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Insurance Claims Processor Jobs in Georgia (NOW HIRING)

Karna, LLC

$20 - $25/hr

Ability to interpret and apply insurance program policies and government regulations effectively. * Excellent written and verbal communication skills. * Proficient in Microsoft Office Suite (Word ...

KARNA LLC

$20 - $25/hr

Ability to interpret and apply insurance program policies and government regulations effectively. * Excellent written and verbal communication skills. * Proficient in Microsoft Office Suite (Word ...

Parker's Kitchen

Claims Specialist

Savannah, GA · On-site

Notify insurance carriers of new claims and serve as the primary point of contact throughout the claims process. * Assist injured employees throughout the claims process, including coordinating ...

Ova Technologies

Associate claims

Alpharetta, GA · On-site

$17.25 - $23.50/hr

Associate - Claims As an Associate - Claims, you will be responsible for handling, processing, and reviewing insurance claims in an accurate and timely manner. The role requires attention to detail ...

Smile Now Dental Clinic

Be Seen First

Dental Insurance Coordinator

Evans, GA · On-site

$2.5K - $2.8K/mo

In this vital role, you will manage dental insurance claims, billing processes, and patient accounts to ensure accurate and timely reimbursements. Your expertise will help streamline operations ...

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All JobsInsurance Claims Processor JobsInsurance Claims Processor Jobs in Georgia

Insurance Claims Processor information

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$10

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How much do insurance claims processor jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for insurance claims processor in Georgia is $18.86, according to ZipRecruiter salary data. Most workers in this role earn between $15.43 and $21.54 per hour, depending on experience, location, and employer.

What does an insurance claims processor do?

An Insurance Claims Processor reviews and handles insurance claims submitted by policyholders. Their primary responsibilities include verifying information, ensuring all necessary documentation is provided, and assessing claims for accuracy and compliance with policy guidelines. They communicate with policyholders, adjusters, and healthcare providers to gather additional information if needed, and determine how much the insurance company should pay out. The role is essential for ensuring claims are processed efficiently and fairly, maintaining customer satisfaction, and preventing fraud.

What are the key skills and qualifications needed to thrive as an insurance claims processor, and why are they important?

To thrive as an Insurance Claims Processor, you need strong attention to detail, knowledge of insurance policies and regulations, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic databases, and sometimes certifications like the Associate in Claims (AIC) are common requirements. Excellent organizational skills, clear communication, and problem-solving abilities help you stand out in this role. These skills ensure accurate claim processing, effective customer service, and compliance with industry standards.

What are some common challenges faced by insurance claims processors, and how can they be managed effectively?

Insurance Claims Processors often encounter challenges such as managing high volumes of claims, navigating complex policy details, and meeting strict deadlines. Staying organized and detail-oriented is key to ensuring accuracy and timely processing. Effective communication with policyholders, adjusters, and other team members also helps resolve discrepancies quickly and improves overall workflow. Many employers provide ongoing training and support to help processors stay current on regulations and best practices, which can further ease these challenges.

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

AspectInsurance Claims ProcessorInsurance Claims Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are a plusRequires a high school diploma; often holds certifications such as AIC or CPCU
Work EnvironmentOffice setting, processing claims dataField and office work, investigating claims
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusProcessing and data entry of claimsInvestigating, evaluating, and settling claims

While both roles are essential in the insurance industry, Claims Processors focus on handling claim data and documentation, whereas Claims Adjusters investigate and determine claim validity and settlement amounts. Understanding these differences helps job seekers identify the right career path within insurance claims roles.

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 education or relevant certifications. Experience with computer software, attention to detail, and strong organizational skills are important, and familiarity with insurance policies and claims processing systems can improve job prospects.

Is an insurance claims processor job in demand?

The demand for insurance claims processors remains steady due to the ongoing need for claims management in the insurance industry. Employment is expected to grow at a rate similar to the average for all occupations, with opportunities increasing as insurance companies seek skilled workers familiar with claims processing software and regulations.

Is claims processing a stressful job?

Claims processing as an insurance claims processor can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires attention to detail, communication skills, and the ability to handle sensitive information, which can contribute to job-related stress levels.

What are popular job titles related to Insurance Claims Processor jobs in Georgia?

For Insurance Claims Processor jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processor jobs in Georgia look for?

The top searched job categories for Insurance Claims Processor jobs in Georgia are:

What cities in Georgia are hiring for Insurance Claims Processor jobs?

Cities in Georgia with the most Insurance Claims Processor job openings:

What are popular job titles related to Insurance Claims Processor jobs in GA?

For Insurance Claims Processor jobs in GA, the most frequently searched job titles are:

Insurance Claims Processor jobs near you
Infographic showing various Insurance Claims Processor 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, with an average salary of $39,231 per year, or $18.9 per hour.

Experienced Healthcare Claims Processor

Karna, LLC

Remote

$20 - $25/hr

Full-time

Re-posted yesterday

Job description

Description

Join the new Bakinaw-Karna Joint Venture Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World Trade Center Health Program. In this role, you will leverage your meticulous attention to detail and commitment to accuracy in processing complex medical claims. If you're eager to make a positive impact in our community through your administrative skills, we encourage you to apply!


 The Saginaw Chippewa Indian Tribe of Michigan, in accordance with the spirit of PL. 93-638, adopted January 4, 1975, will provide preference to Native Americans meeting minimum position qualifications who have equal qualifications for the position(s) to those of other applicants. 


*Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following states: FL, GA MD, MI, TX

Job Responsibilities:

  • Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance.
  • Critical Analysis: Analyze claims and adjudicate them according to program guidelines, employing critical thinking to navigate complex scenarios.
  • Timely Processing: Ensure claims are processed promptly to meet client standards and regulatory requirements, employing effective problem-solving skills to address any barriers.
  • Issue Resolution: Proactively resolve claim discrepancies and issues by collaborating with other departments, utilizing analytical skills to identify root causes and implement solutions.
  • Confidentiality Maintenance: Uphold the confidentiality of patient records and company information as per HIPAA regulations.
  • Detailed Record Keeping: Maintain thorough records of claims processed, denied, or requiring further investigation, ensuring transparency and traceability.
  • Trend Monitoring: Analyze and report on trends in claim issues or irregularities to management, contributing to process improvement initiatives; Assists Team Leads with reporting.
  • Audit Participation: Engage in audits and compliance reviews to ensure adherence to internal and external regulations, using critical thinking to evaluate processes.
  • Mentoring: Mentors and trains new claims processors as needed.

Requirements


  • High school diploma or equivalent.
  • Minimum of 5 years' experience in processing medical professional and facility claims as well as complex and high-dollar claims.
  • Familiarity with ICD-10, CPT, and HCPCS coding systems.
  • Must have experience working with modifiers and bill types.
  • Understanding of medical terminology, healthcare services, and insurance procedures (worker's compensation experience is a plus).
  • Strong attention to detail and accuracy.
  • Ability to interpret and apply insurance program policies and government regulations effectively.
  • Excellent written and verbal communication skills.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook).
  • Capacity to work independently as well as collaboratively within a team.
  • Commitment to ongoing education and training in industry standards and technology advancements.
  • Experience with claim denial resolution and the appeals process.
  • Ability to efficiently manage a high volume of claims.
  • Customer service-oriented with strong problem-solving capabilities.
  • Must be flexible and have the ability to adjust to the needs of the client and changes in the program.

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