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Remote Claims Processor Jobs in Los Angeles, CA (NOW HIRING)

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CLAIMS MANAGER

Costa Mesa, CA ยท 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.

Medical Claims Examiner

Los Angeles, CA ยท 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.

Staff Accountant

Covina, CA ยท 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 ...

Staff Accountant

Covina, CA ยท 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 ...

Director of Claims- Healthcare

Chatsworth, CA ยท On-site +1

$130K - $160K/yr

The Claims Director ensures timely, accurate, and compliant claims processing while meeting all ... Paid time off, flexible schedule, and remote work one day per week Plus, we work to maintain the ...

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 ...

Examiner, Claims

Long Beach, CA ยท 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 ...

Sr. Manager - Claims

Monterey Park, CA ยท 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 ...

Sr. Manager - Claims

Monterey Park, CA ยท 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 ...

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Remote Claims Processor information

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$28

How much do remote claims processor jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote claims processor in Los Angeles, CA is $20.65, according to ZipRecruiter salary data. Most workers in this role earn between $17.60 and $22.26 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.

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

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

Infographic showing various Remote Claims Processor job openings in Los Angeles, CA as of August 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% Remote job distribution, with an average salary of $42,953 per year, or $20.7 per hour.

Claims Auditor

MedPOINT Management

Sherman Oaks, CA โ€ข Remote

$24 - $28/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago


Job description

Benefits:
  • 401(k)
  • 401(k) matching
  • Company parties
  • Dental insurance
  • Employee discounts
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development
  • Vision insurance
  • Wellness resources

About the Role:
MedPOINT Management is looking for a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA. In this critical role, you'll help ensure the accuracy and integrity of claims processing within a dynamic healthcare management environment. If you have a sharp eye for detail and a passion for healthcare operations, we want to hear from you!
Responsibilities:
  • Audit medical claims for accuracy, completeness, and compliance with payer guidelines and contractual agreements
  • Review and analyze claims data to identify billing errors, overpayments, and underpayments
  • Conduct pre- and post-payment audits to ensure proper reimbursement and reduce financial risk
  • Document audit findings and prepare detailed reports for management review
  • Collaborate with claims processing and provider relations teams to resolve discrepancies
  • Monitor claims trends and recommend process improvements to enhance accuracy and efficiency
  • Ensure compliance with federal, state, and managed care regulations including ICD-10, CPT, and HCPCS coding standards
Requirements:
  • 2+ years of experience in claims auditing, claims processing, or healthcare billing
  • Strong knowledge of ICD-10, CPT, and HCPCS coding
  • Familiarity with managed care, IPA, or HMO claims environments preferred
  • Proficiency in claims management systems and Microsoft Office Suite
  • Exceptional attention to detail and strong analytical skills
  • Excellent written and verbal communication skills for reporting and cross-team collaboration
  • CPC, CCA, or related coding/billing certification is a plus
About Us:
MedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Providers and patients trust MedPOINT for our commitment to operational excellence and compassionate care coordination. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.

This is a remote position.