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Remote Claims Examiner Jobs in Santa Rosa, CA (NOW HIRING)

Claims Advocate Specialist

Santa Rosa, CA · Remote

$20.34 - $27.12/hr

Investigating, analyzing and responding to highly complex claims from escalated to management ... 12 Hourly, Remote This hiring range is a reasonable estimate of the base pay range for this ...

Customer Representative Agent

Napa, CA · Remote

$18.25 - $24.75/hr

Perks * 100% remote work with flexible scheduling. * Opportunities for growth within the agency. * Travel perks and exclusive industry discounts. * Supportive team environment with ongoing training.

Remote Claims Examiner information

See Santa Rosa, CA salary details

$16

$32

$50

How much do remote claims examiner jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote claims examiner in Santa Rosa, CA is $32.15, according to ZipRecruiter salary data. Most workers in this role earn between $24.42 and $38.37 per hour, depending on experience, location, and employer.

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.

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 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 are popular job titles related to Remote Claims Examiner jobs in Santa Rosa, CA?

For Remote Claims Examiner jobs in Santa Rosa, CA, the most frequently searched job titles are:

What job categories do people searching Remote Claims Examiner jobs in Santa Rosa, CA look for?

The top searched job categories for Remote Claims Examiner jobs in Santa Rosa, CA are:

What cities near Santa Rosa, CA are hiring for Remote Claims Examiner jobs?

Cities near Santa Rosa, CA with the most Remote Claims Examiner job openings:

Infographic showing various Remote Claims Examiner job openings in Santa Rosa, CA as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 12% Part Time, and 4% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $66,864 per year, or $32.1 per hour.

Claims Advocate Specialist

First American Financial Corporation

Santa Rosa, CA • On-site, Remote

$20.34 - $27.12/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 25 days ago


Job description

Who We Are
Join a team that puts its People First! As a member of First American's family of companies, First American Home Warranty offers a wide range of home warranty products and services to home sellers, buyers and agents. Since 1889, First American (NYSE: FAF) has held an unwavering belief in its people. They are passionate about what they do, and we are equally passionate about fostering an environment where all feel welcome, supported, and empowered to be innovative and reach their full potential. Our inclusive, people-first culture has earned our company numerous accolades, including being named to the Fortune 100 Best Companies to Work For® list for eleven consecutive years. We have also earned awards as a best place to work for women, diversity and LGBTQ+ employees, and have been included on more than 50 regional best places to work lists. First American will always strive to be a great place to work, for all. For more information, please visit www.careers.firstam.com.
What We Do
As a member of the First American family of companies, First American Home Warranty offers a wide range of home warranty products and services to home sellers, buyers and agents. Because our employees enable our future, we invest in theirs by supporting their careers and promoting their overall wellbeing. First American has created an award-winning culture and has been named to the Fortune 100 Best Companies to Work For® 2018 list for the sixth consecutive year
The Claims Advocate is responsible for finding resolution to highly complex or highly escalated claims that cannot be handled through normal claims channels.
The primary functions of the role include:
  • Investigating, analyzing and responding to highly complex claims from escalated to management, Corporate or other lines of business
  • Managing support on inbound rotary to review high priority claims, while resolving multiple customer inquiries simultaneously
  • Answering incoming calls, chats, emails and voicemails from customers and contractors providing assistance with call volume and back office work as needed
  • Offering and effectively explaining terms and conditions of claim options, denial, cash out, replacement, reimbursement, outside reimbursement and process payment requests
  • Piloting innovative company initiatives

Requirements:
  • Bachelors Degree or commensurate work experience
  • 1-2 years of previous customer service experience
  • Excellent communication skills (Oral and written)
  • Basic mechanical, technical and contract knowledge and understanding
  • Exceptional customer service skills
  • Possess analytical and investigative skills
  • Proficient in Microsoft Word, Outlook and ability to navigate through Access
  • Fundamental understanding of the home warranty industry
  • Ability to keep composure in hostile conversations

Preferred
  • Previous leadership experience desired but not required (experience could be work related, school or extracurricular activities related)

Pay Range: $20.34 - $27.12 Hourly, Remote
This hiring range is a reasonable estimate of the base pay range for this position at the time of posting. Pay is based on a number of factors which may include job-related knowledge, skills, experience, business requirements and geographic location.
** Note that the following statements only apply to candidates who will be working from an unincorporated area within Los Angeles County. **
First American will consider for employment all qualified applicants, including those with arrest or conviction records, in a manner consistent with the requirements of applicable state and local laws (e.g., the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act).
First American intends to conduct a review of an applicant's criminal history in connection with a conditional offer. First American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements.
What We Offer
By choice, we don't simply accept individuality - we embrace it, we support it, and we thrive on it! Our People First culture is inclusive for all employees - not just because it's the right thing to do, but because it's the key to our success. We are proud to foster an authentic and inclusive workplace For All. You are free and encouraged to bring your entire, unique self to work. First American is an equal opportunity employer in every sense of the term.
Based on eligibility, First American offers a comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick leave and other great benefits like an employee stock purchase plan.