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Remote Claims Processing Jobs in California (NOW HIRING)

Canon Recruiting Group

CA WC Adjuster II

Los Angeles, CA · Remote

$70K - $98K/yr

Our remote claims team collaborates cross-functionally to support injured workers, carriers, and medical partners while maintaining compliance with CA regulations and best-in-class customer service.

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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 Jun 9, 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, and why are they important?

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 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 June 2026, with employment types broken down into 86% Full Time, and 14% Part Time. 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.
Analyst, Claims Research - Remote

Analyst, Claims Research - Remote

Molina Healthcare

Long Beach, CA • Remote

Full-time

Posted 8 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

145th of 260 rated insurance

Job description

JOB DESCRIPTION Job Summary

Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution.

Essential Job Duties

Serves as claims subject matter expert - using analytical skills to conduct research and analysis to address issues, requests, and support high-priority claims inquiries and projects.
Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams.
Manages and leads major claims projects of considerable complexity and volume that may be initiated internally, or through provider inquiries/complaints, or legal requests.
Assists with reducing rework by identifying and remediating claims processing issues.
Locates and interprets claims-related regulatory and contractual requirements.
Tailors existing reports and/or available data to meet the needs of claims projects.
Evaluates claims using standard principles and applicable state-specific regulations to identify claims processing errors.
Applies claims processing and technical knowledge to appropriately define a path for short/long-term systematic or operational fixes. 
Seeks to improve overall claims performance, and ensure claims are processed accurately and timely.
Identifies claims requiring reprocessing or readjudication in a timely manner to ensure compliance.
Works collaboratively with internal/external stakeholders to define claims requirements. 
Recommends updates to claims standard operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing.
Fields claims questions from the operations team.
Interprets, communicates, and presents, clear in-depth analysis of claims research results, root-cause analysis, remediation plans and fixes, overall progress, and status of impacted claims.
Appropriately conveys claims-related information and tailors communication based on targeted audiences.
Provides sufficient claims information to internal operations teams that communicate externally with providers and/or members.
Collaborates with other functional teams on claims-related projects, and completes tasks within designated/accelerated timelines to minimize provider/member impacts and maintain compliance.
Supports claims department initiatives to improve overall claims function efficiency.
 

Required Qualifications

At least 3 years of medical claims processing experience, or equivalent combination of relevant education and experience.
Medical claims processing experience across multiple states, markets, and claim types.
Knowledge of claims processing related to inpatient/outpatient facilities contracted with Medicare, Medicaid, and Marketplace government-sponsored programs.
Data research and analysis skills.
Organizational skills and attention to detail.
Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Ability to work cross-collaboratively in a highly matrixed organization.
Customer service skills.
Effective verbal and written communication skills.
Microsoft Office suite (including Excel), and applicable software programs proficiency.
 

Preferred Qualifications

Health care claims analysis experience.
Project management experience.
 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

What Molina Healthcare employees say

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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