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Claims Processor Jobs in Atlanta, GA (NOW HIRING)

Drives continuous improvement in claims processes and outcomes under the self-administration model. * 30% Claims Operations Management - Leads the day-to-day operations of a multi-line general ...

VSC Claims Supervisor

Atlanta, GA · On-site +1

$70K - $75K/yr

As an VSC Level 3 Claims Adjuster, you will play a vital role in our company's claims ... Payroll processed weekly with direct deposit * Healthcare options including medical, vision, and ...

Claims Intake Specialist

Kennesaw, GA · On-site

$55K - $65K/yr

Summary The Claims Intake Specialist supports the Claims team by managing incoming claim-related ... This role is highly detail-oriented and helps ensure claim documentation is processed accurately ...

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent ... Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we ...

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Claims Processor information

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How much do claims processor jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for claims processor in Atlanta, GA is $18.43, according to ZipRecruiter salary data. Most workers in this role earn between $15.72 and $19.90 per hour, depending on experience, location, and employer.

What jobs pay 500,000 a year in the US?

Claims processors typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Most claims processing roles have salaries well below this threshold.

What Is a Claims Processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

Is claim adjusting a dying field?

Claims processing is a stable field that involves reviewing and settling insurance claims, often requiring attention to detail and knowledge of insurance policies. While automation and AI tools are increasingly used to streamline tasks, the need for human claims adjusters remains, especially for complex cases and customer interactions.

What are some common challenges faced by Claims Processors, and how can they be managed effectively?

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that involves reviewing and verifying insurance claims. While it can involve tight deadlines and attention to detail, the level of stress varies depending on workload, workplace environment, and individual coping skills.

What is the role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for this role.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

What are the key skills and qualifications needed to thrive as a Claims Processor, and why are they important?

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

What does a Claims Processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.
What are the most commonly searched types of Claims Processor jobs in Atlanta, GA? The most popular types of Claims Processor jobs in Atlanta, GA are:
What cities near Atlanta, GA are hiring for Claims Processor jobs? Cities near Atlanta, GA with the most Claims Processor job openings:
Claims Account Representative

Claims Account Representative

Verida, Inc.

Villa Rica, GA • On-site

Other

Posted 5 days ago

New


Verida rating

5.0

Company rating: 5.0 out of 10

Based on 11 frontline employees who took The Breakroom Quiz


Job description

Job Title

Provides excellent customer service to non-emergency Medicaid and MCO transportation providers. Answers calls regarding existing claims status, including handling tasks associated with those claims. Monitors timely receipt of information to contractors/providers. Ensures complete and sound claim settlements and investigations when necessary. Examines records and ensures that transportation providers are paid according to the contractual terms. Maintains the accuracy and confidentiality of data, records, and files. Provides customers/providers with exceptional quality and efficient customer service.

Essential Functions
  • Answers calls regarding existing claims status
  • Provides first call resolution; working with appropriate internal/external resources, completing the necessary follow-up, and ensuring closure of the inquiry
  • Answers incoming requests in a friendly manner, responds to routine questions; inputs and/or logs information received into the computer equipment; directs requests to the appropriate department or agency for further action.
  • Resolves claims problems by clarifying issues, researching and exploring answers and alternative solutions, implementing solutions, and escalating unresolved problems.
  • Listens and communicates clearly, professionally and empathetically
  • Works from established procedures, scripts and job aids to handle multiple applications while assisting customers on the phone
  • Escalates problems or inquiries as needed
  • Maintains quality, accuracy and professionalism in a fast-paced environment
  • Ability to multi-task and adapt to changing environment
  • Processes claims
  • Able to handle complex claims
  • Must have good understanding of contracts, claims processing, and policies
  • Excellent knowledge of the organization
  • Claims related project work
  • Other duties as assigned
Required Skills and Abilities
  • Professional telephone etiquette including excellent verbal communication skills and use of proper grammar
  • Ability to process information and react quickly and appropriately
  • Strong work ethic and self-starter, able to effectively manage multiple priorities and adapt to change within a fast-paced business environment
  • Excellent listening skills and the ability to ask probing questions, understand concerns, and overcome objections
  • Prior customer service experience
  • Must adhere to HIPAA standards
  • Displays written and verbal communication skills with executive management and staff, and is able to follow written and oral instructions.
  • Ability to process, formulate and modify policies; train and direct staff.
  • Possesses good organizational skills, ability to focus on assigned tasks
  • Able to work collaboratively, diplomatically, and with integrity in identifying and resolving problems.
  • Displays knowledge of ethical principles and compliance issues in an accounting setting.
  • Ability to foster positive working relationships across all departments
  • Able to handle highly confidential and sensitive information
  • Highly organized, displays strong attention to detail and accuracy
  • Ability to multi-task giving attention to deadlines
  • Intermediate level proficiency in Microsoft Word and Excel
  • Ability to work extended hours when workload necessitates
Qualification
  • High School diploma.
  • Minimum of 2 years leadership experience
  • Minimum of 3 years of recent (within the last 5 years) claims processing experience
  • Healthcare, Medicaid and MCO, claims experience a plus

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