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

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of the review process and communicates issues of concern to the appropriate claims staff/customer

Crawford and Company

Sr Claim Examiner-WC (CA)

Brea, CA · Remote

$33.75 - $45.75/hr

... Remote * Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. * Manages all aspects of ...

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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.

More about Remote Claims Processor jobs

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

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

Remote Claims Processor jobs near you
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.

Workers Compensation Claims Adjuster (California Experience Required)

Cottingham & Butler

Ontario, CA • Remote

$50K - $100K/yr

Full-time

Posted 9 days ago

Cottingham & Butler rating

8.6

Company rating: 8.6 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

94th of 315 rated insurance

Job description

Workers Compensation Claims Adjuster (California Experience Required)

Location: Remote (Must be located in California)

Who says you can't have it all? Cottingham & Butler Claims Services (CBCS) is offering the opportunity to work in a fast-paced and exciting position without the commute! This is a fully remote position, and prior workers' compensation adjusting experience is required (including taking statements, issuing lost wage payments, completing state filings, denying claims, handling subrogation, managing litigation, etc.).

As a Workers Compensation Adjuster, you will be responsible for investigating, evaluating, negotiating, and settling workers compensation claims on behalf of our clients. The ideal candidate will have excellent communication and negotiation skills, be detail-oriented, and possess a strong understanding of workers compensation laws and regulations. You will be communicating with a wide variety of individuals, including CEOs, claimants, providers offices, and attorneys.

Qualifications:

  • Minimum of 1 year experience as a workers compensation claims adjuster.
  • License/state experience in California and your SIP.
  • Demonstrated knowledge of workers compensation laws and regulations.
  • Strong analytical and problem-solving skills.
  • Excellent communication and negotiation skills.
  • Ability to work independently and in a team environment.
  • Strong organizational and time-management skills.
  • Proficiency in computer programs, including Microsoft Office and claims management software.

If you're looking to continue building your career in claims while enjoying the flexibility of working from home, this is a great opportunity. We provide office equipment and ongoing training and support from our home office. If this sounds like a good fit to your career and life goals, we'd love to talk!

The salary range is $50,000-$100,000. Pay is based on several factors including but not limited to location, education, work experience, certifications, etc.

Do you think this might be a fit for you? Send us your resume – we'd love to talk!

Cottingham & Butler

At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day. 

Want to learn more? Follow us on www.CBCSclaims.com | LinkedIn

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