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Virtual Remote Claims Manager Jobs (NOW HIRING)

MSO, INC. OF SOUTHERN CALIFORNIA

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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.

NTT DATA

Medical Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... Time management with the ability to cope in a complex, changing environment * Ability to ...

Ccfs

Risk Claims Manager

Denver, CO · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves. * Identify claims ...

Ccfs

Risk Claims Manager

Phoenix, AZ · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves. * Identify claims ...

Ccfs

Risk Claims Manager

Kansas City, KS · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves. * Identify claims ...

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... Time management with the ability to cope in a complex, changing environment * Ability to ...

Ccfs

Risk Claims Manager

Salt Lake City, UT · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves. * Identify claims ...

Ccfs

Risk Claims Manager

Las Vegas, NV · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves. * Identify claims ...

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves. * Identify claims ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... Time management with the ability to cope in a complex, changing environment * Ability to ...

Conduent, Inc.

Remote Claims Processing Clerk

KY · Remote

$15/hr

Remote Claims Processing Clerk Schedule: Monday- Friday 8:00 AM - clean desk (based on business ... This role is fully remote and requires strong accuracy, time management, multitasking skills and ...

Counterpart

Claims Manager

... claims management processes and systems. Your input will help to shape and improve how we fulfill ... Ability to succeed in a full remote workplace environment, and travel as necessary (approximately ...

Counterpart

Claims Manager

... claims management processes and systems. Your input will help to shape and improve how we fulfill ... Ability to succeed in a full remote workplace environment, and travel as necessary (approximately ...

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Virtual Remote Claims Manager information

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$35K

$87.9K

$139K

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

As of Aug 22, 2026, the average yearly pay for virtual remote claims manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.
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Virtual Remote Claims Manager jobs near you
Infographic showing various Virtual Remote Claims Manager job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.

CLAIMS MANAGER

MSO, INC. OF SOUTHERN CALIFORNIA

Costa Mesa, CA • Remote

$80K - $110K/yr

Full-time

Posted 5 days ago

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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