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Remote Claims Associate Jobs in Georgia (NOW HIRING)

MCI Careers

Bank Associate Evening Shift

Savannah, GA · Remote

$11.25 - $15.25/hr

Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies ... Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital ...

YO AI Labs

Physics Expert - Remote

Atlanta, GA · Remote

$80 - $160/hr

... claims where appropriate. * Clearly explain when a question remains unresolved within the field and ... Current or former Associate Professor, Full Professor, Chair Professor, Principal Investigator, or ...

MCI Careers

Bank Associate - Evening Shift

Savannah, GA · Remote

$11.25 - $15.25/hr

Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies ... Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital ...

CSAA

Collaborate with cross-functional teams, including product management, finance, and claims, to ... ACAS (Associate of the Casualty Actuarial Society) preferred * Actuarial analysis on Commercial ...

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Remote Claims Associate information

What is a remote claims associate?

A Remote Claims Associate is a professional who reviews, processes, and manages insurance claims from a remote location, typically working from home. They evaluate claim details, verify information, and communicate with policyholders, service providers, and other stakeholders to ensure claims are handled accurately and efficiently. This role often requires strong attention to detail, good communication skills, and proficiency with digital tools and claims management software. Remote Claims Associates may work for insurance companies, third-party administrators, or other organizations handling claims. The position allows for flexibility in work location while maintaining high standards of customer service and accuracy.

What skills and qualifications are needed to be a remote claims associate?

To excel as a Remote Claims Associate, you typically need knowledge of insurance processes, attention to detail, and a high school diploma or relevant experience. Familiarity with claims management software, CRM systems, and sometimes specific certifications like AIC (Associate in Claims) are highly beneficial. Strong organizational skills, effective communication, and the ability to work independently are crucial soft skills for remote success. These competencies ensure accurate claims processing, customer satisfaction, and efficient remote workflow management.

How does a remote claims associate collaborate with other team members while working from home?

As a Remote Claims Associate, you'll regularly communicate with team members, supervisors, and other departments through digital channels like email, instant messaging, and video conferencing. Collaboration often involves sharing updates on claim statuses, seeking guidance on complex cases, and participating in virtual team meetings. Many organizations use workflow management platforms and secure document-sharing tools to ensure seamless coordination and maintain data security. Building strong virtual communication skills is important to stay connected and contribute effectively to team goals.

What are the most commonly searched types of Remote Claims jobs in Georgia?

The most popular types of Remote Claims jobs in Georgia are:

What are popular job titles related to Remote Claims Associate jobs in Georgia?

For Remote Claims Associate jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Remote Claims Associate jobs in Georgia look for?

The top searched job categories for Remote Claims Associate jobs in Georgia are:

What cities in Georgia are hiring for Remote Claims Associate jobs?

Cities in Georgia with the most Remote Claims Associate job openings:

Remote Claims Associate jobs near you
Infographic showing various Remote Claims Associate job openings in Georgia as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution.

Project Manager- Pharmacy Associate

Oscar Health

Atlanta, GA • Remote

$87K - $114K/yr

Full-time

Medical, PTO

Re-posted 6 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 Project Manager- Pharmacy Associate to join our 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:

The Project Manager is responsible for supporting all activities related to program implementation goals as well as post implementation oversight and monitoring to ensure success. Additionally supports operational improvements for core operations, including proper controls and monitoring, to ensure operational efficiency and effectiveness, supporting the program across the organization and helping implement project management fundamentals and standards across the organization. This individual will establish and manage relationships with key internal and external stakeholders to ensure business alignment and support change management.

You will report into the Director, Pharmacy Programs and Implementation.

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. 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: $87,188.40- $114,434.78 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Organize and support daily activities based on the goals of the program
  • Identify optimization opportunities to support program objectives
  • Support implementations end to end to ensure success
  • Lead certain components of the program
  • Partner with other departments and various stakeholders to ensure operational excellence
  • Support a successful program end to end through assisting in project plan development, keeping your stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses
  • Support the tracking and monitoring of controls
  • Develop tools and standards to support team programs year over year based on program retros
  • Develop meeting materials, track and follow-up on action items, assist with management of all project plans
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Bachelor's degree or 4 years commensurate experience.
  • 3+ years working for a PBM, Payer, or Pharmacy Consulting firm, with a focus on reviewing healthcare data.
  • 3+ years leading cross-functional teams/projects and change management.
  • 1+ years working with health insurance regulation/compliance.
  • 1+ years working with technical teams, integrations or product management.

Bonus points:

  • Experience with medical payer and PBM claims adjudication systems, such as RxClaim.
  • Experience with pharmacy claim testing and Quality Assurance (QA).
  • Experience with a ticketing system (such as Jira or Appian).
  • Experience with Project Management systems (such as Monday.com).
  • Experience with payers offering ACA/health exchange insurance.

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