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Insurance Claims Processing Jobs in Georgia (NOW HIRING)

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Insurance Claims Processing information

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 the key skills and qualifications needed to thrive in insurance claims processing?

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 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.

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.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing 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 claims management software. 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
Infographic showing various Insurance Claims Processing job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 68% Full Time, 19% Part Time, 9% Contract, and 3% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

AVP, Claims Vendor Management

Starr Insurance Companies

Alpharetta, GA

Full-time

Posted 8 days ago

Job description

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress.

On-Site Role Locations: Atlanta, Alpharetta or NYC

Position Overview:

The AVP, Claims Vendor Management is responsible for overseeing the strategic relationships with third-party service providers in support of the end-to-end lifecycle of commercial property and casualty claims. This role is accountable for optimizing vendor costs, ensuring compliance with service level agreements (SLAs), and enhancing claims processing efficiency. The AVP serves as the primary liaison between external vendors and internal claims stakeholders, providing direction on vendor selection, performance, and issue resolution.

Key Responsibilities:

  • Vendor Strategy & Sourcing:
  • Will align closely with Starr Procurement in the development and execution of Requests for Proposals (RFPs), contract negotiations, vetting, and the onboarding of new claims vendors to secure optimal pricing and contract terms.
  • Identify and implement vendor sourcing strategies that align with business objectives and risk appetite.
  • Performance Management:
  • Establish, monitor, and report on vendor scorecards and Key Performance Indicators (KPIs) to ensure service quality, compliance, and value delivery.
  • Conduct regular performance reviews and develop action plans for continuous improvement.
  • Compliance & Auditing:
  • Oversee third-party vendor compliance with regulatory requirements, internal claims handling standards, and data security protocols.
  • Coordinate and participate in periodic vendor audits and due diligence activities.
  • Issue Resolution:
  • Investigate and resolve escalated vendor-related issues, service deficiencies, and billing disputes in a timely and effective manner.
  • Collaborate with internal stakeholders to facilitate prompt and satisfactory issue resolution.

Qualifications & Requirements:

  • Education:
  • Bachelor's degree in Business Administration, Supply Chain Management, Insurance, or a related field required.
  • Experience:
  • Minimum of 5-7 years of progressive experience in vendor management, procurement, or claims operations within the insurance industry.
  • Skills:
  • Demonstrated expertise in contract negotiation, data analysis, and cross-functional team collaboration.
  • Strong problem-solving, communication, and relationship management skills.
  • Domain Knowledge:
  • In-depth understanding of the property and casualty insurance landscape, commercial claims lifecycle, and vendor panel management best practices.
  • Familiarity with regulatory requirements relevant to claims administration and vendor oversight.

For individuals hired to work in New York, Starr Insurance Companies is required by law to include a reasonable compensation range for this role. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skills sets: experience and training, licensure and certifications; and other business and organizational needs. A reasonable estimate of the current range is $150,000 - $165,000

#LI-LS1

Starr is an equal opportunity employer, which means we'll consider all suitably qualified applicants regardless of gender identity or expression, ethnic origin, nationality, religion or beliefs, age, sexual orientation, disability status or any other protected characteristic. We recruit and develop our people based on merit and we're committed to creating an inclusive environment for all employees. We offer first class training and development opportunities to all employees. Our aim is to grow our own talent and bring out the best in people.

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