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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 ...

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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 6, 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.

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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.

California Workers' Compensation Claims Examiner | Remote

KING'S INSURANCE STAFFING LLC

San Francisco, CA • Remote

$40 - $50/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago

Job description

Our client is seeking an experienced California Workers' Compensation Claims Examiner to join their growing Claims team. This is an excellent opportunity for a claims professional who thrives in a fast-paced, collaborative environment. The ideal candidate will have experience managing indemnity claims from inception through resolution while ensuring compliance with California Workers' Compensation laws and regulations. This is a fully remote, temp-to-perm opportunity.
 
Key Responsibilities:
  • Manage a caseload of California Workers' Compensation claims from inception through resolution.
  • Investigate claims, determine compensability, establish reserves, and develop appropriate claim strategies.
  • Coordinate with injured workers, employers, attorneys, medical providers, and vocational professionals throughout the life of the claim.
  • Review medical records, wage information, and legal documentation to evaluate claim exposure and determine appropriate benefits.
  • Negotiate settlements and work closely with defense counsel on litigated claims.
  • Maintain timely and accurate claim documentation within the claims management system.
  • Ensure compliance with California Workers' Compensation statutes, regulations, and company claim handling guidelines.
Requirements:
  • 5+ years of California Workers' Compensation Claims Examiner experience required.
  • Strong knowledge of California Workers' Compensation laws, regulations, and benefit administration.
  • Must reside in California
  • Experience handling indemnity and litigated California Workers' Compensation claims.
  • Excellent organizational, analytical, negotiation, and communication skills.
  • Ability to independently manage a full caseload in a remote environment.
  • Proficiency with claims management systems and Microsoft Office Suite.
  • SIP certification preferred but not required.
Salary & Benefits:
  • $45.00 – $55.00 per hour, depending on experience
  • Fully remote work environment
  • Medical, Dental, Vision, and 401(k) benefits available while on assignment
  • Strong opportunity for permanent hire based on performance