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Claim Configuration Analyst Jobs in Decatur, GA (NOW HIRING)

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Claim Configuration Analyst information

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$14

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$66

How much do claim configuration analyst jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for claim configuration analyst in Decatur, GA is $40.34, according to ZipRecruiter salary data. Most workers in this role earn between $29.81 and $51.63 per hour, depending on experience, location, and employer.

What is a claim configuration analyst?

Claim Configuration Analysts are professionals who specialize in setting up and maintaining the rules, processes, and systems that handle insurance claims within an organization. They ensure that claim processing systems are configured accurately to follow policy guidelines, regulatory requirements, and company procedures. Their role often involves analyzing data, troubleshooting issues, and collaborating with IT, claims, and business teams to optimize claim workflows. By ensuring correct system configurations, they help reduce errors, improve operational efficiency, and support timely claim resolutions.

What is the difference between Claim Configuration Analyst vs Claims Processor?

AspectClaim Configuration AnalystClaims Processor
Primary ResponsibilitiesDesigns and manages claim system setups, analyzes configuration issues, and optimizes claim workflows.Processes individual claims, verifies information, and ensures accurate claim adjudication.
Required Skills & CertificationsKnowledge of insurance systems, data analysis, and possibly certifications like CPCU or similar.Attention to detail, familiarity with claims software, and basic insurance knowledge.
Work EnvironmentTypically office-based, working with IT teams and claims systems.Office or remote, handling claims directly or via claims processing platforms.

The Claim Configuration Analyst focuses on configuring and optimizing claim systems and workflows, while the Claims Processor handles the day-to-day processing of individual claims. Both roles require insurance knowledge, but the analyst role emphasizes system setup and analysis, whereas the processor role emphasizes claim review and verification.

What are the key skills and qualifications needed to thrive as a claim configuration analyst, and why are they important?

To thrive as a Claim Configuration Analyst, you need a strong understanding of healthcare claims processing, benefits administration, and analytical problem-solving, often supported by a degree in business, information systems, or a related field. Familiarity with claims adjudication systems (such as Facets or QNXT), SQL, and potentially industry certifications like Certified Claims Professional (CCP) are commonly required. Attention to detail, effective communication, and the ability to work collaboratively with cross-functional teams are crucial soft skills. These competencies ensure accurate claim system configuration, regulatory compliance, and efficient operations within health insurance organizations.

What are some common challenges faced by claim configuration analysts, and how can they be addressed?

Claim Configuration Analysts often encounter challenges such as interpreting complex insurance policies, ensuring accurate system configuration to minimize claim errors, and keeping up with frequent regulatory changes. Addressing these challenges requires strong analytical skills, attention to detail, and effective collaboration with cross-functional teams like IT, compliance, and claims processing. Regular training and open communication channels help analysts stay updated and maintain high-quality configurations, ultimately reducing errors and improving efficiency.

Is claims processing a stressful job?

Claims processing as a Claim Configuration Analyst can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling complex cases and using specialized software, which can contribute to work pressure. However, workload and stress levels vary depending on the organization and individual workload management skills.
What job categories do people searching Claim Configuration Analyst jobs in Decatur, GA look for? The top searched job categories for Claim Configuration Analyst jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Claim Configuration Analyst jobs? Cities near Decatur, GA with the most Claim Configuration Analyst job openings:
Claim Configuration Analyst jobs near you
Infographic showing various Claim Configuration Analyst job openings in Decatur, GA as of August 2026, with employment types broken down into 91% Full Time, and 9% Contract. Highlights an 74% In-person, and 26% Remote job distribution, with an average salary of $83,901 per year, or $40.3 per hour.

Client Experience Manager, Payment Integrity

Rialtic, Inc.

Atlanta, GA • On-site, Remote

Full-time

Medical, Retirement, PTO

Re-posted 20 days ago

Job description

Rialtic is an enterprise software platform empowering health insurers and healthcare providers to run their most critical business functions. Founded in 2020 and backed by leading investors including Oak HC/FT, F-Prime Capital, Health Velocity Capital and Noro-Moseley Partners, Rialtic's best-in-class payment accuracy product brings programs in-house and helps health insurance companies gain total control over processes that have been managed by disparate and misaligned vendors. Currently working with leading healthcare insurers and providers, we are tackling a $1 trillion problem to reduce costs, increase efficiency and improve quality of care. For more information, please visit www.rialtic.io.
The Role
As part of the Client Experience team, you can shape how the business reports, understands and acts on our client results, requests and feedback. This position will focus on operational processes and procedures that improve client interactions and satisfaction, ensure timely issue resolution, and anticipate client needs to deliver value to our clients.
You will collaborate closely with operational and technical teams in addition to key business partners both internally and externally to optimize operational processes and streamline client interactions. The objective is to ensure the Client Experience team delivers value to our clients through efficient operational processes, enhanced reporting, comprehensive user training, and exceptional support strategies.
You will:
  • Work with Client Experience Analysts to identify actionable insights from healthcare claims data and results
  • Review all client-facing reporting for accuracy, including reports on:
    • Impacts of policy customizations or modifications
    • Claim impact for retroactive requests
    • Comparing actual results to expected or projected results
    • Trends by program, line of business, policy, providers, etc.
  • Communicate all actionable findings within the organization to Client Experience leadership, Client Success, and Go-to-Market to support client understanding of the data
  • Become an expert on the Rialtic platform and application to support user onboarding and training:
    • Support user onboarding including user account setup, management of access/permissions, and security
    • Become an expert on the Rialtic Application to provide clients with hands-on training, for both new and existing users
    • Introduce new functionality or capabilities within the Rialtic tool and receive product feedback for formal communication internally to our Product team
  • Act as primary contact for client inquiries, client support, and all key client deliverables
    • Manage client inquiries and technical support processes by logging, tracking, triaging, and responding to all incoming requests
    • Support policy review and implementation by making configuration changes within the Rialtic application and closely monitoring policy decisions
  • Facilitate and communicate conversations around invoices and SLAs
  • Leverage internal monitoring to track client usage and user health on the Rialtic platform and products
  • Work closely with Client Success to discuss how to improve all processes related to improving the experience of our clients

You have
  • 5-7 years of leading operations and/or providing the client experience/success function in a previous role in healthcare, payment integrity experience required.
  • Understanding of operations and reporting needs.
  • General understanding of a payer organization.
  • Able to travel frequently; process-oriented versus relationship-focused like Client Success role.

At Rialtic, our values matter. They describe how we work together and how we want others to experience us. We live and breathe these values every day in service of our clients.
  • High Integrity
    • Do the right thing. Provide candid feedback. Be humble and respectful.
  • Customer Value Comes First
    • Delivering value to our customers is our North Star.
  • Work as One Team
    • Collaborative, inclusive environment to advance our mission.
  • Be Bold & Accountable
    • Speak up. Take accountability. Continually improve.
  • Pursuit of Excellence
    • Innovate, iterate and chase the best possible outcomes.
  • Take Care of Yourself & Others
    • Prioritize the health and wellbeing of yourself and your teammates.

About Rialtic's Benefits:
  • Freedom to work from wherever you work best and a home office stipend to make it happen
  • Meaningful equity and 401k matching
  • Unlimited PTO and wellness reimbursements
  • Comprehensive health plans with generous contribution to premiums
  • Mental and physical wellness support through TalkSpace, Teladoc, and One Medical subscriptions

We are headquartered in Atlanta, but we are remote-friendly.
Don't meet every single requirement?
Studies have shown that women and people of color are less likely to apply for jobs unless they meet every single qualification.
At Rialtic, we are dedicated to building a diverse, inclusive, and authentic workplace. If you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
Rialtic is an equal-opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. We cannot access your personal Equal Employment Opportunity Commission information during the interview process. Rialtic is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request a reasonable accommodation, please let us know in your application or email us atPlease take the necessary steps to allow listing of the Rialtic (@Rialtic.io) and Greenhouse (@Greenhouse.io) domains so that you receive all emails related to your application process. Also, please make sure to check your spam folder as emails from LifeLabs and/or Greenhouse can be marked as spam.
TO ALL RECRUITMENT AGENCIES:
Rialtic does not accept agency resumes. Please do not forward resumes to Rialtic employees or any other company location. Rialtic is not responsible for any fees related to unsolicited resumes and will not pay fees to any third-party agency or company that does not have a signed agreement with the Company for this specific role.

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