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Remote Fsa Claims Processor Jobs in Santa Cruz, CA

Deloitte

Epic Denials Manager

San Jose, CA · Remote

... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

Deloitte

Epic Denials Management Operator

San Jose, CA · Remote

$21 - $28.25/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

YO AI Labs

Hospitalist Physician - Remote

San Jose, CA · Remote

$70 - $100/hr

Verify that clinical information, findings, and claims are supported by the available medical ... Support quality assurance processes by identifying potential issues and inconsistencies.

Liberty Mutual

Associate Staff Attorney

San Jose, CA · On-site +1

Description This role is primarily remote in the state of California except for required ... claims professionals, and senior attorneys. * Organized, process-oriented with strong time ...

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Remote Fsa Claims Processor information

See Santa Cruz, CA salary details

$13

$22

$30

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 Santa Cruz, CA is $22.13, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $23.85 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 cities near Santa Cruz, CA are hiring for Remote Fsa Claims Processor jobs?

Cities near Santa Cruz, CA with the most Remote Fsa Claims Processor job openings:

Remote Fsa Claims Processor jobs near you

Regulatory Claims Substantiation Scientist

Nordic Naturals

Watsonville, CA • Remote

Full-time

Re-posted 9 days ago

Key responsibilities

  • Review and propose revisions to claim substantiation documents based on scientific evidence and regulatory guidelines.

  • Research scientific literature and clinical data to support or revise product claims related to dietary supplements.

  • Collaborate with cross-functional teams to assess regulatory risks and ensure compliance with industry standards.

Job description

Location: Remote / Watsonville, CA

Salary - 103K - 120K 

Regulatory Claims Substantiation Scientist

Job Summary:
The Regulatory Claims Substantiation Scientist (RCSS) will review and propose revisions to claim substantiations in
the form of compiled literature research and scientific writing from the research department. The RCSS will work
both independently and collaboratively with members of the Regulatory, Research, Product Development (PD),
Marketing, and Education teams. In this capacity, the RCSS will review and propose revisions to the scientific
evidence and rationale required to support the nutrition and health-related claims associated with the ingredients
of dietary supplement products. This work involves researching topics and preparing, reviewing, revising, and
maintaining technical documents.

Location Statement:
This is a remote position for those who live outside of 40 miles from Nordic Naturals headquarters in Watsonville,
CA. Our culture is very important to us and for team members who live inside of the 40-mile radius, we expect
them to be onsite occasionally to help support our collaborative community.

Reasonable Accommodations Statement:
To accomplish this job successfully, an individual must be able to perform, with or without reasonable
accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable
qualified individuals with disabilities to perform the essential functions. 

Essential Functions:
Review of in-depth scientific evidence of the biological effects of ingredients used in Nordic Naturals
products.
Partner with research regulatory functions to ensure compliance to appropriate regulatory requirements.
Propose revisions to claims substantiations documents to better support a specific health claim within

DSHEA and FDA/FTC guidelines.
Stay abreast of the latest dietary supplement risks from FDA, FTC, and third-party litigation.
Identify and propose revisions to high-risk claims and/or language within internal claims documents.
Drive continual self-education primarily through independent study of peer-reviewed scientific literature
and recent court decisions impacting the dietary supplement industry.
Develop expertise in the terminology, biochemistry, molecular biology, physiology, pharmacology and
clinical outcomes associated with individual dietary ingredients and associated structure function claims.
Attendance at scientific, regulatory, and legal conferences and seminars as necessary.
Review, summarize and/or substantiate the mechanistic and clinical evidence supporting product claims
Ability to understand and articulate relevant information including molecular mechanisms, biochemical
functions, pharmacokinetics, physiological effects, pharmacological and clinical evidence from a range of
study types (e.g., observational, interventional, meta-analysis).
Communicates and collaborates with team members to plan, develop, and produce high-quality
communication products in a dynamic environment.
Manages projects in a timely fashion and adheres to project schedules and deadlines. Works simultaneously on multiple projects, independently setting work priorities to meet changing
deadlines and scope-of-work definitions.
Performs substantive edits, correcting grammar, technical usage, content, and organizational problems
Adjusts processes to accommodate changes and resolve issues.
Collaborate with the PD Team to assess regulatory risk of formulas and improve existing formulas as
necessary.
Maintain working knowledge of new and innovative products and industry trends.

Key Contributions in First Year:
Achieve an understanding of current Nordic Naturals regulatory risk tolerance and cross functional
alignment (marketing, legal, research, etc.) on substantiation standards.
Complete product claims substantiation review for the Nordic Naturals product portfolio.
Develop understanding of current product and regulatory data and contribute to the improvement of
overall knowledge management practices for regulatory content.
Position Qualifications:
Ph.D. or master's degree in biology, biochemistry, or other life science; or an undergraduate degree in a
life science with at least three years of regulatory experience related to claims substantiation in the
dietary supplement industry.
Must possess knowledge pertaining to the nutraceutical industry and must be well versed in a variety of
ingredients, their usage, forms, activities and all other relevant characteristics.
Knowledge and applied experience of food or supplement regulations (including DSHEA, FD&C Act Section
21 CFR 101 and 111) is required.
Experience with reading and understanding all sections of scientific and/or clinical research studies.
Must be receptive to constructive criticism and accept disagreement in a professional manner.
Familiarity with statistics, clinical trials design, experimental design / hypothesis testing, and
interpretation of laboratory and clinical research data.
Must be able to read and interpret documents such as standard operating procedures, and regulations.
Must be honest and demonstrate integrity. Scientific integrity and care for the well-being and trust of our
customers is paramount.
Ability to work independently and as part of a team, meet deadlines, be detail-oriented, perform and
prioritize multiple simultaneous tasks. Organizational, and interpersonal skills are key.
Excellent fluency in spoken and written English.
Skilled in scientific writing, comprehension, and presentation of technical information to technical and
non-technical audiences.
Must be able to work cross functionally with many different departments and various skill levels.

Competency Statements
Positive - Ability to view all situations with a positive attitude.
Accountable - takes ownership for responsibilities, acknowledges and learns from mistakes
Innovative - Ability to look beyond the standard solutions and "think outside the box".
Independent - Must be self-motivated and able to manage obligations without direct supervision
Assertiveness - Ability to act in a self-confident manner to facilitate completion of a work assignment or to
defend a position or idea.
Communication - Ability to communicate effectively with others using spoken and written word clearly
and concisely.
Customer Oriented - Ability to take care of the customers' needs while following company procedures.
Enthusiastic - Ability to bring energy to the performance of a task.
Self-Motivated - Ability to be internally inspired to perform a task to the best of one's ability using his or
her own drive or initiative.

Computer Skills:

Macintosh OS X environment
Microsoft Office suite including Excel, Word, and PPT, adobe Acrobat
Google suite
Prefer familiarity with EndNote

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