ZipRecruiter

Log In

1

Insurance Claims Processing Jobs in Georgia (NOW HIRING)

Starr Insurance Companies

Claims Manager

Atlanta, GA

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower ... Identify opportunities for process improvements and implement changes to enhance efficiency and ...

Skywardinsurance

Claims Intake Specialist

Kennesaw, GA · On-site

$55K - $65K/yr

This role is highly detail-oriented and helps ensure claim documentation is processed accurately ... Insurance industry (Claims) experience is a plus, but not required. * Highly organized and ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Analyst, Claims Insights - Remote Requisition Number R7770 ...

next page

Showing results 1-20

All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Georgia

Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
What are popular job titles related to Insurance Claims Processing jobs in Georgia? For Insurance Claims Processing jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Georgia look for? The top searched job categories for Insurance Claims Processing jobs in Georgia are:
What cities in Georgia are hiring for Insurance Claims Processing jobs? Cities in Georgia with the most Insurance Claims Processing job openings:
Insurance Claims Processing jobs near you

Insurance Verification and Billing Specialist

MaKai Consulting, LLC

Pooler, GA • On-site

$15.50 - $19/hr

Full-time

Re-posted 15 days ago

Job description

Insurance Verification & Billing Specialist
Position Overview

We are seeking a highly organized and experienced Insurance Verification & Billing Specialist to support insurance verification and billing operations within our growing practice. This individual will play a critical role in ensuring accurate insurance coverage verification, timely claims processing, and efficient revenue cycle management.

The ideal candidate is detail-oriented, solutions-driven, and experienced in dental, oral surgery, or medical billing environments. Experience with WinOMS is strongly preferred.

Key Responsibilities
Insurance Verification
  • Verify patient insurance eligibility, benefits, authorizations, and coverage accurately and efficiently
  • Resolve insurance discrepancies with patients, providers, and insurance carriers
  • Maintain current knowledge of insurance policies, coding updates, and payer guidelines
  • Ensure verification tasks are completed in a timely and accurate manner
Billing & Revenue Cycle
  • Process claim submissions, payment posting, account follow-up, and denial management
  • Assist with resolving unpaid or denied claims and insurance appeals
  • Monitor aging reports and support collections efforts
  • Ensure billing accuracy and compliance with payer requirements
  • Collaborate with clinical and front office teams to ensure proper documentation and communication
WinOMS Reporting & Operations
  • Utilize WinOMS reporting tools to support office performance and workflow efficiency
  • Provide reporting support for leadership and operational planning
  • Maintain accurate patient and insurance data within practice systems
Additional Duties
  • Provide exceptional customer service to patients and team members
  • Assist with onboarding and training support as needed
  • Maintain HIPAA compliance and confidentiality standards
  • Secure escalated patient situations and find reasonable resolutions
  • Support additional administrative and operational duties as assigned
  • Serve as the contact person for DCS
  • Manage DCS spreadsheet and callback spreadsheet tracking
  • Assist with billing-related WinOMS reporting
Qualifications
  • Minimum of 3 years of dental, oral surgery, or medical insurance verification/billing experience
  • Experience with WinOMS software and reporting functions preferred
  • Strong understanding of insurance claims, billing workflows, and revenue cycle management
  • Proficient with Microsoft Office and reporting tools
Skills & Attributes
  • Strong communication and problem-solving skills
  • Attention to detail and organizational skills
  • Ability to multitask in a fast-paced environment
  • Analytical and reporting capabilities
  • Customer service oriented
  • Professionalism and confidentiality
Why Join Our Team?

We are committed to building a positive, team-oriented culture where growth, accountability, and patient care come first. This is an excellent opportunity for someone looking to make a direct impact on operational success and patient experience.

Apply today to become part of a team that values excellence, collaboration, and professionalism.

Apply