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Remote Claims Jobs in California (NOW HIRING)

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

General information Client / Corporate Client Work Mode Hybrid Name Medical Claims Examiner Job ID 21986 City Chatsworth (Local Remote) Published date 07-Jul-2026 State California Country United ...

WellPsyche

Claims Follow-Up Lead-CA

Los Angeles, CA · Remote

$25 - $30/hr

  • Medical

  • PTO

Claims Follow-Up Lead Behavioral Health | Government & Commercial Payers | Lean Growth Organization ... As a fully remote organization , our team collaborates to expand access to compassionate mental ...

Insperity

Medical Claims Examiner

CA · On-site +1

$24 - $30/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a team where your attention to detail and commitment to quality care make a difference. Thrifty ...

WellPsyche

Claims Follow-Up Lead-CA

Los Angeles, CA · On-site +1

$25 - $30/hr

  • Medical

  • PTO

Claims Follow-Up Lead-CA Department: Finance Employment Type: Full Time Location ... California (Remote) Reporting To: Kim Compensation: $25.00 - $30.00 / hour Description Behavioral ...

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a team where your attention to detail and commitment to quality care make a difference. Thrifty ...

California Capital Insurance (CIG)

Claims Counsel

CA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote position, ideally with someone based in Ventura County (Ventura, Oxnard, Camarillo ... Responsible for consultation with claims staff in a variety of claims issues, including but not ...

California Capital Insurance (CIG)

Claims Counsel

Anaheim, CA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote position, ideally with someone based in Orange County (Irvine, Costa Mesa, Newport ... Responsible for consultation with claims staff in a variety of claims issues, including but not ...

Gallagher

Claims Examiner

Oakland, CA · Remote

Overview This is a remote position located in California. Keenan is a leading insurance brokerage ... The Claims Examiner is responsible for liability claims and property damage claims to their ...

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Showing results 21-40

All JobsClaims JobsRemote Claims JobsRemote Claims Jobs in California

Remote Claims information

See California salary details

$30.1K

$63.8K

$88.8K

How much do remote claims jobs pay per year?

As of Aug 13, 2026, the average yearly pay for remote claims in California is $63,763.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,300.00 and $74,500.00 per year, depending on experience, location, and employer.

What are common challenges faced by remote claims professionals, and how can they be managed?

Remote claims professionals often encounter challenges such as maintaining effective communication with team members and clients, managing time independently, and ensuring data security while handling sensitive information from home. To address these, it’s important to utilize collaboration tools, set structured work hours, and follow strict company protocols for cybersecurity. Regular virtual meetings and clear documentation can help maintain workflow efficiency and keep everyone aligned.

What skills and qualifications are needed to thrive as a remote claims specialist?

To thrive as a Remote Claims Specialist, you need a solid background in insurance processes, claims assessment, and a relevant educational qualification such as a degree in business or insurance. Familiarity with claims management software, CRM systems, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong attention to detail, effective communication, and self-motivation are crucial soft skills for managing cases independently and supporting clients remotely. These abilities ensure accurate, timely processing of claims and high levels of customer satisfaction in a virtual work environment.

What is a remote claims job?

Remote claims jobs involve evaluating, processing, and managing insurance claims from a remote location, typically from home. Professionals in these roles review claims submitted by clients, investigate the details, and determine the coverage or payment amounts according to company policies and regulations. These positions require strong analytical, communication, and organizational skills, along with a good understanding of insurance processes. Many insurance companies now offer remote claims roles, providing flexibility and work-from-home opportunities.

What is the difference between Remote Claims vs Remote Claims Adjuster?

AspectRemote ClaimsRemote Claims Adjuster
Required CredentialsVaries by role, often includes insurance knowledgeLicenses often required, such as state-specific adjuster licenses
Work EnvironmentRemote, office, or hybridPrimarily remote, with some fieldwork possible
Industry UsageInsurance companies, third-party administratorsInsurance companies, claims management firms
Common Search IntentGeneral claims roles, customer service, claims processingClaims evaluation, damage assessment, settlement

Remote Claims roles encompass a broad range of insurance-related positions, including claims processing and customer service, often without requiring specific licenses. Remote Claims Adjusters focus on evaluating claims, assessing damages, and may need state licenses. Both roles are remote-friendly and serve the insurance industry, but adjusters typically have more specialized credentials and responsibilities.

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

The most popular types of Claims jobs in California are:

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

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

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

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

What cities in California are hiring for Remote Claims jobs?

Cities in California with the most Remote Claims job openings:

Remote Claims jobs near you
Infographic showing various Remote Claims job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $63,763 per year, or $30.7 per hour.

Medical Claims Examiner

Insperity

Los Angeles, CA • On-site, Remote

$24 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Insperity rating

7.9

Company rating: 7.9 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

133rd of 491 rated business services

Job description

General information
Client / Corporate
Client
Work Mode
Hybrid
Name
Medical Claims Examiner
Job ID
21986
City
Chatsworth (Local Remote)
Published date
07-Jul-2026
State
California
Country
United States
Zip Code
91311
Description & Requirements
Medical Claims Examiner- Chatsworth
Local Remote or In-Office
Join a team where your attention to detail and commitment to quality care make a difference. Thrifty Management Services, the dedicated MSO for Preferred IPA of California, seeks a skilled and compassionate Medical Claims Examiner to help us deliver exceptional healthcare support. In this role, you will be responsible for the accurate and timely adjudication of CMS 1500 and UB-04 claims, ensuring compliance with Medicare and Medi-Cal guidelines. At Thrifty, we pride ourselves on our people-first culture that values teamwork, compassion, and work-life balance. If you're passionate about improving healthcare, we'd love to meet you.
Best-in-Class Benefits and Culture:
We value our employees' time and efforts. Our commitment to your success is enhanced by competitive compensation of $24-$30 per hour, depending on experience, and an extensive benefits package including:
  • Comprehensive health coverage: Medical, dental, and vision insurance provided
  • Robust retirement planning: 401(k) plan available with employer matching
  • Financial security: Life and disability insurance for added protection
  • Flexible financial options: Health savings and flexible spending accounts offered
  • Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided

Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture.
To thrive as the Medical Claims Examiner, you should have:
  • Minimum of 2 years of medical claims payment experience in an HMO environment (i.e., MSO, IPA, or health plan)
  • Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.
  • Experience with CPT-4, ICD-10-CM, RBRVS, ASA, and HCPCS, as well as an in-depth understanding of Medicare and Medi-Cal guidelines that apply to COB and Medicare Secondary Payer.
  • Extensive familiarity and experience in planning benefit and co-payment determination, division of financial responsibility determination, claims policies and procedures, adjudication processes, and claim review and analysis involving NCCI rules.
  • Extensive working knowledge of reimbursement methodologies for professional claims, including injectable drugs.

Ready to make your mark in healthcare?
Step into a pivotal role where your precision powers patient care! Thrifty Management Services is searching for passionate Claims Examiners who thrive on accuracy, efficiency, and impact. This is your moment if you're driven to ensure timely and accurate claims processing while supporting a people-first mission. Apply now and help us transform lives-one claim at a time!
We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
Qualified applicants with arrest or conviction records will be considered for employment with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#ZCL #PRO

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About Insperity

Sourced by ZipRecruiter

Take care of your people Insperity has a long history of improving the success equation of small and midsize businesses across the country – because when businesses succeed, communities prosper. And in today’s changing business environment, it’s our privilege to take care of an organization’s most valuable asset: its people.

Company size

1,001 - 5,000 Employees

Headquarters location

Houston, TX, US

Year founded

1986

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