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Remote Claims Manager Jobs in California (NOW HIRING)

Gallagher

Senior Resolution Manager

Sacramento, CA · Remote

This role is fully remote work. How you'll make an impact * Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and ...

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Remote Claims Manager information

What is a remote claims manager?

A Remote Claims Manager oversees the processing, evaluation, and resolution of insurance claims while working from a remote location. They ensure claims are handled efficiently, fairly, and in compliance with company policies and regulations. Responsibilities typically include supervising claims adjusters, reviewing complex cases, and improving claims handling processes. Strong analytical skills, attention to detail, and the ability to manage a remote team are essential for this role.

What are some common challenges faced by remote claims managers, and how can they be addressed?

Remote Claims Managers often face challenges such as maintaining efficient communication with team members and clients, managing a high volume of claims, and ensuring compliance with regulatory guidelines across multiple jurisdictions. Overcoming these challenges requires strong organizational skills, use of collaborative digital tools, and a proactive approach to problem-solving. Staying up to date with industry best practices and participating in regular training can also help remote claims managers remain effective and adapt to changing requirements. By establishing clear workflows and leveraging technology, you can ensure successful outcomes and support your team's performance, even in a virtual environment.

What are the key skills and qualifications needed to thrive in the remote claims manager position, and why are they important?

To excel as a Remote Claims Manager, you need strong analytical abilities, comprehensive knowledge of claims processes, and typically a relevant degree or substantial experience in insurance or claims management. Familiarity with claims management systems, CRM software, and relevant certifications like CPCU or AIC is valuable. Excellent communication, decision-making, and organizational skills help set outstanding candidates apart in this role. These qualifications ensure efficient claims handling, regulatory compliance, and effective remote team leadership.

How much do remote claims managers make in the US?

Remote claims managers in the US typically earn between $60,000 and $90,000 annually, with the median salary around $75,000. Compensation varies based on experience, location, and the size of the organization, and often includes benefits such as health insurance and paid time off.

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 Manager jobs in California?

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

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

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

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

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

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

Workers Compensation Claims Examiner

Imagine Staffing Technology

Long Beach, CA • Remote

$70/hr

Full-time

Re-posted 8 days ago

Job description

Job Profile
Job Title: Claims Examiner
Location: Long Beach, CA -must live in CA
Hire Type: Contingent
Pay Range: $70/hr.
Work Model: Remote in CA
Work Shift: Monday-Friday 8 am – 4:30 pm
Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305
Nature & Scope:
Positional Overview
We are seeking an experienced Workers Compensation Claims Examiner to manage complex California workers’ compensation claims, including indemnity and litigated cases. This role is responsible for investigating claims, determining benefits, managing litigation, negotiating settlements, and ensuring timely adjudication in accordance with client requirements, industry regulations, and best practices. MUST HAVE SIP cert.
Role & Responsibility:
Tasks That Will Lead to Your Success
  • Analyze and process complex workers’ compensation claims by investigating facts, gathering documentation, and evaluating claim exposure.
  • Develop and manage strategic action plans to bring claims to timely and appropriate resolution.
  • Negotiate settlements within established authority limits.
  • Establish, monitor, and adjust claim reserves throughout the life of the claim.
  • Determine benefits due and authorize claim payments and adjustments.
  • Prepare and submit required state filings within statutory deadlines.
  • Manage litigated claims and coordinate with defense counsel, medical providers, investigators, and other vendors.
  • Utilize cost-containment strategies and vendor partnerships to achieve efficient claim outcomes.
  • Identify and pursue subrogation opportunities, Second Injury Fund recoveries, and Social Security/Medicare offsets.
  • Report claims to excess carriers and respond to requests for information promptly and professionally.
  • Maintain clear communication with claimants, clients, attorneys, and internal stakeholders regarding claim status and activity.
  • Ensure claim files are thoroughly documented and accurately coded in the claims management system.
  • Refer complex issues and claims to management as appropriate.
  • Support quality initiatives and perform additional duties as assigned.
Skills & Experience
Qualifications That Will Help You Thrive
  • Current or recent California workers’ compensation indemnity claims handling experience.
  • Experience managing litigated workers’ compensation claims.
  • Self-Insured Plans (SIP) certification required.
  • Minimum of five (5) years of claims management experience or an equivalent combination of education and experience.
  • Strong knowledge of California workers’ compensation laws, regulations, and claims handling practices.
Preferred Qualifications
  • Bachelor’s degree from an accredited college or university.
  • Professional certification related to workers’ compensation claims handling.
  • Ability to attend occasional onsite meetings in Long Beach or Roseville, California.
  • Excellent analytical, investigative, and problem-solving abilities.
  • Strong negotiation and settlement management skills.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Office and claims management systems.
  • Strong organizational and time-management skills.
  • Ability to work independently and collaboratively in a remote environment.
  • Commitment to delivering exceptional service and maintaining professional client relationships.