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Remote Claim Processor Jobs in Georgia (NOW HIRING)

Berkley

Claim Manager - Early Resolution

Atlanta, GA · On-site +1

Identify process, training, or performance opportunities and recommend solutions that elevate team ... Proven ability to lead and develop remote or virtual teams. * Applicable adjusters license(s) to ...

Berkley

Claim Manager - Early Resolution

Atlanta, GA · On-site +1

Identify process, training, or performance opportunities and recommend solutions that elevate team ... Proven ability to lead and develop remote or virtual teams. * Applicable adjusters license(s) to ...

Reserv, Inc.

Inland Marine Adjuster

Atlanta, GA · On-site +1

You'll be responsible for managing the claim process from start to finish-assessing coverage ... Foster a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv ...

Karna, LLC

$20 - $25/hr

Proactively resolve claim discrepancies and issues by collaborating with other departments ... PM18 #remote

KARNA LLC

$20 - $25/hr

Proactively resolve claim discrepancies and issues by collaborating with other departments ... PM18 #remote Compensation details: 20-25 Hourly Wage PI7b2168056656-25405-40643309

IQVIA

Medical Biller/Claims Processing

Atlanta, GA · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to ... Experience in claim processing required * Medical Billing Certification required * Coding ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

... claim processing. * Identify trends or issues that delay authorization or claims processing ... Remote Stipend * Travel Reimbursement * Continuing Education Reimbursement * Bonusly (employee ...

Liberty Mutual

Auto Claims Trainee - Remote

Suwanee, GA · Remote

$70K/yr

This role demands a strong command of technical processes and policy interpretation, as well as the ... You'll leverage your expertise and problem-solving skills to navigate complex claim scenarios ...

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Remote Claim Processor information

What are the key skills and qualifications needed to thrive as a Remote Claim Processor, and why are they important?

To thrive as a Remote Claim Processor, you need strong analytical skills, attention to detail, and a background in insurance or healthcare administration, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health record (EHR) systems, and Microsoft Office is crucial for daily tasks. Excellent communication, problem-solving abilities, and self-motivation help remote claim processors efficiently resolve issues and work independently. These skills ensure accurate claims processing, timely resolution, and high customer satisfaction in a remote environment.

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

Remote claim processors often encounter challenges such as maintaining effective communication with team members and staying up-to-date with changing insurance policies and procedures. To manage these challenges, it's important to leverage collaboration tools like instant messaging and video conferencing, and to participate actively in virtual training sessions. Additionally, setting up a dedicated workspace and following a structured daily routine can help ensure productivity and accuracy when processing claims remotely.

What is a Remote Claim Processor?

A Remote Claim Processor is a professional who reviews, evaluates, and processes insurance claims from a remote location, often from home. They verify the accuracy of submitted information, ensure policy guidelines are met, and decide whether claims should be approved, denied, or require further investigation. This role typically involves working with health, auto, or property insurance claims and requires strong attention to detail, analytical skills, and familiarity with relevant software systems. Working remotely allows claim processors to handle their duties outside of a traditional office environment while maintaining communication with their team and clients through digital platforms.

What is the difference between Remote Claim Processor vs Remote Claims Examiner?

AspectRemote Claim ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma or equivalent; often requires insurance or healthcare-related certifications
Work EnvironmentHome-based, independent work settingHome-based, independent work setting
Industry UsageInsurance, healthcare, government agenciesInsurance, healthcare, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing and adjudicating insurance claims, ensuring compliance

Both roles are remote positions within the insurance and healthcare industries, requiring similar credentials and work environments. The main difference lies in their focus: Remote Claim Processors handle initial claim processing and data entry, while Remote Claims Examiners review and make decisions on claims to ensure accuracy and compliance.

What are popular job titles related to Remote Claim Processor jobs in Georgia? For Remote Claim Processor jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Remote Claim Processor jobs in Georgia look for? The top searched job categories for Remote Claim Processor jobs in Georgia are:
What cities in Georgia are hiring for Remote Claim Processor jobs? Cities in Georgia with the most Remote Claim Processor job openings:
Remote Claim Processor jobs near you
Claim Manager - Early Resolution

Claim Manager - Early Resolution

Berkley

Atlanta, GA • On-site, Remote

Full-time

Posted 24 days ago

Job description

Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following market segments: Construction, Specialty Casualty, & Professional Liability.  We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.


Join a dynamic, fastpaced team in the E&S space and lead a team of talented claim professionals handling a broad range of General Liability and Products Liability claims involving property damage and bodily injury.

As Claims Manager, you will guide and inspire your team to deliver bestinclass claim outcomes, ensuring alignment with company and industry standards.

You will play a pivotal role in driving quality, efficiency, and strong financial results across our portfolio—while fostering a positive, collaborative, and growthfocused team culture.  Among your responsibilities will be:

  • Provide clear technical guidance, coaching, and mentorship to claim professionals at varying experience levels.
  • Serve as a key decisionmaker regarding claim valuation, reserves, negotiation approaches, and resolution strategies.
  • Maintain an active diary on all claim files within your direct team, ensuring accuracy, consistency, and timeliness.
  • Conduct comprehensive performance evaluations and support team members with meaningful feedback, development opportunities, and career progression.
  • Partner closely with claim professionals on matters within and above their authority to ensure exceptional claim handling across the board.
  • Support preparation of reports and presentations for senior leadership and internal business partners.
  • Drive profitability by ensuring strict adherence to Best Practices and highquality claim file execution.
  • Promote an engaged, collaborative, and supportive team environment centered on accountability, innovation, and success.
  • Build and maintain strong relationships with internal stakeholders, customers, and external partners while delivering excellent customer service.
  • Collaborate effectively with other claim teams and crossfunctional departments throughout the company.
  • Act as a mentor and resource for claims knowledge, professional development, and skill advancement.
  • Identify process, training, or performance opportunities and recommend solutions that elevate team performance.
  • Leverage data and analytics to identify trends, improve outcomes, and enhance strategic decisionmaking.
  • Conduct monthly file audits to ensure accuracy, quality, and consistency in claim handling.
  • Maintain all required state adjuster licenses at all times (see qualifications below).
  • Ensure compliance with statutory regulations, Unfair Claims Practices laws, and corporate standards.
  • Perform additional duties or special projects as assigned.
  • Regular and predictable attendance

  • Four (4) year College Degree or equivalent industry experience
  • Industry designations preferred (CRIS, AIC, SCLA, etc.)
  • Eight (8) plus years claims handling experience or equivalent experience.
  • Strong knowledge of the insurance industry, including legal and regulatory environments.
  • Specific knowledge and expertise in General Liability and Products Liability (BI & PD) claims.
  • 3 – 5 years of managerial or leadership experience preferred.
  • Proven ability to lead and develop remote or virtual teams.
  • Applicable adjusters license(s) to include - CA, CT, DE, FL, KY, LA, NH, NM, NC, OK, RI, SC, TX, VT, WV, WY

Sponsorship not Offered for this Role

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