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Remote Fsa Claims Processor Jobs in Rancho Cucamonga, CA

Sr Claim Examiner-WC (CA)

Brea, CA · Remote

$33.75 - $45.75/hr

We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...

Sr Claim Examiner-WC (CA)

Brea, CA · Remote

$33.75 - $45.75/hr

We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...

Sr Claim Examiner-WC (CA)

Brea, CA · Remote

$33.75 - $45.75/hr

We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...

Showing results 41-60

Remote Fsa Claims Processor information

See Rancho Cucamonga, CA salary details

$12

$19

$27

How much do remote fsa claims processor jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for remote fsa claims processor in Rancho Cucamonga, CA is $19.59, according to ZipRecruiter salary data. Most workers in this role earn between $16.68 and $21.11 per hour, depending on experience, location, and employer.

What is a remote FSA claims processor?

Remote FSA Claims Processors are professionals who review, verify, and process Flexible Spending Account (FSA) claims submitted by employees. Working from a remote location, they ensure that claims meet eligibility requirements, comply with IRS guidelines, and are supported by appropriate documentation. They communicate with clients or participants to resolve discrepancies and may use specialized software to manage claims efficiently. Their role is essential in facilitating timely reimbursements for healthcare and dependent care expenses.

What skills and qualifications are needed to be a remote FSA claims processor?

To thrive as a Remote FSA Claims Processor, you need a thorough understanding of healthcare reimbursement, insurance terminology, and claims adjudication, usually supported by a high school diploma or equivalent experience. Familiarity with claims processing software, HIPAA compliance standards, and document management systems is typically required. Strong attention to detail, excellent organizational skills, and effective written communication help you excel in this remote role. These skills and qualifications are crucial to accurately processing claims, ensuring regulatory compliance, and delivering timely customer service.

How does a remote FSA claims processor collaborate with other departments while working virtually?

As a Remote FSA Claims Processor, you'll regularly interact with colleagues in customer service, compliance, and IT departments through digital channels such as email, instant messaging, and video conferencing. Collaboration is essential for resolving complex claims, clarifying policy details, and ensuring data accuracy. Remote processors often participate in virtual team meetings and may use shared platforms to track claim statuses and updates. Strong communication skills and responsiveness are key to maintaining seamless workflow and meeting processing deadlines.

What is the difference between Remote Fsa Claims Processor vs Remote Health Insurance Claims Processor?

AspectRemote Fsa Claims ProcessorRemote Health Insurance Claims Processor
CertificationsTypically requires knowledge of FSA regulations, basic insurance processing certificationsRequires understanding of health insurance policies, claims processing certifications
Work EnvironmentRemote, administrative setting handling FSA claimsRemote, administrative setting handling health insurance claims
Industry UsageCommon in benefits administration, HR departmentsCommon in insurance companies, healthcare providers

While both roles involve processing insurance-related claims remotely, the Remote Fsa Claims Processor specializes in flexible spending account claims, focusing on FSA-specific regulations. The Remote Health Insurance Claims Processor handles broader health insurance claims, often requiring more extensive knowledge of health policies. Both roles are remote, administrative, and industry-related, but they differ in scope and certification requirements.

What are popular job titles related to Remote Fsa Claims Processor jobs in Rancho Cucamonga, CA?

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

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

The top searched job categories for Remote Fsa Claims Processor jobs in Rancho Cucamonga, CA are:

What cities near Rancho Cucamonga, CA are hiring for Remote Fsa Claims Processor jobs?

Cities near Rancho Cucamonga, CA with the most Remote Fsa Claims Processor job openings:

Infographic showing various Remote Fsa Claims Processor job openings in Rancho Cucamonga, CA as of June 2026, with employment types broken down into 82% Full Time, and 18% Part Time. Highlights an 52% Physical, 3% Hybrid, and 45% Remote job distribution, with an average salary of $40,737 per year, or $19.6 per hour.

CA Utilization Review Nurse I

CorVel Healthcare Corporation

Rancho Cucamonga, CA • Remote

$30.64 - $45.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago


Key responsibilities

  • Gathers demographic and clinical information on inpatient and outpatient treatments to support utilization review decisions.

  • Analyzes collected data to determine certification or denial of treatment and documents all work appropriately.

  • Communicates issues of concern to claims staff or customers and promotes utilization review services with stakeholders.


Job description

The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel.

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
  • Collects data and analyzes information to make decisions regarding certification or denial of treatment
  • Documents all work in the appropriate manner
  • Promotes utilization review services with stakeholders
  • Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
  • Additional duties as assigned

KNOWLEDGE & SKILLS: 

  • Must have thorough knowledge of both CPT and ICD coding
  • Ability to interface with claims staff, attorneys, physicians and their representatives, as well as advisors/clients and coworkers
  • Effective organization skills in a high-volume, fast-paced environment
  • Strong time management skills with the ability to meet designated deadlines
  • Excellent written and verbal communication skills
  • Ability to work both independently and within a team environment
  • Strong interpersonal skills
  • Ability to utilize Microsoft Office including Excel spreadsheets
  • Knowledge of the workers’ compensation claims process preferred
  • Knowledge of outpatient utilization review preferred

EDUCATION & EXPERIENCE: 

  • Graduate of accredited school of nursing with an associate’s degree, Bachelor of Science degree or Bachelor of Science in Nursing
  • Current Nursing licensure in the state of operation required; RN is required unless local state regulations permit LVN/LPN
  • 4 or more years of recent clinical experience
  • Prospective, concurrent, and retrospective utilization review experience preferred
  • Experience in the clinical areas of OR, ICU, CCU, ER and/or orthopedics preferred

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $30.64 - $45.80 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.   CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). 

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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