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

Medical Billing Specialist

Visalia, CA ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

TELLER

Lemoore, CA ยท On-site +1

$36K - $47K/yr

Turns on the master cash control processor and sets up the office terminal(s) for the day ... No Remote work eligible : No Education ARE YOU USING YOUR EDUCATION TO QUALIFY? You MUST provide ...

Teller

Lemoore, CA ยท On-site +1

$36K - $47K/yr

Turns on the master cash control processor and sets up the office terminal(s) for the day ... No Remote work eligible : No Education USING YOUR EDUCATION TO QUALIFY. You MUST provide ...

Remote Claims Processor information

See Tulare, CA salary details

$11

$19

$26

How much do remote claims processor jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for remote claims processor in Tulare, CA is $19.10, according to ZipRecruiter salary data. Most workers in this role earn between $16.30 and $20.58 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 are popular job titles related to Remote Claims Processor jobs in Tulare, CA?

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

What job categories do people searching Remote Claims Processor jobs in Tulare, CA look for?

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

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

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

Infographic showing various Remote Claims Processor job openings in Tulare, CA as of September 2026, with employment types broken down into 1% Internship, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 82% Physical, 4% Hybrid, and 14% Remote job distribution, with an average salary of $39,722 per year, or $19.1 per hour.

Life Insurance & Annuity Client Service Administrator Remote/in-Person

Exeter, CA โ€ข On-site, Remote

Harvest Wealth Group
Finance and Insuranceย โ€ขย 11 - 50 employees

$55K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago


Job description

Insurance Client Service Administrator
Exeter, CA
$55,000-$85,000 base + bonuses | Full-Time | In-Person Preferred, Remote or Hybrid Available (Must work Pacific, Mountain or Central time only)
You've built your career in insurance. You know the carriers, the forms, the back-office workflows that most people in wealth management have never touched. Now imagine bringing that expertise to a firm that actually needs it-and values it.
At Harvest Wealth Group, we're a growing investment firm expanding aggressively into insurance. Our team is strong, but as the insurance book grows, we need someone who brings deep carrier knowledge and insurance operations expertise to the table. This role exists to add a specialist to our team who can elevate how we serve insurance clients and help us build a best-in-class operation on that side of the business.
Who We Are
We're a $470M+ AUM financial planning firm headquartered in Exeter, CA, serving the backbone of America-the hard-working families we're proud to call clients. Our investment operations are strong and well-built. Our insurance book is growing fast, with two recent insurance acquisitions, and we need someone who can build the same level of operational excellence on the insurance side.
Our purpose is to obsessively serve our team and clients so they feel known, valued, and loved. That's not a tagline. It's how we operate.
What that means in practice:
  • No chaos. No egos. No one left without support.
  • Cross-trained teams so your teammates can fully unplug when they're off.
  • Clear expectations, consistent feedback, and leadership that's in it with you.

Why This Role Exists
Our investment CSAs are excellent at what they do, and our insurance book is growing fast. We're at the point where we need someone with deep insurance expertise to join the team and elevate how we serve that side of the business. We're creating this role to:
  • Bring dedicated insurance expertise to a team that's ready for it
  • Give our advisors a go-to expert who speaks the insurance language fluently
  • Add carrier-level knowledge in-house as our insurance book grows
  • Build a scalable insurance operations foundation alongside our already-strong investment operations team

The Role
You'll join our centralized operations team as the person who owns insurance service work-the expert our advisors and teammates turn to. You're also part of the broader team, which means you'll learn the investment side and contribute to general service coverage so the whole team runs stronger together.
Your Expertise: Insurance Service Operations
  • Own the full lifecycle of insurance service work: new applications, policy changes, beneficiary updates, distributions, renewals, and claims processing
  • Manage relationships with insurance carriers and their back-office teams-you already know who to call and how to get things moved
  • Process and track insurance cases across variable annuities, fixed annuities, life insurance, and long-term care products
  • Ensure compliance with carrier requirements and state-specific regulations
  • Build and document insurance-specific workflows and procedures in Practifi so the next person behind you can follow the playbook
  • Serve as the go-to resource for advisors on insurance service questions, carrier processes, and product nuances
  • Help train the broader team on basic insurance literacy so coverage doesn't fall apart when you're out

Part of the Team: Investment Service Support
Our investment CSAs still own their work-that doesn't change. But as part of this team, you'll build foundational investment knowledge so you can pitch in when it counts and provide coverage when teammates are out:
  • Handle service requests on existing investment accounts: beneficiary changes, address updates, and general account maintenance
  • Provide coverage for the investment team during PTO and peak volume periods
  • Learn our custodian platforms (Schwab, Fidelity) through structured training and mentorship from the team
  • If you want to grow into the investment side-new business, trading, licensing-we'll support that path. This role can expand with you.

What Success Looks Like
  • Initiate 95% of assigned insurance service tickets within 24 hours
  • Complete 95% of insurance tickets without a NIGO (Not In Good Order)
  • Advisors come to you first on insurance questions-not the other way around
  • Documented insurance workflows exist in Practifi within your first 90 days
  • The team sees you as the insurance expert they can rely on and learn from
  • You're reliably handling investment account maintenance and service requests alongside your insurance work

What You Bring
Required:
  • 3+ years of insurance operations experience at a predominantly insurance-based firm (not just investment firms that happen to sell a policy here and there)
  • Direct experience processing life insurance, annuity (variable and fixed), and/or long-term care service work
  • Strong carrier relationships and knowledge of back-office processes across multiple insurance companies
  • Ability to pass a background check and complete USCIS I-9 eligibility verification

Preferred:
  • Active state insurance license (Life & Health)
  • Series 7 license (or willingness to obtain with firm support)
  • Series 66 or 63/65
  • Experience with Ameritas Life, Docupace, E-apply, DocuSign,
  • Familiarity with Practifi, Redtail, or similar wealth management CRMs
  • Familiar with working with various carriers. Experience with the following a major plus: Ameritas Life, Midland, Allianz, Athene, Crump, Ash Brokerage
  • Any investment service experience-even basic-will accelerate your onboarding on the 30% side
  • Familiarity with EOS (Entrepreneurial Operating System)

You'll Fit Here If You
Are proud of your insurance expertise and want to bring it somewhere it's genuinely valued-not treated as an afterthought
Stay composed under pressure and bring steadiness to your team
Are detail-driven and take pride in getting things right the first time
See the opportunity to build something-not just fill a seat
Communicate clearly, follow through, and don't leave loose ends
Understand that being direct is being kind-and you use your voice to help us grow
Are open to learning the investment side of the business and growing into a well-rounded financial services professional
Compensation & Benefits
$55,000-$95,000 base salary depending on experience and licensing
Tiered incentive plan (up to 15% of base salary at the highest tier)
Paid Medical, Vision, and Dental benefits
Structured PTO program
401(k) with employer match
4-week paid sabbatical every 3 years
In-person or hybrid flexibility based on location
Firm-sponsored licensing support if you're adding Series 7 or 66
Defined growth path-we promote from within and invest in your development
Our Core Values
This is what drives how we work:
Scrappy - We don't wait for perfect. We make it happen.
Stronger United - No egos. Just teammates.
Excellence - We raise the bar.
Unyielding Integrity - We do the right thing, even when it's hard.
Want In?
Send us your resume AND COVER LETTER about why this role feels right for you. We'll invite selected applicants to an asynchronous interview to get to know you better.
We're not perfect. Things break. But we don't waste time pointing fingers. We solve it, fix the root issue, and move forward stronger.
All candidates must be able to pass a background check and complete USCIS I-9 eligibility verification.