ZipRecruiter

Log In

1

Medical Claims Processor Jobs in Atlanta, GA (NOW HIRING)

DSN

Processor - Title Documents

Marietta, GA · On-site

$17/hr

Claims Processor * Mortgage Loan Processor * Bank Teller * Insurance Agent * Credit Union Clerk ... Benefits: - Medical - Dental - Vision - 401k - with a Match - Life insurance - paid for by the ...

AIG

Claims Adjuster, Warranty

Atlanta, GA

Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we ... Competitive Medical, Dental and Vision insurance plans. * Opportunity to earn a performance-based ...

Chubb

ESIS Claims Representative, WC

Alpharetta, GA · On-site

Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process.

Trice Healthcare

Coding Payment Resolution Spec

Rex, GA · On-site

$17.25 - $22.25/hr

... claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.

AIG

Claims Adjuster- Bilingual

Atlanta, GA

$47K - $62K/yr

Take responsibility for continuously improving processes and product knowledge, understanding of ... opportunity Competitive Medical, Dental and Vision insurance plans Opportunity to earn a ...

previous pagenext page

Showing results 21-40

All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Atlanta, GA

Medical Claims Processor information

See Atlanta, GA salary details

$13

$18

$24

How much do medical claims processor jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for medical claims processor in Atlanta, GA is $18.72, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $20.82 per hour, depending on experience, location, and employer.

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

Medical Claims Processors often encounter challenges such as handling complex insurance policies, keeping up with changing regulations, and resolving claim discrepancies. To manage these issues, strong attention to detail, continuous learning, and effective communication with providers and insurance representatives are essential. Many processors also rely on updated software and regular training to stay current with industry standards and maintain accuracy in claim adjudication.

What is a medical claims processor?

Medical claims processors work for a health care office or insurance company. Their job is to check medical insurance claims for proper billing codes, update the doctor or insurer about changes to the claim, and clarify concerns about patient benefits. It is essential that the billing codes match the medical services provided. As a medical claims processor, you also follow up with the insurer to discuss discrepancies and find out the status of claims. Current procedural terminology (CPT) and data entry are central parts of a medical claims processor’s job, as they often use Microsoft Office applications or a secure database to enter billing codes for services rendered.

What does a medical claims processor do?

A Medical Claims Processor is responsible for reviewing, evaluating, and processing health insurance claims submitted by policyholders or healthcare providers. Their main tasks include verifying patient and insurance information, examining medical codes, ensuring compliance with insurance policies, and determining the amount payable for each claim. They play a crucial role in making sure that claims are handled efficiently and accurately, helping both providers and patients navigate insurance benefits. Attention to detail, knowledge of medical terminology, and understanding insurance guidelines are essential skills for this role.

What is the difference between Medical Claims Processor vs Medical Billing Specialist?

AspectMedical Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary FocusReviewing and processing insurance claimsCreating and sending bills to patients and insurers
Common TasksVerifying claim accuracy, data entryCoding procedures, invoicing patients

While both roles involve handling healthcare financial data, Medical Claims Processors focus on reviewing and submitting insurance claims, whereas Medical Billing Specialists handle invoicing and billing patients. Both roles require attention to detail and knowledge of healthcare billing processes, but their daily tasks and focus areas differ.

Is a medical claims processor job in demand?

Medical claims processor jobs are in demand due to the ongoing need for healthcare administration and insurance processing. The role requires attention to detail and familiarity with claims processing software, and employment is expected to grow as healthcare coverage expands and insurance companies seek qualified staff.

What do you need to be a medical claims processor?

To become a medical claims processor, you typically need a high school diploma or equivalent, strong attention to detail, and familiarity with medical billing and coding software. Some employers prefer candidates with certification in medical billing or coding, such as the Certified Professional Coder (CPC). Good organizational skills and the ability to work with sensitive information are also important.

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

To thrive as a Medical Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims adjudication processes, often supported by a high school diploma or associate degree. Proficiency with claims management software, ICD and CPT coding systems, and electronic health record systems is typically required. Attention to detail, organizational skills, and the ability to communicate clearly with providers and patients are essential soft skills. These competencies ensure accurate claim processing, minimize errors, and help maintain efficient workflow within healthcare administration.
More about Medical Claims Processor jobs
What are the most commonly searched types of Medical Claims Processor jobs in Atlanta, GA? The most popular types of Medical Claims Processor jobs in Atlanta, GA are:
Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Atlanta, GA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $38,940 per year, or $18.7 per hour.

Property & Casualty Claims Executive

Higginbotham Insurance Agency

Atlanta, GA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 25 days ago

Job description

Position Summary: The Claims Executive is responsible for accurate reporting and filing of claim litigation to the respective Carrier, in addition to handling complex claims scenarios along with resolution of claims disputes. The Claims Executive functions as an insurance claims professional that provides guidance to the Customers and Producers on more complex claims issues. Claims Executive is responsible for monitoring the assigned inventory of accounts, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis.
Essential Tasks:
  • Reports to the Claims Operations Manager on workflow issues and the handling of assigned claims inventory
  • Service and be the point of contact for assigned threshold accounts.
  • Ability to review policy language and offer a professional opinion regarding coverage, settlements, reserve practices, etc.
  • Handle and work with carrier and client on professional coverages, including D&O and EPL.
  • Ability to troubleshoot and consult clients on all P&C lines, including disputes or denials by the carrier.
  • Review, document and acknowledge Pre- Litigation request or demands.
  • Must be able to understand report, monitor and be able to consult clients on any Litigation Claims brought to Suit.
  • Proficient in excel with the capability to produce charts and presentations.
  • Perform claims reviews and loss analysis for assigned threshold accounts.
  • Must be comfortable in presentations to prospects and existing clients.
  • Travel as needed to support existing clients as well as company growth goals.
  • Ability to work both in a team environment and independently with minimal supervision
  • Must have excellent time management skills with the ability to multi task and calendar client service plans
  • Takes ownership of the total work process and provides constructive information to minimize problems and increase customer satisfaction
  • Performs all other related duties as assigned

Core Competencies:
  • Ability to Analyze and Solve Problems: Skill in recognizing challenges, exploring options, and implementing effective solutions in a timely manner
  • Attention to Detail: A strong focus on completing tasks and projects accurately and thoroughly
  • Communication Skills: Capable of expressing ideas clearly in both verbal and written forms and engaging with various audiences
  • Timely Task Completion: Ability to finish tasks and projects efficiently, managing resources and priorities effectively
  • Team Collaboration: Willingness to work together with others, promoting teamwork and supporting shared goals
  • Client Focus: Dedication to understanding and addressing the needs of clients and stakeholders to ensure their satisfaction
  • Dependability: Acknowledgment of the importance of being present and punctual.
  • Creative Thinking: Openness to suggesting new ideas and methods to improve processes and outcome
  • Organizational Skills: Capability to prioritize tasks and manage multiple projects simultaneously
  • Adaptability: Willingness to adjust to changing situations and priorities, showing resilience in a dynamic work environment

Experience and Education:
  • Bachelor's Degree and at least 5 years of experience in the related field
  • 3+ years of claims processing experience
  • Insurance Claims terminology
  • Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices
  • Ability to organize, prioritize and communicate effectively while meeting deadlines and production goals
  • Must have commonly-used knowledge of claims examination concepts, practices and rules and claims workflows. This position utilizes experience and judgment to plan, accomplish goals and effectively solve problems with a variety of scenarios
  • Advanced training in claims processes preferred

Licensing and Credentials:
  • Adjusters License
  • Previous litigation and insurance claims experience preferred

Systems:
  • Proficient with Microsoft Excel, Word, PowerPoint, and Outlook
  • Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable

Physical Requirements:
  • Ability to lift 25 pounds
  • Repeated use of sight to read documents and computer screens
  • Repeated use of hearing and speech to communicate on telephone and in person
  • Repetitive hand movements, such as keyboarding, writing, 10-key
  • Walking, bending, sitting, reaching and stretching in all directions

Benefits & Compensation:
  • Higginbotham offers medical, dental, vision, prescription drug coverage, 401K, equity incentive plan as well as multiple supplemental benefits for physical, emotional, and financial wellbeing.
  • Employee Wellness Program
  • Company paid holidays, plus PTO

Notice to Recruiters and Staffing Agencies: To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Please do not contact or send unsolicited potential placements to our team members.
*Applications will be accepted until the position is filled
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Apply