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Remote Claims Processor Jobs in Burlingame, CA (NOW HIRING)

Gallagher

Claims Examiner

Oakland, CA · Remote

Overview This is a remote position located in California. Keenan is a leading insurance brokerage ... The Claims Examiner is responsible for liability claims and property damage claims to their ...

Gallagher

Senior Claims Examiner

Pleasanton, CA · Remote

$36.25 - $49.25/hr

Overview This is a remote position based in California, and candidates must reside within the state ... As a Senior Claims Examiner, you'll play a vital role in helping businesses and individuals ...

Deloitte

Epic Denials Manager

San Jose, CA · Remote

... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

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Remote Claims Processor information

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$29

How much do remote claims processor jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote claims processor in Burlingame, CA is $21.64, according to ZipRecruiter salary data. Most workers in this role earn between $18.46 and $23.37 per hour, depending on experience, location, and employer.

What does a remote claims processor do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a remote claims processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

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 strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

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

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

What is the difference between Remote Claims Processor vs Remote Claims Examiner?

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs

What are popular job titles related to Remote Claims Processor jobs in Burlingame, CA?

For Remote Claims Processor jobs in Burlingame, CA, the most frequently searched job titles are:

What cities near Burlingame, CA are hiring for Remote Claims Processor jobs?

Cities near Burlingame, CA with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Burlingame, CA as of August 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $45,010 per year, or $21.6 per hour.

Product Manager - Claims & Payments

Maven Clinic

San Francisco, CA • On-site, Remote

$160K - $185K/yr

Full-time

Re-posted 13 days ago

Job description

Maven is hiring an Product Manager - Claims & Payments - the infrastructure that ensures members, providers, and employers are paid accurately and on time. This is a high-impact surface that touches every clinical program Maven runs. Getting it right is foundational to everything else working.

This is an early-career role with real ownership. You will work closely with the VP of Product, Healthcare and partner with engineering, operations, and finance to deliver on a roadmap that includes in-house claims adjudication, payer integrations, and the operational tooling that keeps Maven's payments infrastructure running. This is a builder role - you will be hands-on in the work from day one.

What you will do

  • Own the Claims & Payments product surface: claims adjudication logic, payer and employer reconciliation, payment operations tooling, and provider payments
  • Partner with engineering and operations to define requirements, write specs, and ship improvements to claims processing workflows
  • Instrument and monitor claims and payments data - identify where errors occur, where reconciliation breaks down, and surface findings to the team
  • Work closely with Finance, Revenue Operations, and Payment Operations to understand business requirements and translate them into product solutions
  • Support the long-term migration away from Alegeus - contributing to discovery, requirements gathering, and execution as the roadmap evolves
  • Learn Maven's payments infrastructure end to end - payer integrations, adjudication logic, employer configuration - and become the person who knows it best

What we are looking for

  • 2-5+ years of product, operations, or analytical experience - ideally in healthcare, fintech, or a complex B2B2C environment
  • Curiosity about how payments and claims systems work - you don't need to be an expert on day one but you need to want to become one
  • Strong analytical skills: you are comfortable in data, can identify patterns, and communicate findings clearly
  • Detail orientation - claims and payments work requires precision. Errors have real consequences for members and providers.
  • High ownership mentality: you follow through, you flag issues early, and you do not wait to be told what to do next
  • Clear written and verbal communication - you can translate complex system behavior into plain language for non-technical stakeholders
  • Familiarity with AI-assisted workflows is a plus - we expect all PMs to work in an agentic development environment

The base salary range for this role is $160,000 - $185,000 per year. You will also be entitled to receive equity and benefits. Individual pay decisions are based on qualifications, experience, and skillset.

Maven embraces a flexible hybrid work model. This role is open to candidates in remote locations with a strong preference for San Francisco, CA; secondary locations include Seattle, WA and New York, NY.

Our teams primarily operate from the New York Metropolitan area, NY, San Francisco/Bay Area, CA, and Seattle, WA. For those in our New York City office, we encourage in-person collaboration by requiring team members to work onsite three days a week  (Tuesday, Wednesday, Thursday). For those based in San Francisco/Bay Area, CA, and Seattle, WA, we encourage in-person collaboration by requiring team members to attend quarterly Work Together Days within these cities. This policy aims to balance remote work flexibility with the benefits of face-to-face interaction.

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