Claims Auditor Lead
Midland, GA · Hybrid
Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...
Midland, GA · Hybrid
Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...
Midland, GA · Hybrid
Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...
Columbus, GA · Hybrid
Claims Auditor Lead Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support ...
Columbus, GA · Hybrid
Claims Auditor Lead Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support ...
Opelika, AL · On-site
$41K - $55K/yr
The Claims Analyst is responsible for accurately and compliantly filing claims, working denials and ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
Opelika, AL · On-site
$41K - $55K/yr
The Claims Analyst is responsible for accurately and compliantly filing claims, working denials and ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
Opelika, AL · Hybrid
$41K - $55K/yr
The Claims Analyst is responsible for accurately and compliantly filing claims, working denials and ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
Opelika, AL · Hybrid
$41K - $55K/yr
The Claims Analyst is responsible for accurately and compliantly filing claims, working denials and ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
Opelika, AL · On-site
$41K - $55K/yr
The Claims Analyst is responsible for accurately and compliantly filing claims, working denials and ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
Opelika, AL · On-site
$41K - $55K/yr
The Claims Analyst is responsible for accurately and compliantly filing claims, working denials and ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
Opelika, AL · Hybrid
$41K - $55K/yr
The Claims Analyst is responsible for accurately and compliantly filing claims, working denials and ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
Opelika, AL · Hybrid
$41K - $55K/yr
The Claims Analyst is responsible for accurately and compliantly filing claims, working denials and ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
The Claims Analyst for Credits is responsible for accurately and compliantly filing credit balance ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
The Claims Analyst for Credits is responsible for accurately and compliantly filing credit balance ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
The Claims Analyst for Credits is responsible for accurately and compliantly filing credit balance ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
The Claims Analyst for Credits is responsible for accurately and compliantly filing credit balance ... Associates Degree or Higher * Preferred Experience * 2 or more years of Healthcare Related ...
Phenix City, AL · On-site
$35K - $50K/yr
Before becoming an agent, I spent five years working in State Farm Claims, where I gained valuable ... As an Account Associate for Bob English - State Farm Agent, you are vital to our daily business ...
Quick apply
Phenix City, AL · On-site
$35K - $50K/yr
Before becoming an agent, I spent five years working in State Farm Claims, where I gained valuable ... As an Account Associate for Bob English - State Farm Agent, you are vital to our daily business ...
Valley, AL · On-site
$45K - $55K/yr
As Account Associate - State Farm Agent Team Member for Matthew Slaughter - State Farm Agent, you ... Process insurance claims and follow up with customers on claim status. * Coordinate with ...
Quick apply
Valley, AL · On-site
$45K - $55K/yr
As Account Associate - State Farm Agent Team Member for Matthew Slaughter - State Farm Agent, you ... Process insurance claims and follow up with customers on claim status. * Coordinate with ...
Valley, AL · On-site
$65K - $85K/yr
Prior to agency ownership, I held a variety of roles including Claims, Agency, and Sales Leadership ... As Account Associate - State Farm Agent Team Member for Beth Slaughter - State Farm Agent, you are ...
Quick apply
Valley, AL · On-site
$65K - $85K/yr
Prior to agency ownership, I held a variety of roles including Claims, Agency, and Sales Leadership ... As Account Associate - State Farm Agent Team Member for Beth Slaughter - State Farm Agent, you are ...
Investigate customer concerns including voltage complaints, service issues, claims, and reliability ... Power and Associates as an industry leader in customer satisfaction. For more information, visit ...
Investigate customer concerns including voltage complaints, service issues, claims, and reliability ... Power and Associates as an industry leader in customer satisfaction. For more information, visit ...
Investigate customer concerns including voltage complaints, service issues, claims, and reliability ... Power and Associates as an industry leader in customer satisfaction. For more information, visit ...
Investigate customer concerns including voltage complaints, service issues, claims, and reliability ... Power and Associates as an industry leader in customer satisfaction. For more information, visit ...
Investigate customer concerns including voltage complaints, service issues, claims, and reliability ... Power and Associates as an industry leader in customer satisfaction. For more information, visit ...
Investigate customer concerns including voltage complaints, service issues, claims, and reliability ... Power and Associates as an industry leader in customer satisfaction. For more information, visit ...
Columbus, GA · On-site
$70 - $100/hr
Investigate customer concerns including voltage complaints, service issues, claims, and reliability ... Power and Associates as an industry leader in customer satisfaction. For more information, visit ...
Columbus, GA · On-site
$70 - $100/hr
Investigate customer concerns including voltage complaints, service issues, claims, and reliability ... Power and Associates as an industry leader in customer satisfaction. For more information, visit ...
Columbus, GA · On-site
$95K/yr
Entry-Level Associate for Growing Personal Injury and DUI Defense Firm Join a Dynamic, Growth ... We also assist with Probate matters and Veteran Benefits Claims. At The Wright Legal Group, LLC, we ...
Quick apply
Columbus, GA · On-site
$95K/yr
Entry-Level Associate for Growing Personal Injury and DUI Defense Firm Join a Dynamic, Growth ... We also assist with Probate matters and Veteran Benefits Claims. At The Wright Legal Group, LLC, we ...
Columbus, GA · On-site
$45K - $60K/yr
As Account Associate - State Farm Agent Team Member for Waleed Zayid - State Farm Agent, you are ... Process insurance claims and follow up with customers on claim status. * Coordinate with ...
Quick apply
Columbus, GA · On-site
$45K - $60K/yr
As Account Associate - State Farm Agent Team Member for Waleed Zayid - State Farm Agent, you are ... Process insurance claims and follow up with customers on claim status. * Coordinate with ...
Lagrange, GA · On-site
$45K - $60K/yr
As Account Associate - State Farm Agent Team Member for Jason Graham - State Farm Agent, you are ... Process insurance claims and follow up with customers on claim status. * Coordinate with ...
Quick apply
Lagrange, GA · On-site
$45K - $60K/yr
As Account Associate - State Farm Agent Team Member for Jason Graham - State Farm Agent, you are ... Process insurance claims and follow up with customers on claim status. * Coordinate with ...
$17.25 - $22/hr
Associate in Claims (AIC) * Chartered Property Casualty Underwriter (CPCU) BENEFITS: * Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance * Seven paid holidays ...
$17.25 - $22/hr
Associate in Claims (AIC) * Chartered Property Casualty Underwriter (CPCU) BENEFITS: * Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance * Seven paid holidays ...
Lagrange, GA · On-site
$17.25 - $22/hr
Associate in Claims (AIC) * Chartered Property Casualty Underwriter (CPCU) BENEFITS: * Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance * Seven paid holidays ...
Lagrange, GA · On-site
$17.25 - $22/hr
Associate in Claims (AIC) * Chartered Property Casualty Underwriter (CPCU) BENEFITS: * Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance * Seven paid holidays ...
$12.26 - $13.63
7% of jobs
$13.63 - $15
15% of jobs
$15.44 is the 25th percentile. Wages below this are outliers.
$15 - $16.37
7% of jobs
$16.37 - $17.74
14% of jobs
The median wage is $18.28 / hr.
$17.74 - $19.11
14% of jobs
$20.31 is the 75th percentile. Wages above this are outliers.
$19.11 - $20.48
19% of jobs
$20.48 - $21.85
15% of jobs
$21.85 - $23.22
3% of jobs
$23.22 - $24.59
2% of jobs
$24.59 - $25.96
1% of jobs
$25.96 - $27.33
1% of jobs
$12
$18
$27
A claims associate handles claims for an insurance company. As a claims associate, your job duties may include reviewing a customer’s insurance coverage and interviewing those who have filed a claim. Your job is to ensure that a claim is processed correctly, so the customer receives the financial payout to which they are entitled. In this career, you usually work in an office, but you may need to travel to gather information about the claim. There are positions in every insurance industry so that you may work in anything from auto to life insurance. This position requires excellent research and interpersonal skills, and experience in customer service is a plus. Additional qualifications may include an associate degree.
| Aspect | Claims Associate | Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may prefer insurance-related certifications | High school diploma; insurance certifications like CPCU or similar beneficial |
| Work Environment | Office setting, interacting with customers and internal teams | Office setting, reviewing claims and documentation |
| Employer & Industry Usage | Insurance companies, third-party administrators | Insurance companies, adjusting departments |
| Common Search & Comparison | Claims Associate vs Claims Examiner |
The main difference between a Claims Associate and a Claims Examiner lies in their responsibilities. Claims Associates typically handle initial customer interactions and basic claim processing, while Claims Examiners review and assess claims in detail, often making determinations on claim validity. Both roles require similar credentials and work in comparable environments, but Claims Examiners usually have more specialized knowledge and decision-making authority.
The most popular types of Claims jobs in Columbus, GA are:
For Claims Associate jobs in Columbus, GA, the most frequently searched job titles are:
The top searched job categories for Claims Associate jobs in Columbus, GA are:
Cities near Columbus, GA with the most Claims Associate job openings:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 17 days ago
Process high dollar claims within Service Operations, including pre and post payment and adjudication audits of medical and pharmacy claims.
Conduct audits for new hires and team members learning new skills, and review, interpret, and maintain records of quality and productivity for the team.
Review and resolve complex claim audit issues, serve as a subject matter expert on policy, workflow, and technical questions, and interface with support teams and management on claims review and resolution.
7.5
Based on 354 frontline employees who took The Breakroom Quiz
219th of 315 rated insurance
Claims Auditor Lead
Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unlessaccommodationis granted as required by law.
The Claims Auditor Lead is responsible for processing high dollar claims within Service Operations. Responsible for pre and post payment and adjudication audits of high dollar medical and pharmacy. Serves as the subject matter expert for the unit.
Primary duties may include, but are not limited to:
Responsible for all team training including but not limited to new hires, cross training, new product and system enhancements.
Conducts audits for new hires and/or any team member learning a new skill.
Reviews, interprets and maintains records of quality and productivity for entire team.
Coaches, mentors and develops associates to ensure processes, guidelines and tools are utilized correctly.
Utilizes inventory management strategies to monitor priorities and ensure timely turnaround of all claims.
Responsible for creating, updating and maintaining departmental policy and claims auditor procedure manuals for accuracy.
Independently analyzes and makes decisions on complex claim audit issues.
Serves as subject matter expert on policy, workflow and technical questions.
Interfaces with all levels of support including but not limited to production support, medical management, provider /vendor contracting and other audit teams.
Partners with Management on complex claims reviews and resolution.
Responsible for reviewing and resolving shared mailbox issues.
Interprets contracts, prepares monthly reports, and attends meetings as subject matter expert when requested.
Manages projects as assigned and may work across different platforms or lines of business.
Reviews and responds to external audit requests.
Performs audit reviews of and may adjudicate complex high dollar claims by completing an end to end audit with final approval authority.
Minimum Requirements:
Requires a HS diploma or GED and a minimum of 6 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background.
Preferred Requirements:
Proficiency in Microsoft Office Suite is highly preferred.
Commercial Claims experience is highly preferred
CI&W and WGS experience is highly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
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Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Health care and social assistance
10,000+ Employees
Indianapolis, IN, US
2004