CA Claims Specialist - Bilingual (Spanish)
Rancho Cucamonga, CA · Remote
$25.48 - $41.09/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Quick apply
Rancho Cucamonga, CA · Remote
$25.48 - $41.09/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Quick apply
Rancho Cucamonga, CA · Remote
$25.48 - $41.09/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Rancho Cucamonga, CA · Remote
$25.48 - $41.09/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Rancho Cucamonga, CA · Remote
$25.48 - $41.09/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Rancho Cucamonga, CA · Remote
$25.48 - $41.09/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Rancho Cucamonga, CA · Remote
$25.48 - $41.09/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Rancho Cucamonga, CA · Remote
$61K - $98K/yr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Quick apply
Rancho Cucamonga, CA · Remote
$61K - $98K/yr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
San Bernardino, CA · Remote
$28 - $33/hr
Prior experience in case management, home health, or a related healthcare setting * Strong ... This is a remote position.
New
Quick apply
San Bernardino, CA · Remote
$28 - $33/hr
Prior experience in case management, home health, or a related healthcare setting * Strong ... This is a remote position.
New
Rancho Cucamonga, CA · Remote
$61K - $98K/yr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Rancho Cucamonga, CA · Remote
$61K - $98K/yr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Anaheim, CA · On-site +1
$22.50 - $28.50/hr
We're one of the largest Enhanced Care Management providers in California and are on track to build ... For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
Anaheim, CA · On-site +1
$22.50 - $28.50/hr
We're one of the largest Enhanced Care Management providers in California and are on track to build ... For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Minimum 5 years of clinical experience required. * 2+ years of managed care, health plan, or ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Minimum 5 years of clinical experience required. * 2+ years of managed care, health plan, or ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Minimum 5 years of clinical experience required. * 2+ years of managed care, health plan, or ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Minimum 5 years of clinical experience required. * 2+ years of managed care, health plan, or ...
Ontario, CA · On-site +1
$24.65 - $30.03/hr
Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states ... UR tech III will also function as an SME to support the UR tech team and remote counter parts with ...
Ontario, CA · On-site +1
$24.65 - $30.03/hr
Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states ... UR tech III will also function as an SME to support the UR tech team and remote counter parts with ...
Ontario, CA · On-site +1
$24.65 - $30.03/hr
Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states ... UR tech III will also function as an SME to support the UR tech team and remote counter parts with ...
Ontario, CA · On-site +1
$24.65 - $30.03/hr
Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states ... UR tech III will also function as an SME to support the UR tech team and remote counter parts with ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Minimum 5 years of clinical experience required. * 2+ years of managed care, health plan, or ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Minimum 5 years of clinical experience required. * 2+ years of managed care, health plan, or ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Minimum 5 years of clinical experience required. * 2+ years of managed care, health plan, or ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Minimum 5 years of clinical experience required. * 2+ years of managed care, health plan, or ...
Rancho Cucamonga, CA · Remote
$29.35 - $47.28/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Quick apply
Rancho Cucamonga, CA · Remote
$29.35 - $47.28/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Rancho Cucamonga, CA · Remote
$29.35 - $47.28/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Rancho Cucamonga, CA · Remote
$29.35 - $47.28/hr
... leading risk management solutions for the workers' compensation, auto, health and disability ... Remote
Ontario, CA · On-site +1
$108K - $151K/yr
... Healthcare Services. The Corporate Director will work with the Hospital CEO's, Marketing Managers ... This position is not offered remote. Qualifications Required qualifications: * Bachelors Degree in ...
Ontario, CA · On-site +1
$108K - $151K/yr
... Healthcare Services. The Corporate Director will work with the Hospital CEO's, Marketing Managers ... This position is not offered remote. Qualifications Required qualifications: * Bachelors Degree in ...
Ontario, CA · On-site +1
$90K - $158K/yr
Incorporate lessons learned and performance insights into future implementations #LI-AS1 #remote ... Bachelor's degree in Healthcare Management, Computer Science, or related field preferred. * Minimum ...
Ontario, CA · On-site +1
$90K - $158K/yr
Incorporate lessons learned and performance insights into future implementations #LI-AS1 #remote ... Bachelor's degree in Healthcare Management, Computer Science, or related field preferred. * Minimum ...
Ontario, CA · Remote
$94K - $137K/yr
... LI-KT1 #remote Qualifications Required qualifications: * Bachelor's degree in Healthcare ... Experience with project management methodologies and tools. * PMP Certification. Pay Transparency ...
Ontario, CA · Remote
$94K - $137K/yr
... LI-KT1 #remote Qualifications Required qualifications: * Bachelor's degree in Healthcare ... Experience with project management methodologies and tools. * PMP Certification. Pay Transparency ...
Billings, MT · On-site +1
$44.99 - $69.44/hr
Experience in budget management * Ability to develop strong team dynamics in customer-based ... Bachelor's degree in medical field or healthcare administration obtained through an accredited ...
Billings, MT · On-site +1
$44.99 - $69.44/hr
Experience in budget management * Ability to develop strong team dynamics in customer-based ... Bachelor's degree in medical field or healthcare administration obtained through an accredited ...
Pomona, CA · Remote
$29 - $31/hr
... risk" members and their family/caregiver(s), clinic/hospital/specialty providers and staff, and ... Provide health promotion and self-management training * Promote timely access to appropriate care
Quick apply
Pomona, CA · Remote
$29 - $31/hr
... risk" members and their family/caregiver(s), clinic/hospital/specialty providers and staff, and ... Provide health promotion and self-management training * Promote timely access to appropriate care
$52.6K - $63.6K
4% of jobs
$63.6K - $74.6K
6% of jobs
$74.6K - $85.7K
11% of jobs
$89.8K is the 25th percentile. Wages below this are outliers.
$85.7K - $96.7K
11% of jobs
The median wage is $105.4K / yr.
$96.7K - $107.7K
23% of jobs
$107.7K - $118.7K
13% of jobs
$125.9K is the 75th percentile. Wages above this are outliers.
$118.7K - $129.7K
12% of jobs
$129.7K - $140.7K
8% of jobs
$140.7K - $151.7K
6% of jobs
$151.7K - $162.7K
4% of jobs
$162.7K - $173.7K
2% of jobs
$52.6K
$114K
$173.7K
A Remote Healthcare Risk Management job involves identifying, assessing, and mitigating risks within healthcare organizations while working remotely. Professionals in this role help ensure patient safety, regulatory compliance, and operational efficiency by analyzing data, developing policies, and implementing risk reduction strategies. They may collaborate with healthcare providers, legal teams, and insurance professionals to address potential liabilities. Strong analytical skills, knowledge of healthcare regulations, and experience in risk management are essential for success in this field.
Professionals in Remote Healthcare Risk Management are responsible for identifying potential risks to patient safety, evaluating compliance with healthcare regulations, and developing policies to minimize those risks. On a typical day, their tasks might include reviewing incident reports, analyzing data, conducting virtual training sessions, and collaborating with clinical and administrative teams through video conferencing. They also work closely with legal and compliance departments to ensure all processes adhere to federal, state, and organizational standards. This role requires strong organizational skills, proactive communication, and the ability to manage sensitive information within a remote work environment.
To thrive in Remote Healthcare Risk Management, you typically need a background in healthcare administration, risk analysis, compliance, and a relevant degree such as nursing, public health, or healthcare management. Familiarity with risk management software, incident reporting systems, HIPAA regulations, and certifications like Certified Professional in Healthcare Risk Management (CPHRM) are highly valuable. Strong analytical thinking, attention to detail, and effective virtual communication skills set candidates apart in this role. These competencies are crucial for identifying, assessing, and mitigating risks in healthcare environments while maintaining regulatory compliance and patient safety—all from a remote setting.
For Remote Healthcare Risk Management jobs in Rancho Cucamonga, CA, the most frequently searched job titles are:
The top searched job categories for Remote Healthcare Risk Management jobs in Rancho Cucamonga, CA are:
Cities near Rancho Cucamonga, CA with the most Remote Healthcare Risk Management job openings:

Rancho Cucamonga, CA • Remote
$25.48 - $41.09/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 6 days ago
Receives workers' compensation claims, confirms policy coverage, and acknowledges the claim
Determines the validity and compensability of claims, establishes reserves, and authorizes payments within authority limits
Manages non-complex lost-time workers' compensation claims under close supervision and communicates claim status with relevant parties
The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
KNOWLEDGE & SKILLS:
EDUCATION & EXPERIENCE:
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: $25.48 - $41.09 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.
#LI-Remote