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Remote Part Time Claims Jobs (NOW HIRING)

Corvel

CA Telephonic Case Manager II

San Diego, CA · Remote

$32.18 - $48.68/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote part-time position. Candidates are required to have CA RN License and Compact ... Ability to interface with claims staff, attorneys, physicians and their representatives, and ...

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Showing results 21-40

All JobsClaims JobsRemote Part Time Claims Jobs

Remote Part Time Claims information

See salary details

$34K

$72.1K

$118.5K

How much do remote part time claims jobs pay per year?

As of Aug 14, 2026, the average yearly pay for remote part time claims in the United States is $72,103.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $89,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Part Time Claims vs Remote Full Time Claims?

AspectRemote Part Time ClaimsRemote Full Time Claims
Work HoursFewer hours, typically less than 30 hours/weekFull-time hours, usually 35-40 hours/week
CredentialsSame certifications as full-time claims roles, such as claims processing or adjuster licensesSame certifications as part-time claims roles, often requiring similar credentials
Work EnvironmentRemote, flexible scheduleRemote, standard full-time schedule
Employer UsageUsed by insurance companies for flexible staffingUsed for full coverage and staffing needs in insurance claims departments

Remote Part Time Claims roles offer flexible hours with similar credentials and work environment as Remote Full Time Claims positions. The main difference lies in the hours worked, with part-time roles providing more flexibility for those seeking fewer hours, while full-time roles offer consistent, full-hour coverage.

What skills and qualifications are needed for a remote part time claims job?

To thrive as a Remote Part Time Claims Specialist, you typically need knowledge of insurance processes, attention to detail, and a high school diploma or relevant experience in claims handling. Familiarity with claims management systems, document processing software, and secure communication platforms is essential. Strong organizational skills, self-motivation, and effective written communication set top performers apart in this remote setting. These skills ensure accuracy, timely claims resolution, and reliable service to clients and insurers from a remote environment.

What are common challenges in a remote part time claims role, and how can they be managed?

In a remote part-time claims position, common challenges include maintaining clear communication with team members, staying organized while juggling multiple claims, and adapting to varying workloads. To manage these challenges, it's important to establish regular check-ins with supervisors, use digital tools to track claim progress, and develop strong time management habits. Many organizations also offer virtual training and support networks, making it easier to stay connected and up-to-date with changes in claims procedures.

What is a remote part time claims job?

Remote Part Time Claims jobs involve evaluating, processing, and managing insurance or benefits claims from a remote location, usually working fewer than 40 hours per week. Individuals in these roles typically review submitted claims, verify information, communicate with clients or healthcare providers, and make decisions regarding claim approvals or denials. These positions offer flexibility in work location and hours, making them appealing for those seeking work-life balance or supplemental income. Job requirements often include attention to detail, good communication skills, and familiarity with claims processing systems or relevant regulations.
More about Remote Part Time Claims jobs

What cities are hiring for Remote Part Time Claims jobs?

Cities with the most Remote Part Time Claims job openings:

What states have the most Remote Part Time Claims jobs?

States with the most job openings for Remote Part Time Claims jobs include:

What job categories do people searching Remote Part Time Claims jobs look for?

The top searched job categories for Remote Part Time Claims jobs are:

Remote Part Time Claims jobs near you
Infographic showing various Remote Part Time Claims job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $72,103 per year, or $34.7 per hour.

Staff Dentist (Part-Time, Remote, Nevada /California License)

LIBERTY DENTAL

Las Vegas, NV • On-site, Remote

$74 - $82/hr

Part-time

Medical, Dental, Retirement, PTO

Posted 22 days ago

Job description

Help Shape Better Oral Health Outcomes at Liberty Dental Plan
At Liberty Dental Plan, our mission is to improve oral health by delivering high-quality, accessible, and cost-effective dental benefits. We are seeking an experienced Staff Dentist to join our clinical team and play a critical role in supporting our Utilization Management (UM) and Utilization Review (UR) programs.
This fully remote opportunity offers a consistent 20-hour-per-week schedule, allowing experienced dentists to apply their clinical expertise in a collaborative managed care environment while helping improve access to high-quality oral healthcare. You will review dental claims, prior authorizations, referrals, and treatment requests across Commercial, Marketplace Exchange, Medicare Advantage, and Medicaid populations, helping ensure members receive appropriate, evidence-based care while supporting quality outcomes and regulatory compliance.
About the Role
The Staff Dentist is responsible for performing timely, accurate, and clinically sound reviews of dental claims and service requests. Working closely with providers, dental leadership, and cross-functional teams, you will support consistent coverage determinations, quality improvement initiatives, and exceptional member experiences.
Employment Type: Part-Time, Non-Exempt
Work Arrangement: Fully Remote
Schedule: 20 hours per week
Compensation: $74.00 - $82.00 per hour
What You'll Do
Utilization Management & Clinical Review
  • Review dental claims, referrals, and prior authorization requests across multiple lines of business.
  • Apply clinical expertise to evaluate treatment plans, radiographs, chart notes, and supporting documentation.
  • Make coverage determinations based on benefit plans, clinical guidelines, medical necessity criteria, and applicable policies.
  • Meet established productivity, quality, and turnaround-time standards.
  • Document clinical rationale clearly and accurately in accordance with regulatory and accreditation requirements.
Clinical Quality & Consistency
  • Participate in calibration sessions to promote consistency and accuracy in clinical decision-making.
  • Complete inter-rater reliability assessments and support ongoing quality improvement efforts.
  • Collaborate with leadership and peers to address complex clinical scenarios and interpretation questions.
  • Incorporate audit findings and feedback to continuously enhance determination accuracy and documentation quality.
Provider Engagement & Peer Collaboration
  • Conduct peer-to-peer consultations with treating providers regarding clinical determinations and treatment alternatives.
  • Participate in grievance, appeal, and secondary review activities.
  • Consult with dental specialists and subject matter experts as needed to support informed clinical decision-making.
Regulatory & Operational Support
  • Maintain expertise in Liberty Dental Plan benefit structures and applicable Medicaid programs.
  • Support regulatory reporting and accreditation-related activities.
  • Stay current with ADA CDT coding updates, evidence-based treatment guidelines, and state-specific requirements.
  • Participate in required training programs, departmental meetings, and organizational initiatives.
What You'll Bring
Required Qualifications
  • DDS or DMD degree from an accredited dental school.
  • Current, active, and unrestricted Nevada AND California dental license in good standing.
  • Minimum of six (6) years of experience as a practicing dentist.
  • Ability to successfully complete Liberty Dental Plan credentialing and recredentialing requirements.
  • Strong knowledge of dental procedures, clinical guidelines, coding standards, and medical necessity criteria.
  • Ability to review and interpret dental radiographs, treatment plans, and chart documentation.
  • Excellent written and verbal communication skills.
  • Ability to manage review volumes efficiently while maintaining quality and compliance standards.
Preferred Qualifications
  • Experience in dental claims review, utilization management, managed care, or payer environments.
  • Experience training, coaching, or mentoring clinical peers.
  • Familiarity with claims adjudication systems and clinical review platforms.
  • Experience with AI-assisted review technologies such as Overjet or similar solutions.
  • Exposure to project management and quality improvement initiatives.
Knowledge, Skills & Abilities
  • Understanding of commercial, Medicare, Medicaid, and managed care dental programs.
  • Knowledge of reimbursement methodologies, utilization management principles, and regulatory requirements.
  • Ability to clearly communicate and support evidence-based clinical determinations.
  • Strong computer proficiency and the ability to quickly learn new technology platforms.
  • Ability to work effectively in a collaborative, team-oriented environment.
  • Commitment to maintaining all required licensure and continuing education requirements.
Why Join Liberty Dental Plan?
  • Make a meaningful impact on the oral health of diverse member populations.
  • Apply your clinical expertise in a collaborative, mission-driven organization.
  • Help drive quality, consistency, and innovation in dental utilization management.
  • Work alongside experienced dental and healthcare professionals dedicated to improving access to care.
  • Enjoy the flexibility of a fully remote position with a predictable 20-hour-per-week schedule and competitive hourly compensation.
Ready to Make an Impact?
If you are a licensed Nevada dentist passionate about clinical excellence, evidence-based decision-making, and improving oral health outcomes, we encourage you to apply today and join Liberty Dental Plan's dedicated clinical team.
Location
Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.
What Liberty Offers
Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.
Our first-class benefits package supports employees and their dependents with:
  • Competitive pay structure and savings options to help you reach your financial goals.
  • Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
  • Employee Assistance Program (EAP) to support mental health and well-being.
  • Generous vacation and sick leave policies, with the ability to roll over unused time.
  • Paid company holidays.
  • Remote or hybrid work options available for various positions.

Compensation
In the spirit of pay transparency, the base salary range for this position is $74.00 - $82.00 an hour, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.

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