Top 13 Claims processor remote Jobs in California

Xcelys Medical Claims Examiner (Remote)
NTT DATA —Ontario, CA
- $20 an hour
- Contract
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Health savings account
- AD&D insurance
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11d
Enterprise Fraud - Card Investigations Representative
Golden 1 Credit Union —Sacramento, CA
- $23.09 - $25.00 an hour
- Full-time
- Remote
- Computer literacy
- Research
- Mid-level
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Senior Technology Innovation Engineer
Iventim inc. —Sunnyvale, CA
- $150,000 - $200,000 a year
- Full-time
- Hybrid work
- Computer Science
- C++
- Mentoring
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Staff Accountant
TEEMA Group —Covina, CA
- $30 - $35 an hour
- 8 hour shift
- Remote
- ERP systems
- Mid-level
- Finance
Quick Apply
10d
Service Fulfillment Processor
OneUnited Bank —Los Angeles, CA
- $20.50 - $22.50 an hour
- Word processing
- Research
- Office
Open Until Filled
Westside Regional Center —Culver City, CA
- $44,216.67 - $53,841.63 a year
- Office
- High school diploma or GED
- Fair chance
Store Systems Analyst
Vallarta Supermarkets —Santa Clarita, CA
- $32 - $35 an hour
- Full-time
- Hospitality
- Mid-level
- Windows
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Teller
US Defense Commissary Agency —Marine Corps Air Station Miramar, CA
- $41,591 - $54,071 a year
- Overtime
- Hybrid work
- Background check
- 18 years or older
- Pass drug screening
13d
Staff Accountant
Cala Sourcing Solutions LLC —Covina, CA
- $30 - $35 an hour
- 8 hour shift
- Remote
- Mid-level
- Finance
- Bachelor's degree
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5d

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PERSONAL INJURY CASE MANAGER (Remote)
Adamson Ahdoot, LLP. —California
1-2 years of data entry experience. Ability to handle high call volume - incoming and outgoing. Day to day tasks include frequent client contact, medical…
$70,000 - $100,000 a year
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Medical Claims Examiner
Insperity —Chatsworth, CA
Extensive familiarity and experience in planning benefit and co-payment determination, division of financial responsibility determination, claims policies and…
$24 - $30 an hour

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claims processor remote jobs near california

Xcelys Medical Claims Examiner (Remote)

NTT DATA -
Ontario, CA

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Job Details

Contract
$20 an hour
11 days ago

Benefits

Health savings account
AD&D insurance
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

Pricing
Regulatory compliance in claims processing
Medical claims processing software
ICD-10
HCPCS
Legal compliance

Full Job Description

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

Claims Examiner-Xcelys
Location: Fully Remote
Pay Rate: $20.00 Per hour
Start Date: 8/24/2026
M-F 8:00am-5pm CT.
Employment Type: Long Term Contract/Not Direct Hire

MUST HAVE XCELYS EXPERIENCE

To serve as a Medical Claims Processor within the Xcelys environment. Provide subject-matter expertise on claims workflows and be a key contributor to system enhancements, audits, and process optimizations.

Role Responsibilities:

Adjudication & Review

Process comprehensive medical claims using Xcelys and associated subsystems
Resolve complex pends, coding issues, and contract exceptions
Author overpayment/underpayment determinations and coordinate appeals

Quality & Compliance

Engage in quality reviews, audits, root cause analyses
Monitor accuracy, variance, and rework metrics
Ensure alignment with regulatory and internal compliance guidelines

Support

Act as escalation point and subject matter expert

Process & System Improvement

Participate in system testing, UAT, and workflow enhancements
Recommend improvements, document system and process changes

Reporting & Analytics

Prepare production, pending, and quality reports
Identify trends and recommend corrective actions

Cross-Functional Collaboration

Liaise with provider relations, legal, IT, compliance teams
Support internal initiatives related to claims systems / operational improvements

Required Skills/Experience

2+ years claims adjudication experience
Minimum of 1 year experience in Xcelys
2+ years in coding (CPT, ICD-10, HCPCS)
2+ years provider contracts, pricing, regulatory guidelines experience

Preferences

Excellent analytical and communication skills
Experience training staff or acting as a mentor
Familiarity with system testing and documentation
Ability to manage high-volume workload and meet performance metrics

Education: Verifiable high school diploma or GED

About NTT DATA Services:

NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($20/hourly ). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.

This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.

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Refine Your Search

claims processor remote jobs in california

Xcelys Medical Claims Examiner (Remote)

Enterprise Fraud - Card Investigations Representative

Senior Technology Innovation Engineer

Staff Accountant

Service Fulfillment Processor

Open Until Filled

Store Systems Analyst

Teller

Staff Accountant

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