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Remote Claim Processor Jobs in Lawrenceville, GA

AXIS Capital

Senior Claims Specialist, Cyber

Alpharetta, GA · On-site +1

$120K - $150K/yr

Set accurate and timely claim reserves and make referrals to senior members of the team where ... Attain expert comfort level in remote and work from home virtual working practices and platforms ...

MD1

Be Seen First

Ambulance Coder and Biller - Remote

Atlanta, GA · Remote

$37K - $40K/yr

... verify claim accuracy, resolve discrepancies, and ensure claims are appropriately coded for ... Process claims and charts in alignment with industry and company best practices to maintain ...

A-Line Staffing Solutions

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Medical Billing Review Specialist {175122}

Atlanta, GA · Remote

$25/hr

Remote Rate: $25/Hr Note: Current OASIS, RAC-CT, or CCS certification required We are seeking a ... claim status * Maintain HIPAA compliance and proper documentation throughout the review process ...

Summit

Claims Specialist

Gainesville, GA · On-site

$69K - $92K/yr

Plans and conducts claim investigations to confirm coverage and to determine liability ... Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ...

Summit

Claims Specialist

Gainesville, GA · Remote

$69K - $92K/yr

Plans and conducts claim investigations to confirm coverage and to determine liability ... Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ...

Reserv, Inc.

APD Claims Team Lead

Atlanta, GA · On-site +1

... claim intake, investigation, evaluation, settlement, and recovery * Align team with client and customer expectations of the claims process * Serve as a resource for escalated claims * Foster a ...

Kemper

Guidewire Developer-ClaimCenter

Alpharetta, GA · On-site +1

$53.25 - $70.25/hr

... TX, Remote-CT, Remote-GA, Remote-IL, Remote-IN, Remote-OH, Remote-PA, Remote-TX, Remote-VA ... claim domain. In this role, you will design and code scalable solutions, influence architecture ...

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All JobsClaim Processor JobsRemote Claim Processor JobsRemote Claim Processor Jobs in Lawrenceville, GA

Remote Claim Processor information

See Lawrenceville, GA salary details

$11

$17

$24

How much do remote claim processor jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote claim processor in Lawrenceville, GA is $17.56, according to ZipRecruiter salary data. Most workers in this role earn between $15.00 and $18.94 per hour, depending on experience, location, and employer.

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 skills and qualifications are needed to thrive as a remote claim processor?

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 common challenges faced by remote claim processors, and how can they be managed?

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 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 Lawrenceville, GA?

For Remote Claim Processor jobs in Lawrenceville, GA, the most frequently searched job titles are:

What job categories do people searching Remote Claim Processor jobs in Lawrenceville, GA look for?

The top searched job categories for Remote Claim Processor jobs in Lawrenceville, GA are:

What cities near Lawrenceville, GA are hiring for Remote Claim Processor jobs?

Cities near Lawrenceville, GA with the most Remote Claim Processor job openings:

Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Lawrenceville, GA as of August 2026, with employment types broken down into 78% Full Time, 19% Part Time, and 3% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $36,528 per year, or $17.6 per hour.

Senior Analyst, Payment Integrity Disputes

Oscar Health

Atlanta, GA • Remote

$64K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

264th of 315 rated insurance

Job description

Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business. You will scope, triage, investigate and execute on solutions and process improvements. You will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement.

You will report into the Manager, Payment Integrity (Pre-Pay).

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity disputes, internal claims processing edits and external vendor edits.
  • Respond to internal and external inquiries and disputes regarding policies and edits.
  • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope.
  • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change.
  • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions.
  • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems.
  • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate.
  • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever leadership escalates and assigns issues.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Experience in Payment Integrity focused on Disputes and/or appeals
  • 4+ years of experience in claims processing, coding, auditing or health care operations
  • 3+ years experience in medical coding
  • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
  • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.
  • 2+ years experience deriving business insights from datasets and solving problems
  • 1+ years experience improving business workflows and processes
  • 1+ years experience collaborating with internal and external stakeholders

Bonus points:

  • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar)
  • 2+ years of experience working with large data sets using excel or a database language
  • Experience in a professional healthcare claims organization
  • Knowledge management, training, or content development in operational settings
  • Process Improvement or Lean Six Sigma training
  • Experience using SQL

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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