stands Out

This is not an entry-level examiner role. If you’re used to handling basic claims, you’ll get exposed here. This role is built for someone who:

  • Wants ownership of complex files

  • Is confident making decisions within authority

  • Can handle volume without sacrificing quality

If that’s you, this is a strong platform to grow and be recognized.