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

Gallagher

Claims Examiner

Torrance, 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 ...

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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 Sep 6, 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 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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For Remote Claims Processor jobs in Carson, CA, the most frequently searched job titles are:

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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
Infographic showing various Remote Claims Processor job openings in Carson, CA as of August 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $41,690 per year, or $20 per hour.

Workers Compensation Claims Examiner

Imagine Staffing Technology

Long Beach, CA • Remote

$70/hr

Full-time

Re-posted 27 days ago

Job description

Job Profile 
Job Title: Claims Examiner
Location: Long Beach, CA -must live in CA
Hire Type: Contingent 
Pay Range: $70/hr.
Work Model: Remote in CA
Work Shift: Monday-Friday  8 am – 4:30 pm 
Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305  
 
Nature & Scope:
Positional Overview
 
We are seeking an experienced Workers Compensation Claims Examiner to manage complex California workers’ compensation claims, including indemnity and litigated cases. This role is responsible for investigating claims, determining benefits, managing litigation, negotiating settlements, and ensuring timely adjudication in accordance with client requirements, industry regulations, and best practices. MUST HAVE SIP cert.
 
Role & Responsibility:
Tasks That Will Lead to Your Success
  • Analyze and process complex workers’ compensation claims by investigating facts, gathering documentation, and evaluating claim exposure.
  • Develop and manage strategic action plans to bring claims to timely and appropriate resolution.
  • Negotiate settlements within established authority limits.
  • Establish, monitor, and adjust claim reserves throughout the life of the claim.
  • Determine benefits due and authorize claim payments and adjustments.
  • Prepare and submit required state filings within statutory deadlines.
  • Manage litigated claims and coordinate with defense counsel, medical providers, investigators, and other vendors.
  • Utilize cost-containment strategies and vendor partnerships to achieve efficient claim outcomes.
  • Identify and pursue subrogation opportunities, Second Injury Fund recoveries, and Social Security/Medicare offsets.
  • Report claims to excess carriers and respond to requests for information promptly and professionally.
  • Maintain clear communication with claimants, clients, attorneys, and internal stakeholders regarding claim status and activity.
  • Ensure claim files are thoroughly documented and accurately coded in the claims management system.
  • Refer complex issues and claims to management as appropriate.
  • Support quality initiatives and perform additional duties as assigned.
Skills & Experience
Qualifications That Will Help You Thrive
 
  • Current or recent California workers’ compensation indemnity claims handling experience.
  • Experience managing litigated workers’ compensation claims.
  • Self-Insured Plans (SIP) certification required.
  • Minimum of five (5) years of claims management experience or an equivalent combination of education and experience.
  • Strong knowledge of California workers’ compensation laws, regulations, and claims handling practices.
Preferred Qualifications
  • Bachelor’s degree from an accredited college or university.
  • Professional certification related to workers’ compensation claims handling.
  • Ability to attend occasional onsite meetings in Long Beach or Roseville, California.
  • Excellent analytical, investigative, and problem-solving abilities.
  • Strong negotiation and settlement management skills.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Office and claims management systems.
  • Strong organizational and time-management skills.
  • Ability to work independently and collaboratively in a remote environment.
  • Commitment to delivering exceptional service and maintaining professional client relationships.