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Remote Insurance Claims Jobs in Riverside, CA (NOW HIRING)

Orion Placement

Workers' Compensation Attorney

Orange, CA · On-site +1

$95K - $200K/yr

Insurance claims or subrogation experience is a plus. Why You Will Love Working Here * Work with an ... Enjoy flexibility through hybrid or remote work options. * Receive full benefits, retirement plan ...

W3Global Inc.

Workers Compensation Attorney

Orange, CA · On-site +1

$90K - $130K/yr

Related insurance claims experience is a plus * Civil litigation experience is a plus * Lien ... Option to work hybrid or full remote is available after completion of training * Our firm has a new ...

CCMSI

WC Claim Associate I LevelUP

Irvine, CA · Remote

$60K - $70K/yr

LevelUP Career Development Program - Claims Trainee (Paid Training) Location: Remote, reporting to ... insurance career through our LevelUp Claims Training Program --a structured, paid development ...

CCMSI

WC Claim Associate I LevelUP

Irvine, CA · Remote

$19 - $25.75/hr

Overview LevelUP Career Development Program - Claims Trainee (Paid Training) Location: Remote ... insurance career through our LevelUp Claims Training Program -a structured, paid development ...

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Remote Insurance Claims information

See Riverside, CA salary details

$13

$24

$44

How much do remote insurance claims jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for remote insurance claims in Riverside, CA is $24.52, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $26.83 per hour, depending on experience, location, and employer.

What is a remote insurance claims?

A Remote Insurance Claims job involves reviewing, processing, and managing insurance claims from a remote location. Professionals in this role assess documentation, communicate with policyholders, and determine claim validity based on policy terms. They may work for insurance companies, third-party administrators, or as independent adjusters. Strong analytical, communication, and customer service skills are essential for success in this position.

What are the key skills and qualifications needed to thrive in remote insurance claims?

To thrive in a Remote Insurance Claims role, you need a solid understanding of insurance policies, claims processing, and investigative techniques, often supported by experience in insurance or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes required certifications such as AIC (Associate in Claims) are important. Exceptional communication, active listening, time management, and problem-solving skills help professionals excel in remote, client-facing environments. These abilities ensure accuracy, efficiency, and positive customer experiences throughout the claims resolution process.

What are some common challenges faced in a remote insurance claims role and how are they managed?

One common challenge in a Remote Insurance Claims role is maintaining effective communication with clients and team members while working outside a traditional office environment. Professionals overcome this by utilizing secure messaging, video conferencing, and robust claims management platforms to ensure consistent updates and collaboration. Staying organized and self-motivated is also key, as remote claims adjusters often manage a high volume of cases independently. Employers typically provide training and ongoing support to help remote employees navigate complex claims, maintain compliance, and deliver timely resolutions.

What are popular job titles related to Remote Insurance Claims jobs in Riverside, CA?

For Remote Insurance Claims jobs in Riverside, CA, the most frequently searched job titles are:

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

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

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

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

Remote Insurance Claims jobs near you
Infographic showing various Remote Insurance Claims job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 25% Part Time, and 4% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $51,000 per year, or $24.5 per hour.

Workers Compensation Claims Examiner | Orange, CA

Sedgwick

Orange, CA • On-site, Remote

$85/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Key responsibilities

  • Analyze workers compensation claims to determine benefits due and ensure claims are adjudicated within service expectations and client requirements.

  • Investigate and gather information to process claims and develop action plans for appropriate and timely resolution.

  • Communicate claim activity and processing details with claimants and clients, and report claims to the excess carrier.

Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 328 frontline employees who took The Breakroom Quiz

219th of 315 rated insurance

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Workers Compensation Claims Examiner | Orange, CA

Are you lookingfor an opportunity to join a global industry leader where you can bring yourbig ideasto help solve problems for some of the world's best brands?

Apply your knowledge and experience toadjudicatecomplex workers compensation claims in the context of an energetic culture.

Deliver innovative customer-facing solutions to clients whorepresentvirtually everyindustry andcomprisesome of the world's most respected organizations.

Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.

Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

Enjoy flexibility and autonomy in your daily work, your location, and your career path.

Access diverse and comprehensive benefits to take care of your mental, physical,financialand professional needs.

ARE YOU AN IDEAL CANDIDATE?Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a wellmanaged intake environment.

OFFICE LOCATION: Orange, CA

PRIMARY PURPOSE OF THE ROLE:To analyzeWorkers Compensationclaims on behalf of our valued clients todeterminebenefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

Analyzing and processing claims through well-developed action plans toan appropriateandtimelyresolution by investigating and gathering information todeterminethe exposure on the claim.

Negotiating settlement of claims within designated authority.

Communicating claim activity and processing with the claimant and the client.

Reporting claims to the excess carrier and responding to requests of directions in a professional andtimelymanner.

QUALIFICATIONS

Education & Licensing: 3 years of claims management experience or equivalent combination of education and experiencerequired.

High School Diploma or GEDrequired. Bachelor's degree from an accredited college or university preferred.

Professional certification as applicable to line of business preferred.

Licensing / Jurisdiction Knowledge:3 or more years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment

TAKING CARE OF YOU

Flexibleworkschedule.

Referralincentiveprogram.

Career development and promotional growth opportunities.

Diverse and comprehensive benefits offering including medical, dental vision, 401K on dayone.

WORK ENVIRONMENT REQUIREMENTSINCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding

Auditory/Visual: Hearing, vision and talking

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $85-100K. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.They are not intended to constitute a comprehensive list of functions, duties, or local variances.Management retains the discretion to add or to change the duties of the position at any time.

#LI-REMOTE #LI-HYBRID #Claims #Examiner

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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