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

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Workers Compensation Claims

Los Angeles, CA · Remote

$85K - $95K/yr

This role acts as the bridge between clients, carriers, and claims adjusters--helping ensure claims are handled efficiently and clients feel supported throughout the process. Location: Remote ...

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Remote Claims Processor information

See Carson, CA salary details

$12

$20

$27

How much do remote claims processor jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for remote claims processor in Carson, CA is $20.04, according to ZipRecruiter salary data. Most workers in this role earn between $17.12 and $21.63 per hour, depending on experience, location, and employer.

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 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 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 Carson, CA? For Remote Claims Processor jobs in Carson, CA, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Carson, CA look for? The top searched job categories for Remote Claims Processor jobs in Carson, CA are:
What cities near Carson, CA are hiring for Remote Claims Processor jobs? Cities near Carson, CA with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you

Claims Examiner (Remote/Hybrid work available)

Imperial Management Administrators Services Inc

Pasadena, CA • Remote

$22 - $30/hr

Full-time

Posted 17 days ago

Job description

JOB TITLE: Claims Examiner

***Remote / Hybrid work offered when metrics are exceeded and sustained.***

JOB SUMMARY: Responsible for adjudicating complex claims, which include high-dollar claims. Responsible for accurate manual/auto pricing of claims. Identify provider billing issues that impact claims processing. Works closely with the Supervisor to identify any reporting or training needs and system problems that may be encountered. Maintains quality and production standards, teamwork, and complies with company/administrative policies and guidelines.

ESSENTIAL JOB FUNCTIONS:

Analyze, process, research, adjust and adjudicate claims with the use of accurate procedure/revenue and ICD-9 codes, under the correct provider and member benefits, i.e. co-payment, deductible, etc.

Review and process facility (UB-04) and professional claims (CMS-1500).

Process claims based on contractual agreements, health plan division of financial responsibility, applicable regulatory legislature, claims processing guidelines and client groups’ and company policies and procedures.

Process Medicare member claims based on DMHC and DHS regulatory legislature.

Respond to and resolve provider and health plan claims inquiries and give resolution in a timely manner.

Review services for appropriateness of charges and apply authorization guidelines during claims processing.

Monitor and track age, pended, and open reports to maintain timeliness in claims processing based on individual work allocation report.

Maintain quality and productivity standards, teamwork, and comply with company/administrative guidelines.

Ensures compliance with all applicable Federal, State and/or County laws and regulations related to our documented guidelines and processes.

Adheres to payroll policies and properly uses timekeeping system with minimal manual changes


  • Must have at least 2 years of applicable healthcare claims adjudication experience within the managed care industry
  • Experience with ICD-9, HCPCS, CPT coding, APC, ASC and DRG pricing, CMS, DMHC regulations, facility and professional claim billing practices required