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Remote Medical Claims Jobs in Rialto, CA (NOW HIRING)

Bradshaw Home

Deduction Analyst (Remote)

Fontana, CA · Remote

$24.50 - $25.50/hr

Review current shortage/overage claims for every customer. * Coordinate with customer service ... medical, dental, and vision insurance, 401(k) with company matching, accrued vacation, floating ...

Crawford and Company

Team Manager - WC

Brea, CA · Remote

... claims management and make a meaningful impact through your expertise ... Why You'll Love Working With Us Remote Position Great Leadership Opportunity Excellent Crawford ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

... treatment, certifies the medical necessity and assigns an appropriate length of stay while ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

MCKESSON

Field Reimbursement Manager

Anaheim, CA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... medical necessity, claims and appeal assistance, information related to co-pay assistance and ...

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 ... The position provides full benefits including full medical, dental, vision, life insurance, 401k ...

Kaizen Stackup

Senior Case Manager

Riverside, CA · Remote

We have strong remote and on-site support teams in place, but what we're missing is the leader : a ... Master the Medical Workup This is where you shine. You are the authority on the medical phase ...

Kaizen Stackup

Senior Case Manager

Norco, CA · Remote

We have strong remote and on-site support teams in place, but what we're missing is the leader : a ... Master the Medical Workup This is where you shine. You are the authority on the medical phase ...

Lantern

Strategy Analyst

Pomona, CA · Remote

This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties ... Analyze claims and cost savings data to drive insights for reporting and product improvement

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All JobsMedical Claims JobsRemote Medical Claims JobsRemote Medical Claims Jobs in Rialto, CA

Remote Medical Claims information

See Rialto, CA salary details

$14

$22

$32

How much do remote medical claims jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote medical claims in Rialto, CA is $22.27, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $24.57 per hour, depending on experience, location, and employer.

What is a remote medical claims job?

Remote medical claims jobs involve reviewing, processing, and managing health insurance claims from a location outside of a traditional office, typically from home. Professionals in this field assess medical records, verify patient information, ensure compliance with insurance policies, and determine the appropriate payment or denial of claims. These roles often require knowledge of medical terminology, coding, and healthcare regulations. Working remotely in this field offers flexibility while still maintaining the accuracy and confidentiality required in handling sensitive patient data.

What skills and qualifications are needed for a remote medical claims specialist?

To thrive as a Remote Medical Claims Specialist, you need a strong understanding of medical billing, insurance procedures, and healthcare regulations, often supported by relevant certifications like Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS). Familiarity with claims management software, electronic health records (EHR) systems, and payer portals is typically required. Attention to detail, problem-solving abilities, and effective verbal and written communication help ensure accuracy and resolve claim issues efficiently. These skills are crucial for minimizing claim denials, maximizing reimbursements, and maintaining compliance in a remote environment.

What are common challenges in remote medical claims roles and how can they be managed?

One common challenge in remote medical claims roles is ensuring clear and timely communication with both healthcare providers and insurance companies, as miscommunication can lead to claim delays or denials. Additionally, managing a high volume of claims while maintaining accuracy requires strong organizational skills and attention to detail. To manage these challenges, professionals often rely on digital collaboration tools, regular team check-ins, and thorough knowledge of medical billing codes and insurance policies. Establishing a structured daily workflow and seeking continuous training on regulatory updates can also help remote medical claims specialists stay efficient and compliant.

What is the difference between Remote Medical Claims vs Remote Medical Billing?

AspectRemote Medical ClaimsRemote Medical Billing
CertificationsTypically requires CPC, CCS, or similar claims processing certificationsOften requires CPC, CPC-H, or billing-specific certifications
Work EnvironmentPrimarily involves reviewing and submitting insurance claimsFocuses on creating and submitting patient bills to insurance companies
Employer & Industry UsageUsed by insurance companies, third-party administrators, and healthcare providersUsed mainly by healthcare providers, billing companies, and medical offices

Remote Medical Claims specialists focus on processing and submitting insurance claims, ensuring compliance and accuracy. Remote Medical Billing professionals handle creating patient invoices and submitting bills to insurance companies. While both roles require similar certifications and work in healthcare, their core functions differ—claims processing vs billing. Understanding these distinctions helps job seekers find the right remote healthcare role.

What are popular job titles related to Remote Medical Claims jobs in Rialto, CA?

For Remote Medical Claims jobs in Rialto, CA, the most frequently searched job titles are:

What job categories do people searching Remote Medical Claims jobs in Rialto, CA look for?

The top searched job categories for Remote Medical Claims jobs in Rialto, CA are:

What cities near Rialto, CA are hiring for Remote Medical Claims jobs?

Cities near Rialto, CA with the most Remote Medical Claims job openings:

Remote Medical Claims jobs near you
Infographic showing various Remote Medical Claims job openings in Rialto, CA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $46,326 per year, or $22.3 per hour.

Attorney | Workers' Compensation Defense | Remote | 148694

Mission Recruiting

Redlands, CA • Remote

$150K - $190K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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

Job description

Workers' Compensation Defense Attorney

An established California defense and trial practice is seeking a Workers' Compensation Defense Attorney with a minimum of five years of workers' compensation defense experience. This fully remote opportunity is designed for attorneys who are comfortable independently managing a full caseload and appearing regularly before the Workers' Compensation Appeals Board.

The practice maintains a strong emphasis on collaboration, client service, and long-term professional stability. Attorneys work closely with clients and colleagues to develop effective litigation strategies and deliver high-quality legal representation throughout California.

Position Summary

The attorney selected for this role will be responsible for handling workers' compensation defense matters from inception through resolution. The position requires independent case management, regular WCAB appearances, strategic litigation planning, and ongoing communication with clients and other stakeholders.

Key Responsibilities

  • Manage a full workers' compensation defense caseload
  • Represent clients at WCAB hearings, depositions, and trials
  • Draft pleadings, motions, discovery requests, and other litigation documents
  • Conduct legal research and factual investigations
  • Perform case evaluations and exposure assessments
  • Interview witnesses and analyze claim-related evidence
  • Develop and execute litigation strategies tailored to individual matters
  • Communicate effectively with clients, claims adjusters, opposing counsel, and internal team members
  • Maintain compliance with EAMS requirements, WCAB procedures, and applicable ethical standards

Required Qualifications

  • Juris Doctor from an accredited law school
  • Active California State Bar license in good standing
  • Minimum of 5 years of workers' compensation defense experience
  • Experience in independently managing workers' compensation files
  • Familiarity with EAMS and WCAB procedures and regulations
  • Strong written and oral advocacy skills
  • Excellent organizational and case management abilities
  • Ability to manage competing priorities and deadlines

Compensation

  • Base salary range: $150,000–$190,000 annually
  • Compensation commensurate with experience and book of business

Benefits

  • Benefits eligibility after 60 days
  • Monthly medical insurance reimbursement/stipend
  • PPO and HMO options through rated carriers
  • Dental coverage with employer contribution
  • Vision coverage
  • $50,000 life insurance benefit
  • 401(k) retirement plan
  • Eight paid federal holidays
  • Fourteen sick days annually
  • Fourteen vacation days annually with unlimited PTO option
  • Parental leave
  • Continuing education support
  • State Bar dues paid
  • Employee recognition programs

Work Environment

The firm promotes a collaborative and team-oriented culture focused on client service, professionalism, and long-term relationships. Attorneys are encouraged to work closely with colleagues while maintaining ownership of their individual caseloads.

This opportunity is ideal for an experienced workers' compensation defense attorney seeking a remote practice, consistent WCAB litigation exposure, competitive compensation, and long-term career stability.

Salary Range: $150,000–$190,000

Reference: 148694