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

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 ...

Claims Senior Auto Adjuster

Riverside, CA ยท Remote

$28.93 - $38.53/hr

Verify and explain benefits, coverages, fault, and claims process either verbally or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address moderate ...

Claims Supervisor

Rancho Cucamonga, CA ยท Remote

$73K - $113K/yr

This is a remote work arrangement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Claims Senior Auto Adjuster

Riverside, CA ยท Remote

$28.93 - $38.53/hr

Verify and explain benefits, coverages, fault, and claims process either verbally or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address moderate ...

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Remote Claims Processor information

See Upland, CA salary details

$12

$19

$26

How much do remote claims processor jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote claims processor in Upland, CA is $19.52, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $21.06 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 Upland, CA are hiring for Remote Claims Processor jobs?

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

Infographic showing various Remote Claims Processor job openings in Upland, CA as of August 2026, with employment types broken down into 67% Full Time, and 33% Temporary. Highlights an 100% Remote job distribution, with an average salary of $40,601 per year, or $19.5 per hour.

Staff Accountant

TEEMA Group

Covina, CA โ€ข Remote

$30 - $35/hr

Full-time

Re-posted 20 days ago


Job description

Staff AccountantRole Summary

Are you an analytical, detail-oriented accounting professional looking to apply your financial expertise within a meaningful, mission-driven environment? We are seeking a proactive Staff Accountant for a full-time, 100% remote contract position.

In this essential operational role, you will take ownership of the day-to-day accounting and financial reconciliation workflows supporting our programs. You will balance core corporate accounting tasks—such as invoice coding, budget support, and expense report auditing—with specialized healthcare financial coordination, including claims verification and government revenue reconciliation. If you have extreme attention to detail, strong organizational skills, and a desire to manage financial compliance accurately at speed, we invite you to join our team.

Duties & ResponsibilitiesHealthcare Claims & Revenue Reconciliation
  • Claims Coordination: Partner closely with our external claims processor to ensure the timely, accurate payment of out-of-facility patient medical expenses.

  • Invoice Management: Review all incoming corporate and clinical invoices, appropriately routing them to the external claims processor or coding them for direct program payment.

  • Government Revenue Auditing: Reconcile monthly capitation payments received from federal and state government agencies against active member eligibility records.

  • Enrollment Support: Collaborate with the enrollment department to verify that program participants are properly registered and aligned with corresponding financial records.

  • Expense Report Compliance: Audit team member expense reports to verify strict compliance with internal corporate travel and entertainment policies.

  • Financial Reporting: Prepare accurate draft financial statements and reports required for quarterly submission to regulatory government agencies.

  • Budgeting Processes: Provide data gathering and analytical support for the annual corporate budgeting process and participate in monthly budget-to-actual variance reviews.

  • Administrative Safeguards: Maintain complete documentation in an accurate manner while enforcing absolute data privacy and confidentiality.

  • Other duties as assigned.

Required Qualifications
  • Education & Experience Baseline: To be considered, candidates must meet one of the following criteria:

    • A Bachelor’s Degree in Accounting or Finance.

    • Minimum of two (2) years of relevant corporate accounting experience.

  • Attention to Detail: Extreme precision and accuracy when executing repetitive reconciliations, journal entries, and financial data entry.

  • Work Arrangement: 100% remote capacity requiring a consistent commitment of 40 hours per week. Must maintain the personal flexibility to work a varied schedule including evenings, weekends, or overtime if monthly closing volumes require it.

Desired Qualifications
  • Industry Familiarity: Prior experience in healthcare accounting, medical claims processing, capitation revenue models, or a highly regulated compliance environment.

  • Technical Software Aptitude: Strong proficiency with advanced functions in Microsoft Excel and specialized enterprise resource planning (ERP) accounting software.

  • Autonomy: A proven track record of working independently with minimal supervision while managing multiple priorities in a fast-paced environment.

Location and Work Type
  • Work Type: Full-Time Contract Position (40 hours per week).

  • Work Setting: 100% Remote.

  • Schedule: Monday through Friday, 8 hours per day

  • Pay: $30-35/HR depending on years of experience.