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Remote Insurance Claims Manager Jobs in Carson, CA

MSO, INC. OF SOUTHERN CALIFORNIA

Be Seen First

CLAIMS MANAGER

Costa Mesa, CA · Remote

$80K - $110K/yr

Reporting directly to the CEO/President and Compliance Officer, this remote position requires expertise in regulatory compliance and claims processing within a healthcare management environment.

New

MSO, INC. OF SOUTHERN CALIFORNIA

Be Seen First

CLAIMS MANAGER

Costa Mesa, CA · Remote

$80K - $110K/yr

Reporting directly to the CEO/President and Compliance Officer, this remote position requires expertise in regulatory compliance and claims processing within a healthcare management environment.

New

MSO, INC. OF SOUTHERN CALIFORNIA

Be Seen First

CLAIMS MANAGER

Costa Mesa, CA · Remote

$80K - $110K/yr

Reporting directly to the CEO/President and Compliance Officer, this remote position requires expertise in regulatory compliance and claims processing within a healthcare management environment.

New

California Capital Insurance (CIG)

Claims Counsel

Anaheim, CA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

At Capital Insurance Group we offer our employees more than just a job. We foster career growth ... Leave Management * Long Term Disability * Short Term Disability (Outside of CA) * Family Caregiver ...

WellPsyche

Claims Follow-Up Lead-CA

Los Angeles, CA · Remote

$25 - $30/hr

  • Medical

  • PTO

As a fully remote organization , our team collaborates to expand access to compassionate mental ... This is a working lead role - not a full people management position - designed for someone who can ...

WellPsyche

Claims Follow-Up Lead-CA

Los Angeles, CA · On-site +1

$25 - $30/hr

  • Medical

  • PTO

California (Remote) Reporting To: Kim Compensation: $25.00 - $30.00 / hour Description Behavioral ... This is a working lead role - not a full people management position - designed for someone who can ...

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All JobsInsurance Claims JobsRemote Insurance Claims Manager JobsRemote Insurance Claims Manager Jobs in Carson, CA

Remote Insurance Claims Manager information

See Carson, CA salary details

$36.6K

$91.9K

$145.4K

How much do remote insurance claims manager jobs pay per year?

As of Aug 19, 2026, the average yearly pay for remote insurance claims manager in Carson, CA is $91,888.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,100.00 and $109,800.00 per year, depending on experience, location, and employer.

What does a remote insurance claims manager do?

A Remote Insurance Claims Manager oversees the process of evaluating, processing, and resolving insurance claims, all while working from a remote location. They manage a team of claims adjusters, review claims for accuracy and compliance, and ensure timely settlements for policyholders. This role often involves communicating with clients, liaising with other departments, and leveraging technology to streamline claims handling. The remote aspect allows managers to perform all duties using digital tools, making communication and documentation critical parts of the job.

What are the key skills and qualifications needed to thrive as a remote insurance claims manager?

To thrive as a Remote Insurance Claims Manager, you need in-depth knowledge of insurance policies, claims processes, and regulatory requirements, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, digital documentation tools, and, in some cases, certifications like AIC (Associate in Claims) are typically required. Excellent problem-solving, leadership, and communication skills help manage teams remotely and resolve complex claims efficiently. These skills ensure accurate claims processing, regulatory compliance, and effective team coordination in a virtual environment.

How does a remote insurance claims manager typically coordinate with on-site team members and external partners?

As a Remote Insurance Claims Manager, you will frequently collaborate with on-site adjusters, underwriters, and external partners such as legal advisors and service vendors. Most communication is conducted via video conferencing, email, and specialized claims management platforms. You’ll be responsible for ensuring seamless information flow, timely updates, and resolution of claims by coordinating virtual meetings and maintaining clear documentation. Developing strong remote communication and organizational skills is essential for success in this role.

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

AspectRemote Insurance Claims ManagerRemote Insurance Adjuster
CredentialsTypically requires a claims management certification or industry experienceRequires licensing and certifications specific to insurance adjusting
Work EnvironmentOversees claims teams, manages processes remotelyEvaluates individual claims remotely, often in the field or from home
Employer & Industry UsageUsed by insurance companies for claims oversightUsed by insurance companies for claim evaluation and settlement
Search & Comparison IntentPeople compare managerial roles in claims processingPeople compare roles focused on claim assessment and settlement

The main difference is that a Remote Insurance Claims Manager oversees claims teams and manages claims processes remotely, requiring management experience and certifications. In contrast, a Remote Insurance Adjuster evaluates individual claims, often needing specific licensing and adjusting certifications. Both roles are integral to the insurance industry but differ in responsibilities and focus areas.

What job categories do people searching Remote Insurance Claims Manager jobs in Carson, CA look for?

The top searched job categories for Remote Insurance Claims Manager jobs in Carson, CA are:

What cities near Carson, CA are hiring for Remote Insurance Claims Manager jobs?

Cities near Carson, CA with the most Remote Insurance Claims Manager job openings:

Remote Insurance Claims Manager jobs near you

CLAIMS MANAGER

MSO, INC. OF SOUTHERN CALIFORNIA

Costa Mesa, CA • Remote

$80K - $110K/yr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

The Claims Manager at MSO, Inc. of Southern California leads the Claims Department, overseeing a small team to ensure accurate and timely adjudication of managed care claims, primarily Medicare and Medi-Cal. Reporting directly to the CEO/President and Compliance Officer, this remote position requires expertise in regulatory compliance and claims processing within a healthcare management environment. Southern California residency is preferred for occasional on-site meetings.

Responsibilities

  • Supervise and develop a small claims team of 1-5 staff
  • Ensure accurate, timely adjudication of Medicare, Medi-Cal, and Commercial claims
  • Train claims staff and support ongoing professional development
  • Prepare and submit detailed Claims Timeliness and Health Plan reports with proof of submission
  • Manage provider and Health Plan appeals and oversee payment recovery processes
  • Coordinate claims audits and corrective actions with Health Plans, auditors, and providers
  • Develop and update departmental policies, procedures, and process improvements
  • Create performance reports to monitor staff metrics and identify training needs
  • Support electronic claims submission integration, system upgrades, and auto-adjudication enhancements
  • Collaborate with Provider Services on provider, vendor, and contract data management
  • Communicate regularly with executive leadership and clients regarding claims status and issues

Required Qualifications

  • Some college coursework
  • Minimum five years medical claims adjudication experience in managed healthcare
  • Proficiency in ICD, CPT, and HCPCS coding
  • Strong knowledge of DHCS, DMHC, CMS, and Health Plan regulations for Medi-Cal, Medicare, and Commercial claims
  • Definitive understanding of provider and Health Plan contracting and reimbursement methodologies
  • Proficient Excel and computer skills
  • Strong verbal and written communication skills
  • Analytical and problem-solving abilities
  • Effective team leadership and supervisory experience

Company Description

see website www.msosocal.com