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Remote Claims Processor Jobs in Long Beach, CA (NOW HIRING)

MSO, INC. OF SOUTHERN CALIFORNIA

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CLAIMS MANAGER

Costa Mesa, CA · Remote

$80K - $110K/yr

Reporting directly to the CEO/President and Compliance Officer, this remote position requires expertise in regulatory compliance and claims processing within a healthcare management environment.

New

MSO, INC. OF SOUTHERN CALIFORNIA

Be Seen First

CLAIMS MANAGER

Costa Mesa, CA · Remote

$80K - $110K/yr

Reporting directly to the CEO/President and Compliance Officer, this remote position requires expertise in regulatory compliance and claims processing within a healthcare management environment.

New

MSO, INC. OF SOUTHERN CALIFORNIA

Be Seen First

CLAIMS MANAGER

Costa Mesa, CA · Remote

$80K - $110K/yr

Reporting directly to the CEO/President and Compliance Officer, this remote position requires expertise in regulatory compliance and claims processing within a healthcare management environment.

New

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/hr

Paid time off, flexible schedule, and remote work choices provided Plus, we work to maintain the ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.

TEEMA Group

Staff Accountant

Covina, CA · Remote

$30 - $35/hr

Claims Coordination: Partner closely with our external claims processor to ensure the timely ... Work Arrangement: 100% remote capacity requiring a consistent commitment of 40 hours per week. Must ...

Allcat Claims Service

Claims Examiner

Los Angeles, CA · On-site +1

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for ...

Molina Healthcare

Examiner, Claims

Long Beach, CA · Remote

$14 - $26.42/hr

Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...

Astrana Health, Inc.

Sr. Manager - Claims

Monterey Park, CA · On-site +1

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance, and support the onboarding of new IPAs and implementations. You'll partner closely with internal ...

Astrana Health

Sr. Manager - Claims

Monterey Park, CA · On-site +1

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance, and support the onboarding of new IPAs and implementations. You'll partner closely with internal ...

Astrana Health, Inc.

Sr. Manager - Claims

Monterey Park, CA · On-site +1

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance, and support the onboarding of new IPAs and implementations. You'll partner closely with internal ...

LIBERTY DENTAL

Claims Referral Specialist II

Tustin, CA · On-site +1

Process dental claims, referrals, pre-authorizations, and related transactions within established ... Remote or hybrid work options available for various positions. Compensation In the spirit of pay ...

Molina Healthcare

Senior Examiner, Claims

Long Beach, CA · Remote

$18.50 - $23.50/hr

Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 2 years of experience in claims, and/or customer service experience in a clerical role ...

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Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote claims processor in Long Beach, CA is $20.15, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $21.73 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

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

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The top searched job categories for Remote Claims Processor jobs in Long Beach, CA are:

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

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

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Long Beach, CA as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $41,915 per year, or $20.2 per hour.

CLAIMS MANAGER

MSO, INC. OF SOUTHERN CALIFORNIA

Costa Mesa, CA • Remote

$80K - $110K/yr

Full-time

Posted 2 days ago

New

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Job description

The Claims Manager at MSO, Inc. of Southern California leads the Claims Department, overseeing a small team to ensure accurate and timely adjudication of managed care claims, primarily Medicare and Medi-Cal. Reporting directly to the CEO/President and Compliance Officer, this remote position requires expertise in regulatory compliance and claims processing within a healthcare management environment. Southern California residency is preferred for occasional on-site meetings.

Responsibilities

  • Supervise and develop a small claims team of 1-5 staff
  • Ensure accurate, timely adjudication of Medicare, Medi-Cal, and Commercial claims
  • Train claims staff and support ongoing professional development
  • Prepare and submit detailed Claims Timeliness and Health Plan reports with proof of submission
  • Manage provider and Health Plan appeals and oversee payment recovery processes
  • Coordinate claims audits and corrective actions with Health Plans, auditors, and providers
  • Develop and update departmental policies, procedures, and process improvements
  • Create performance reports to monitor staff metrics and identify training needs
  • Support electronic claims submission integration, system upgrades, and auto-adjudication enhancements
  • Collaborate with Provider Services on provider, vendor, and contract data management
  • Communicate regularly with executive leadership and clients regarding claims status and issues

Required Qualifications

  • Some college coursework
  • Minimum five years medical claims adjudication experience in managed healthcare
  • Proficiency in ICD, CPT, and HCPCS coding
  • Strong knowledge of DHCS, DMHC, CMS, and Health Plan regulations for Medi-Cal, Medicare, and Commercial claims
  • Definitive understanding of provider and Health Plan contracting and reimbursement methodologies
  • Proficient Excel and computer skills
  • Strong verbal and written communication skills
  • Analytical and problem-solving abilities
  • Effective team leadership and supervisory experience

Company Description

see website www.msosocal.com