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Remote Claims Processing Jobs in California (NOW HIRING)

LIBERTY DENTAL

What to Expect This is a fully remote position supporting claims operations. Team members spend the majority of their day reviewing and processing claims, working extensively with computer systems ...

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/hr

Paid time off, flexible schedule, and remote work choices provided Plus, we work to maintain the ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.

Insperity

Medical Claims Examiner

CA · On-site +1

$24 - $30/hr

Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/hr

Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.

Insperity

Director of Claims- Healthcare

Chatsworth, CA · On-site +1

$130K - $160K/yr

The Claims Director ensures timely, accurate, and compliant claims processing while meeting all ... Paid time off, flexible schedule, and remote work one day per week Plus, we work to maintain the ...

Medix

$23/hr

Remote (Candidate should be based in SoCal) Pay : $23/hr Overview of Responsibilities: We are ... The selected candidate should be familiar with HMOs, claims processing, and authorization/referral ...

Western Growers

Claims Examiner I

Fresno, CA · On-site +1

$40K - $52K/yr

Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and health plan regulatory requirements and department guidelines, as ...

Astrana Health

Sr. Manager - Claims

Monterey Park, CA · On-site +1

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance, and support the onboarding of new IPAs and implementations. You'll partner closely with internal ...

Astrana Health, Inc.

Sr. Manager - Claims

Monterey Park, CA · On-site +1

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance, and support the onboarding of new IPAs and implementations. You'll partner closely with internal ...

Molina Healthcare

Examiner, Claims

Long Beach, CA · Remote

$14 - $26.42/hr

Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...

LIBERTY DENTAL

Claims Referral Specialist II

Tustin, CA · On-site +1

Process dental claims, referrals, pre-authorizations, and related transactions within established ... Remote or hybrid work options available for various positions. Compensation In the spirit of pay ...

Molina Healthcare

Senior Examiner, Claims

Long Beach, CA · Remote

$18.50 - $23.50/hr

Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 2 years of experience in claims, and/or customer service experience in a clerical role ...

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All JobsClaims Processing JobsRemote Claims Processing JobsRemote Claims Processing Jobs in California

Remote Claims Processing information

See California salary details

$11

$18

$26

How much do remote claims processing jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for remote claims processing in California is $18.91, according to ZipRecruiter salary data. Most workers in this role earn between $16.15 and $20.38 per hour, depending on experience, location, and employer.

What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?

Remote claims processing professionals often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Effective time management and strong organizational skills are key to handling large workloads efficiently. Regular check-ins with supervisors and using secure, company-approved communication tools can help maintain collaboration and protect sensitive information. Many organizations also provide training and support to help remote processors stay up-to-date with changing regulations and best practices.

What are the key skills and qualifications needed to thrive as a remote claims processor?

To thrive as a Remote Claims Processor, you need a strong understanding of insurance policies, attention to detail, and relevant experience or education in insurance or finance. Familiarity with claims management software, electronic document systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, time management, and problem-solving abilities help you stand out, especially when working independently. These skills ensure accurate, timely claims resolutions and effective collaboration with clients and colleagues in a remote environment.

What is remote claims processing?

Remote claims processing is the evaluation and handling of insurance claims by professionals who work from locations outside of a traditional office, often from home. These processors review claim submissions, verify information, assess coverage, and authorize payments or request additional information. Remote claims processors use secure online systems and communication tools to collaborate with colleagues and clients. This role requires strong attention to detail, confidentiality, and proficiency with digital platforms. Many insurance companies now offer remote claims processing positions to increase flexibility and efficiency.

What is the difference between Remote Claims Processing vs Remote Claims Adjuster?

AspectRemote Claims ProcessingRemote Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentHome-based, administrative settingHome-based or field, investigative and evaluative tasks
Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Job FocusProcessing claims, data entry, customer serviceInvestigating claims, assessing damages, settlement negotiations

Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

What are the most commonly searched types of Claims Processing jobs in California? The most popular types of Claims Processing jobs in California are:
What are popular job titles related to Remote Claims Processing jobs in California? For Remote Claims Processing jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processing jobs in California look for? The top searched job categories for Remote Claims Processing jobs in California are:
What cities in California are hiring for Remote Claims Processing jobs? Cities in California with the most Remote Claims Processing job openings:
Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in California as of August 2026, with employment types broken down into 80% Full Time, 15% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $39,341 per year, or $18.9 per hour.

Claims Processing Expert - Fully Remote | Upto $80/hr

Mercor

San Francisco, CA • Remote

$80/hr

Full-time

Re-posted 9 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Medical Billing Manager
Type: Contract
Compensation: $80/hour
Location: Remote

Role Responsibilities

  • Oversee end-to-end medical billing and claims submission operations across professional fee and/or facility billing environments.
  • Evaluate AI-generated billing outputs, claim edits, and coding validations for accuracy and payer compliance.
  • Manage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements.
  • Monitor clean claim rates, rejection rates, and first-pass acceptance rates. Develop improvement strategies.
  • Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
  • Ensure compliance with CMS billing guidelines, HIPAA 837 transaction standards, and payer-specific billing rules.
  • Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in medical billing and claims management, with at least 2 years in a management role.
  • Deep knowledge of professional fee (CMS-1500/837P) and/or facility (UB-04/837I) billing requirements.
  • Expertise in HIPAA 837 transaction standards, clearinghouse operations, and payer-specific billing rules.
  • Strong understanding of Medicare, Medicaid, and commercial payer billing requirements.
  • Proficiency with billing platforms (Epic, Athenahealth, AdvancedMD, or equivalent) and clearinghouse tools.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify billing errors and compliance issues in AI-generated outputs.

Preferred

  • CPC, CCS, CHFP, or CRCR certification.
  • Experience with automated billing platforms and RCM technology implementations.
  • Background in multi-specialty physician group, hospital, or health system billing operations.
  • Familiarity with AI tools and comfort evaluating AI-generated billing content.
  • Experience with payer contract interpretation and billing compliance program management.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.