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

The Hartford

Property Claims Adjuster

Alpharetta, GA · On-site +1

Property Claims Adjuster II - CL09DN We're determined to make a difference and are proud to be an ... This role can be performed in either a hybrid or remote work arrangement. At The Hartford, we ...

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Remote Claims Processor information

See Decatur, GA salary details

$11

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$25

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
Claims Manager- Commercial Auto Excess Casualty

Claims Manager- Commercial Auto Excess Casualty

Reserv, Inc.

Atlanta, GA • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago

Job description

About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
About the Role
As a Manager of Excess Casualty Claims at Reserv, you will oversee a team of specialists handling high-severity commercial auto excess casualty claims that may exceed primary policy limits. This is a critical leadership role where you will ensure technical excellence, operational efficiency, and consistent delivery of Reserv's modern, data-driven claims experience. The ideal candidate blends deep casualty expertise, strong leadership, and a comfort with technology - guiding a high-performing team in a fast-moving environment where automation handles administrative tasks and humans focus on complex decision-making. You will serve a critical role with the team, the customers, and the client, maintaining high quality standards and compliance with regulatory, internal, and external contractual SLAs.
Who You Are
  • Highly motivated, growth-oriented, and excited by building a tech-driven claims organization
  • A subject matter expert with deep technical experience in commercial auto excess casualty claims, including coverage analysis, litigation management, and catastrophic injury evaluation
  • Tech-oriented - you are excited by the prospect of leveraging technology and analytics to drive better efficiencies and outcomes
  • A passionate claims professional who genuinely cares about their team, the customer, and the client experience
  • An empathetic leader who exercises patience and understanding with everyone you interact with
  • A problem solver who can dive deep into the details while never losing sight of the big picture
  • Anti-status quo - you don't just wish things were done differently, you action on it
  • Curious - you want to know the whole story so you can make the right decisions early and be decisive when it counts
  • Communicative - comfortable with and understand the importance of clear, consistent communication throughout the claims process
  • Creative - you challenge existing assumptions and find ways to leverage technology and the talents of your team to solve problems
  • And did we mention, a sense of humor. Claims are hard enough as it is.

What You'll Do
Leadership & Team Development
  • Lead, mentor, and develop a team of Commercial Auto Excess Casualty Claim Specialists
  • Foster a culture of technical excellence, continuous improvement, and data-driven decision-making
  • Provide coaching on coverage analysis, litigation strategy, negotiation, and high-severity claim evaluation
  • Conduct regular file reviews, performance assessments, and quality audits
  • Execute on performance management - attract, hire, retain, and provide a high level of training
  • Foster a positive work environment, promote teamwork, and encourage professional growth and development

Operational & Technical Oversight
  • Oversee the handling of complex excess casualty claims, ensuring accuracy, timeliness, and compliance
  • Implement and maintain best practices for claims handling including claim intake, investigation, evaluation, settlement, and recovery
  • Ensure consistent application of Reserv's structured-data workflows and modern claims platform
  • Partner with Product and Engineering teams to refine automation tools, improve adjuster workflows, and enhance system capabilities
  • Monitor key performance indicators including cycle time, accuracy, severity trends, and customer satisfaction
  • Responsible for accuracy and adequacy of all aspects of claim reserving

Strategic & Cross-Functional Collaboration
  • Serve as a subject matter expert for MGAs, carriers, brokers, and internal stakeholders
  • Collaborate with Underwriting, Actuarial, Account Management, Compliance, and Claim Operations partners to provide insights on claim trends, risk patterns, and emerging exposures
  • Participate in client meetings, audits, and stewardship reviews representing Reserv's claims philosophy and performance
  • Support onboarding of new programs, ensuring alignment with Reserv's operational standards and client expectations
  • Prepare and present comprehensive claims reports, metrics, and analysis to clients; advise on claim trends and loss mitigation

Litigation & Coverage Management
  • Guide adjusters on litigation strategy, counsel management, and complex coverage issues
  • Review and approve high-value settlement recommendations, coverage positions, and strategic claim decisions
  • Develop and implement strategies to mitigate fraudulent claims and ensure compliance with legal and regulatory requirements
  • Ensure adherence to multi-jurisdictional regulatory requirements and Reserv's internal best practices

Required Qualifications
  • 10+ years of commercial auto liability or casualty claims experience, including high-severity or excess layers
  • 5+ years of management experience with preference for experience managing in a remote environment
  • Prior leadership experience within a carrier, TPA, or MGA environment
  • Strong expertise in coverage analysis, litigation management, and catastrophic injury evaluation
  • Excellent communication and relationship-building skills with internal teams and external partners
  • Comfortable with technology and the ability to evolve claims systems and processes to drive better efficiencies and outcomes
  • Active adjuster license required - resident state license if available, otherwise a Designated Home State (DHS) license
  • Willing to obtain all licenses within 60 days, including completing state required testing
  • Demonstrated commitment to quality, accuracy, and attention to detail
  • Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information

Preferred Skills & Certifications
  • Bachelor's degree in insurance, business administration, or a related field
  • Professional designations such as CPCU, SCLA, AIC, or equivalent - JD is a big plus
  • Experience working with MGAs, E&S carriers, or tech-enabled TPAs
  • Familiarity with structured-data workflows, AI-assisted claims tools, or modern claims platforms

Why Lead at Reserv
  • Influence the future of claims handling in a company built on automation, transparency, and innovation
  • Lead a team that focuses on meaningful, high-value work - not administrative burden
  • Join a rapidly scaling organization backed by significant investment and committed to reinventing the claims experience
  • Work in a culture that values expertise, experimentation, and continuous improvement

Benefits
  • Generous health-insurance package with nationwide coverage, vision, & dental
  • 401(k) retirement plan with employer matching
  • Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy after 8 months of continuous work
  • Work from anywhere to facilitate your work life balance
  • Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!

Additionally, we will
  • Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
  • Work toward reducing and eliminating all the administrative work from an adjuster role
  • Foster a culture of empathy, transparency, and empowerment in a remote-first environment

At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!

Apply