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Remote Claim Processor Jobs in Decatur, GA (NOW HIRING)

INTEGRO

VSC Level 3 Claims Adjuster - Remote

Atlanta, GA · On-site +1

$65K - $72K/yr

Accurately and efficiently process claims within established timelines. * Communicate claim decisions, approvals, and denials to appropriate parties promptly and professionally. * Provide exceptional ...

INTEGRO

Ancillary Claims Adjuster - Remote

Atlanta, GA · On-site +1

$45K - $55K/yr

Process claims accurately and efficiently within established timelines. * Communicate claim decisions, approvals, and denials to all stakeholders promptly and professionally. * Provide exceptional ...

CGI Inc.

Remote Clinical Nurse Auditor

Atlanta, GA · On-site +1

The review process may result in approval or denial of payment for previously-rendered services ... Conduct Claim Audits: Perform inpatient and outpatient audits to determine medical necessity ...

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Remote Claim Processor information

See Decatur, GA salary details

$11

$18

$25

How much do remote claim processor jobs pay per hour?

As of Jun 1, 2026, the average hourly pay for remote claim processor in Decatur, GA is $18.71, according to ZipRecruiter salary data. Most workers in this role earn between $15.96 and $20.19 per hour, depending on experience, location, and employer.

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 Decatur, GA? For Remote Claim Processor jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Claim Processor jobs in Decatur, GA look for? The top searched job categories for Remote Claim Processor jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Claim Processor jobs? Cities near Decatur, GA with the most Remote Claim Processor job openings:
Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Decatur, GA as of May 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $38,920 per year, or $18.7 per hour.
VP, Construction Claims (Remote, US)

VP, Construction Claims (Remote, US)

National Financial Partners

Atlanta, GA • On-site, Remote

Full-time

Posted 12 days ago

Job description

This role serves as a key management leader for the Construction & Infrastructure Claims Team, supporting overall team direction, operational consistency, and high-level execution across client accounts and complex claims matters. The position operates as a senior bridge between executive claims leadership and the Claims Leadership Executives and subject matter experts, helping manage team priorities, elevate service standards, and drive strategic coordination across construction-related lines of coverage.
Essential Duties and Responsibilities:
  • Reporting to the North American C&I Claims Leader, provide day-to-day leadership support and operational direction for the C&I Claims Team.
  • Directly manage, train, and mentor the Construction Claims Account Executive and Subject Matter Expert Claims Analysts across all construction-related lines of coverage to strengthen technical expertise, ensure consistent service delivery, and enhance overall team performance.
  • Serving as a technical resource to C&I Team Members and other internal stakeholders on claims-related issues, processes, and escalation matters.
  • Provide strategic oversight of complex construction claims portfolios to ensure alignment with client objectives, risk tolerance, service expectations, and overall program performance.
  • Supervise and support the execution of claims management strategies involving general liability, workers' compensation, commercial auto, builders' risk, professional liability, pollution, wrap-up, property, inland marine, surety, cyber, and subcontract default insurance exposures.?
  • Lead coverage advocacy on complex and disputed claims by directing policy analysis, challenging adverse carrier positions, coordinating supporting facts and arguments, and advancing strategies designed to maximize available coverage and claim outcomes for clients.
  • Serve as a senior escalation point for significant, high-exposure, and complex claims matters, guiding internal teams on coverage strategy, exposure management, reserve concerns, litigation posture, and resolution planning.
  • Coordinate with clients, producers, account management teams, carriers, TPAs, defense counsel, consultants, and other claim vendors to ensure consistent, efficient, and outcome-focused claims management across assigned accounts.
  • Oversee large loss monitoring and significant reserve change reporting, helping determine when elevated review, client communication, or strategic intervention is necessary.
  • Participate in and support structured claim reviews, stewardship meetings, and high-exposure roundtables focused on litigation strategy, reserve accuracy, risk mitigation, and matters with nuclear verdict potential.
  • Review and delivery of stewardship reports, loss trend analyses, dashboards, and management reporting that provide visibility into claim performance, emerging risks, and service outcomes.
  • Leverage data analytics and benchmarking to identify loss trends, measure program performance, and recommend strategies to reduce claim frequency, severity, and total cost of risk.
  • Evaluate and strengthen claims reporting protocols, onboarding processes, account service plans, and client claims profiles to improve consistency, responsiveness, and execution across the team.
  • Participate in acquisition, onboarding, renewal, and client stewardship meetings to present claims capabilities, support retention and growth efforts, and reinforce the value of the claims platform.
  • Mentor, develop, and provide management support to team members, helping establish accountability, elevate technical performance, and promote consistent client service standards.?
  • Communicate proactively with executive leadership regarding significant claim developments, client concerns, operational challenges, staffing needs, and opportunities for continuous improvement.
  • Maintain current knowledge of construction claim trends, coverage developments, jurisdictional issues, and market conditions affecting construction risk and claims management.
  • Participate in special projects and provide support on broader team initiatives or cross-functional assignments as needed.
  • Represent the organization at client meetings, industry events, and professional forums to strengthen relationships, support business development, and remain informed on relevant market developments.
What We're Looking For:
  • Exceptional interpersonal skills capable of interacting with private equity and C-suite clients to cultivate strong relationships through effective communication and trust.
  • Elite project management, communication, and presentation skills.
  • Manages time effectively through excellent organization, time-management, and multi-tasking skills.
  • Entrepreneurial attitude with a natural ability to take ownership of the overall success of client relationships.
  • Commitment to delivering exceptional customer service and results.
  • Naturally anticipates and analyzes problems and information to proactively solve problems through critical thinking, team networking, and sound business decisions.
  • Dedication to working in a collaborative, team-oriented environment with a commitment to operating with respect and integrity.
  • Proficient in Microsoft Office products (Outlook, Word, Excel, PowerPoint).

Preferred qualifications:
  • 15+ years of progressively responsible experience in construction claims or complex commercial casualty, including leadership responsibility.
  • Strong ability to lead cross-functional teams, communicate with senior stakeholders, and manage complex client and carrier relationships.
  • Extensive experience in construction claims, casualty claims, or complex commercial claims management, with progressive leadership responsibility.
  • Deep working knowledge of construction-related insurance programs, coverage interpretation, claims advocacy, reserving, litigation management, and risk transfer concepts.
  • Deep expertise in Commercial General Liability (CGL) construction claims, including catastrophic bodily injury, property damage, and completed operations.
  • Extensive experience with OCIP/CCIP wrap-up programs and large, complex construction placements, including multi-line, multi-jurisdictional programs.
  • Broad knowledge of all major construction insurance lines (GL, excess/umbrella, WC, auto, builders risk, property, inland marine, professional, pollution, wrap-up, surety, subcontract default, cyber as applicable).
  • Extensive litigation management experience, including oversight of high-severity and nuclear-verdict-potential claims, and collaboration with senior defense counsel.
  • Proven track record managing and developing teams (Account Executives, SMEs, Claim Specialists) with responsibility for performance, quality, and growth.
  • Advanced understanding and application of financial, actuarial, and reserving concepts, including portfolio-level impact, loss triangles, and trend analysis.
  • Demonstrated ability to evaluate claims and strategies using cost-benefit and total cost of risk perspectives.
  • Advanced analytical skills with experience leveraging data analytics and benchmarking to drive strategy, resource allocation, and continuous improvement.
  • Strong strategic and operational leadership skills, including the ability to design and implement claims management protocols, governance, and best practices.
  • Excellent communication, negotiation, and executive-level presentation skills, with the ability to influence internal leadership, clients, and carrier partners.
  • Demonstrated ability to

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