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Remote Claim Benefit Specialist Jobs in Decatur, GA

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Remote Claim Benefit Specialist information

See Decatur, GA salary details

$27.8K

$54.2K

$84.5K

How much do remote claim benefit specialist jobs pay per year?

As of Aug 23, 2026, the average yearly pay for remote claim benefit specialist in Decatur, GA is $54,152.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,500.00 and $62,500.00 per year, depending on experience, location, and employer.

What is a remote claim benefit specialist?

A Remote Claim Benefit Specialist is a professional who evaluates and processes insurance claims from a remote location, typically working from home. Their main responsibilities include reviewing claim submissions, verifying information, determining coverage, and ensuring claims are settled accurately and in a timely manner. They may work for health, life, disability, or other types of insurance companies. Strong communication, analytical, and computer skills are essential for this role, as much of the work is done through digital platforms and over the phone. This position allows for flexibility and may require meeting performance or productivity metrics.

What are the key skills and qualifications needed to thrive as a remote claim benefit specialist?

To thrive as a Remote Claim Benefit Specialist, you need a solid understanding of insurance claims processes, attention to detail, and typically a background in healthcare administration or a related field. Familiarity with claims management software, electronic health records, and industry-specific platforms like HIPAA-compliant systems is often required. Strong analytical thinking, effective communication, and time management skills help you excel in a remote environment. These abilities ensure accurate claims processing, regulatory compliance, and efficient service to clients and policyholders.

What are some common challenges remote claim benefit specialists face, and how can they effectively manage them?

Remote Claim Benefit Specialists often encounter challenges such as interpreting complex policy details, navigating multiple digital systems, and maintaining clear communication with both clients and team members without face-to-face interaction. To manage these, it's important to develop strong organizational skills, become proficient with claims management software, and establish regular virtual check-ins with colleagues. Proactive communication and continuous learning about policy updates can also help specialists stay effective and provide excellent service.

What is the difference between Remote Claim Benefit Specialist vs Remote Claims Processor?

AspectRemote Claim Benefit SpecialistRemote Claims Processor
CredentialsInsurance knowledge, relevant certifications (e.g., CPC, CPC-H)Basic insurance or administrative experience
Work EnvironmentHome-based, insurance company or third-party administratorHome-based, insurance or healthcare organization
Employer & IndustryInsurance carriers, third-party administratorsInsurance companies, healthcare providers
Primary FocusReviewing and approving claims, benefits determinationProcessing claims, data entry, and documentation

The Remote Claim Benefit Specialist typically handles benefits review and approval, requiring specific insurance credentials. In contrast, the Remote Claims Processor focuses on data entry and processing claims. Both roles are home-based and common in the insurance industry, but their responsibilities and required skills differ.

What are popular job titles related to Remote Claim Benefit Specialist jobs in Decatur, GA?

For Remote Claim Benefit Specialist jobs in Decatur, GA, the most frequently searched job titles are:

What job categories do people searching Remote Claim Benefit Specialist jobs in Decatur, GA look for?

The top searched job categories for Remote Claim Benefit Specialist jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Remote Claim Benefit Specialist jobs?

Cities near Decatur, GA with the most Remote Claim Benefit Specialist job openings:

Remote Claim Benefit Specialist jobs near you
Infographic showing various Remote Claim Benefit Specialist job openings in Decatur, GA as of August 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 77% Physical, 1% Hybrid, and 22% Remote job distribution, with an average salary of $54,152 per year, or $26 per hour.

Disability Benefit Specialist

Crawford and Company

Peachtree Corners, GA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

Job description

Disability Benefit Specialist - Remote 

Make an impact from anywhere-and love what you do!

What's in it for you?
Work remotely-your office, your vibe!
Help people when they need it most.
Be part of a team that values compassion, clarity, and results.

Join us as a Disability Benefit Specialist and play a key role in evaluating claims, determining benefit eligibility, and guiding employees toward successful return-to-work strategies. Use your expertise in disability policies and medical/vocational issues to deliver clear, timely decisions and exceptional support.

Why Crawford?

Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.

When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer  a comprehensive Total Rewards package to  our employees  to assist with their financial, health/wellness, continuing education/training and other needs:

  • Competitive base pay
- The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. 
  • Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
  • We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include:
- Medical, Dental and Vision Plans
- Prescription Drugs
- HSA, HRA, and FSA Accounts
- Paid Holidays, Vacation and Sick Leave
- 401(k) Retirement Plan
- Tuition Assistance
- Paid Parental Leave
- Supplemental Health Benefits
Other Benefits currently available at no cost include: - Enhanced Mental Health Support
- Virtual Physical Therapy
- Caregiving Services
- Life Assistance Program

*The above information highlights some of the benefits currently available to eligible full-time employees.

  • Training programs that promote continuous learning and career progression while enhancing job performance.
  • Sustainability programs that give back to the communities in which we live and work.
  • A culture of respect, collaboration, entrepreneurial spirit and inclusion.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.


  • Bachelor's degree or equivalent experience required.
  • 2 + years of STD/LTD claims adjudication
  • Experienced in the TPA or self-administration services is desired
  • Experience with FMLA/State leave claims is a plus
  • Aptitude for learning medical terminology and conditions, as well as interpreting procedures and regulations
  • Ability to work independently while assimilating various technical resources
  • Computer knowledge in excel, word, web based systems, etc
  • Good verbal and written communication skills
  • Knowledge of ERISA regulations, required offsets and deductions, disability duration and Social Security procedures
  • Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
  • Strong ability to identify, analyze and solve problems.
  • Effective interpersonal skills capable of dealing with external sources and all levels of employees.

#LI-DV1

  • Manages assigned caseload of disability claims for Short Term/Long Term Disability.
  • Communicates with claimants, employers, and various medical professionals to gather information regarding eligibility, benefit authorization, and ongoing management of STD or LTD benefits.
  • Applies the appropriate contractual provisions; case management resources; and claim processes to ensure eligibility requirements and liability decisions are accurate.
  • Provides superior customer service by rendering benefit determinations within expected timeframes and quickly responding to all inquiries.
  • Demonstrates ability to independently manage disability claim and apply clinical guidance as provided on more complex claims.
  • Verifies on-going disability and participates in claim reviews with specialized resources including nurses, physicians, vocational rehabilitation, etc. to discuss return to work opportunities as appropriate.
  • Uses disability claim system to manage and authorize payment on claims while meeting all service, timeframe, and productions standards
  • Ensures a timely and appropriately coordinated transition of claims from STD to LTD, providing a well -managed and seamless claims experience to claimants.
  • Analyzes claims activity and prepares reports for clients/carriers and management as needed
  • Becomes familiar with specialized client instructions and performance guarantee standards for any assigned clients. Serves as a resource for trainees and Claims processors as needed.
  • Effectively works together in a team setting.
  • Other duties as assigned.

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