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Remote Claims Recovery Analyst Jobs in California

Canon Recruiting Group

CA Workers Compensation Adjuster

San Diego, CA · Remote

$68K - $88K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Excellent analytical, decision-making, and organization skills * Proven ability to work independently in a fully remote environment * Proficiency with claims systems and Microsoft Office suite Nice ...

Canon Recruiting Group

CA Workers Compensation Adjuster

San Diego, CA · Remote

$68K - $88K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Excellent analytical, decision-making, and organization skills * Proven ability to work independently in a fully remote environment * Proficiency with claims systems and Microsoft Office suite Nice ...

Gallagher

Claims Adjuster Workers Compensation

Sacramento, CA · Remote

$70K - $91K/yr

Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a ... Location: This role is fully remote work. How you'll make an impact * Apply claims management ...

Gallagher

Senior Resolution Manager

Sacramento, CA · Remote

Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a ... Location: This role is fully remote work. How you'll make an impact * Apply claims management ...

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Remote Claims Recovery Analyst information

What is a remote claims recovery analyst?

A Remote Claims Recovery Analyst is a professional who reviews, investigates, and processes insurance or healthcare claims to identify overpayments, errors, or discrepancies. They work remotely to recover funds owed to the organization by analyzing claim data, communicating with clients or providers, and ensuring compliance with regulations. This role typically involves using specialized software, collaborating with other departments, and providing detailed reports on recovery activities. Strong analytical skills, attention to detail, and knowledge of insurance or healthcare claims processes are essential for success in this position.

What are the key skills and qualifications needed to thrive as a remote claims recovery analyst, and why are they important?

To thrive as a Remote Claims Recovery Analyst, you need strong analytical skills, attention to detail, and a background in finance, healthcare, or insurance, often supported by a relevant degree or experience. Familiarity with claims management software, data analysis tools, and Excel is typically required, and knowledge of industry regulations or certifications like Certified Professional Coder (CPC) can be beneficial. Excellent communication, problem-solving, and organizational skills are crucial for collaborating with stakeholders and managing multiple recovery cases efficiently. These competencies ensure accurate claims resolution, maximize recoveries, and uphold compliance in a remote working environment.

What are some common challenges faced by remote claims recovery analysts, and how can they be managed effectively?

Remote Claims Recovery Analysts often encounter challenges such as navigating complex insurance policies, managing large volumes of claims, and coordinating with multiple stakeholders virtually. To manage these effectively, strong organizational skills and attention to detail are essential. Proactive communication with clients, colleagues, and third-party payers, along with staying current on industry regulations, helps ensure accurate and timely claim resolutions. Regular check-ins with your remote team and leveraging digital workflow tools can also improve efficiency and collaboration.

What is the difference between Remote Claims Recovery Analyst vs Remote Insurance Claims Adjuster?

AspectRemote Claims Recovery AnalystRemote Insurance Claims Adjuster
Required CredentialsClaims certification, insurance knowledgeAdjuster license, insurance certification
Work EnvironmentOffice or remote, claims departmentRemote or on-site, claims handling
Employer & IndustryInsurance companies, third-party administratorsInsurance carriers, independent agencies
Common Search & ComparisonClaims recovery, debt collectionClaims assessment, settlement

The Remote Claims Recovery Analyst primarily focuses on recovering owed funds through claims analysis and debt collection, often working with insurance companies or third-party agencies. In contrast, the Remote Insurance Claims Adjuster evaluates and settles insurance claims, handling damage assessments and policy coverage. While both roles require insurance knowledge and certifications, their core functions differ—recovery versus claims settlement. Understanding these distinctions helps job seekers find the role that best matches their skills and career goals.

What are the most commonly searched types of Claims Recovery Analyst jobs in California?

The most popular types of Claims Recovery Analyst jobs in California are:

What are popular job titles related to Remote Claims Recovery Analyst jobs in California?

For Remote Claims Recovery Analyst jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Claims Recovery Analyst jobs in California look for?

The top searched job categories for Remote Claims Recovery Analyst jobs in California are:

What cities in California are hiring for Remote Claims Recovery Analyst jobs?

Cities in California with the most Remote Claims Recovery Analyst job openings:

Remote Claims Recovery Analyst jobs near you

CA Workers Compensation Adjuster

Canon Recruiting Group

San Diego, CA • Remote

$68K - $88K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Job description

Job Title: Workers' Compensation Adjuster (Fully Remote • California)

Location

Remote (California only) — must reside in CA

About Us

We are a forward-thinking insurance provider committed to delivering exceptional service and claims outcomes. Our remote claims team collaborates cross-functionally to support injured workers, carriers, and medical partners while maintaining compliance with CA regulations and best-in-class customer service.

Position Summary

We're seeking an experienced Workers' Compensation Adjuster to manage a full caseload of assignments across California. In this fully remote role, you'll be responsible for handling claims from first notice of loss through resolution — ensuring compliance with state guidelines, mitigating risk, and delivering outstanding customer support.

What You'll Do

  • Handle a full portfolio of California Workers' Compensation claims from FNOL to settlement/closure

  • Investigate, evaluate, and determine appropriate claim responses

  • Coordinate with medical providers, employers, and legal counsel

  • Negotiate settlements and manage complex claim scenarios

  • Maintain compliance with California WC laws, regulations, and best practices

  • Prepare detailed claim documentation and reports

  • Communicate professionally with all stakeholders (verbally and written)

  • Mentor or collaborate with junior adjusters as needed

Required Qualifications

  • 5+ years of Workers' Compensation adjusting experience in California

  • Valid CA Adjuster License (preferred but not always required depending on employer)

  • Strong understanding of CA WC statutes, regulations, and fee schedules

  • Excellent analytical, decision-making, and organization skills

  • Proven ability to work independently in a fully remote environment

  • Proficiency with claims systems and Microsoft Office suite

Nice-to-Have

  • Experience with file litigation and complex claim handling

  • Certification or advanced industry designations (e.g., AIC, CPCU, CWCA)

  • Experience mentoring or guiding less-senior adjusters

What We Provide

  • Comprehensive benefits (medical, dental, vision, life, disability)

  • 401(k) with company match

  • Paid time off and holidays

  • Virtual training and professional development

  • Supportive remote team culture

Why You'll Love This Role

  • Work-life balance in a modern, flexible environment

Here at Canon Recruiting, People are our priority, and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity, we are made a stronger organization, and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an ever-changing market. By promoting inclusion with the same enthusiasm, we devote to quality and competency, and using the experience from a diverse assortment of backgrounds and experiences, Canon is able to improve the services and value we deliver to clients, employees, and customers. At Canon, Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life.

Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

The pay range for this position is listed above. Base pay information is based on market location.
We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans.
For individuals with disabilities who would like to request an accommodation, please email hr@canonrecruiting.com