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

Reserv, Inc.

Litigation Claims Adjuster, Rideshare

Atlanta, GA · On-site +1

$47K - $62K/yr

Managing all aspects of litigated cases, including evaluation of the resolution process * Analyze ... Attention to detail, time management, and the ability to work independently in a fast-paced, remote ...

INTEGRO

VSC Level 3 Claims Adjuster

Atlanta, GA · On-site +1

$65K - $72K/yr

... Remote) to join our team. As an VSC Level 3 Claims Adjuster, you will play a vital role in our company's claims administration process, specifically related to automotive extended warranty claims.

Berkley

Claims 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

Claims 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 ...

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Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Jul 10, 2026, the average hourly pay for remote claims 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 some common challenges faced by Remote Claims Processors, and how can they be addressed?

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

What Does a Remote Claims Processor Do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a Remote Claims Processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

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

To thrive as a Remote Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

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

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs
What are popular job titles related to Remote Claims Processor jobs in Decatur, GA? For Remote Claims Processor jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Decatur, GA look for? The top searched job categories for Remote Claims Processor jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Claims Processor jobs? Cities near Decatur, GA with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Head of Claims Intake and Strategy

Head of Claims Intake and Strategy

The Partners Group

Atlanta, GA • On-site, Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

(EXCLUSIVE) HEAD OF CLAIMS INTAKE AND STRATEGY FOR PROFESSIONAL LIABILITY INSURER (Fully Remote or Hybrid Atlanta) - Our client is seeking a senior claims leader to ensure every matter begins with clarity, consistency, and the right strategic direction from the outset. This role sits at the front end of the claims lifecycle and is responsible for building a strong foundation for decision‑making through high‑quality intake, disciplined coverage assessment, and data‑informed case direction.

The Head of Claims Intake & Strategy plays a critical role in aligning Strategy and Execution early in the process—ensuring that each claim is properly understood, accurately assessed, and guided toward the most appropriate outcome. By combining structured data, predictive insights, and expert judgment, this leader helps improve consistency, predictability, and overall claim performance across the organization.

Key Responsibilities:
  • Establish and enforce standards for complete, timely, and accurate intake of all critical claim information
  • Ensure strong first notice of loss and early case development so claims are actionable from day one
  • Oversee coverage analysis on all matters and ensure coverage positions are clearly established early
  • Partner with coverage counsel and internal stakeholders on complex or ambiguous coverage determinations
  • Serve as the primary Claims partner to Finance on reserving models, ensuring understanding, confidence, and continuous improvement
  • Collaborate with Finance to calibrate and enhance reserving models based on outcomes and trends
  • Translate intake data, coverage position, and exposure signals into clear case direction and recommended claim posture
  • Own and continuously refine the case direction model using outcomes data and structured feedback loops
  • Define escalation criteria and governance standards in partnership with Strategy and team leadership
  • Ensure appropriate matters are elevated with strong supporting data and clear recommendations
  • Monitor claim direction quality and outcome predictability through dashboards and performance insights
  • Identify trends, gaps, and drift, and lead corrective actions to improve consistency and results
Qualifications:
  • 10+ years of experience in medical professional liability or complex casualty claims
  • Deep expertise in coverage analysis, exposure evaluation, and early‑stage claim strategy
  • Leadership experience in claims operations, technical claims oversight, or strategy roles
  • Strong understanding of reserving methodologies and predictive/analytical claims models
  • Proven ability to translate data and modeling insights into practical claims decision‑making tools
  • Experience partnering across Finance, Legal, Strategy, and external counsel
  • Strong analytical judgment and decision‑making skills
  • Demonstrated ability to influence senior stakeholders and drive adoption of new frameworks and processes

This is a high‑impact leadership opportunity for a claims professional who excels at bringing clarity early in the lifecycle, improving decision quality through data and structure, and ensuring every claim begins with a strong, consistent foundation for optimal outcomes.

The role can be fully remote or follow a hybrid schedule for candidates based in Atlanta. A competitive compensation package is offered, including base salary, annual bonus, and long‑term incentive opportunities.

For consideration, please submit your resume to jobs@partners-group.com.

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