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Remote Claims Reviewer Jobs in Georgia (NOW HIRING)

Karna, LLC

$20 - $25/hr

Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance ... PM18 #remote

Reserv, Inc.

Claims Director, Rideshare

Atlanta, GA · On-site +1

Experienced in reviewing and analyzing contracts * Define KPIs and performance metrics to drive ... Foster a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv ...

Reserv, Inc.

APD Claims Team Lead

Atlanta, GA · On-site +1

Increased reserve and payment authority with the ability to assist with moderate reviews * Identify ... Foster a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv ...

Reserv, Inc.

Claims Team Lead

Atlanta, GA · On-site +1

Increased reserve and payment authority with the ability to assist with moderate reviews * Identify ... remote environment * Comfortable with technology and the ability to evolve the claims systems and ...

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Remote Claims Reviewer information

What is a remote claims reviewer?

A Remote Claims Reviewer is a professional who evaluates and processes insurance claims from a remote location, rather than working onsite at an insurance company or healthcare provider. Their primary responsibilities include reviewing submitted claims for accuracy, completeness, and compliance with policy and regulatory guidelines. They may work with various types of claims, such as health, auto, or property insurance, and often use specialized software to assess documentation and make determinations. Remote Claims Reviewers communicate with claimants, providers, and other stakeholders to gather information and resolve issues. This role requires strong attention to detail, analytical skills, and a good understanding of insurance policies and procedures.

What are the key skills and qualifications needed to thrive as a remote claims reviewer?

To thrive as a Remote Claims Reviewer, you need a solid understanding of insurance policies, claims adjudication processes, and attention to detail, typically supported by experience in claims processing or a related field. Familiarity with claims management systems, electronic documentation, and industry certifications such as AIC (Associate in Claims) are commonly required. Excellent analytical skills, strong communication, and self-motivation are critical soft skills for effective remote work and accurate claim evaluations. These skills ensure claims are processed efficiently, accurately, and in compliance with regulations, maintaining trust and minimizing financial risk.

How do remote claims reviewers effectively collaborate with other team members while working from home?

Remote Claims Reviewers typically use a combination of secure communication platforms, such as email, video conferencing, and specialized claims management systems, to stay connected with their colleagues and supervisors. Regular virtual meetings, chat channels, and collaborative document tools help facilitate discussions about complex claims, share updates, and clarify procedures. While working remotely requires proactive communication, most companies provide structured workflows and support resources to ensure claims reviewers can easily reach out for guidance or escalate issues as needed.

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

AspectRemote Claims ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; insurance knowledge often preferredHigh school diploma or equivalent; basic insurance knowledge beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing claims as assigned
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Common Search & ComparisonYesYes

The main difference is that Remote Claims Reviewers evaluate and verify claims for accuracy and compliance, often requiring insurance knowledge, while Remote Claims Processors handle the submission and initial processing of claims. Both roles are remote, industry-specific, and involve insurance-related tasks, but their focus and responsibilities differ.

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

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

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

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

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

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

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

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

Remote Claims Reviewer jobs near you
Infographic showing various Remote Claims Reviewer job openings in Georgia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 6% In-person, and 94% Remote job distribution.

Account Representative (Claims Specialist)

Accelerated Claims Inc

Kennesaw, GA • Remote

$19/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago

Job description

Job Title:Account Representative (Claims Specialist)
Location:Remote (1 week onsite for orientation)
Schedule:Monday-Friday, 8:00 AM - 5:00 PM
Starting Pay:$19.00/hour


Who We Are

At Accelerated Claims, we specialize in helping healthcare providers recover revenue that directly supports patient care. Our team combines industry expertise with technology to deliver results for our clients. We take pride in creating a workplace that values collaboration, diversity, and a healthy work/life balance.


About the Role

We're looking for a detail-oriented and motivated Account Representative to support our claims recovery efforts. In this role, you'll work directly with insurance companies to research, resolve, and secure payment on outstanding medical claims.

This is a fast-paced position that requires strong communication skills, attention to detail, and the ability to manage multiple systems efficiently.


What You'll Do

  • Place outbound calls to insurance carriers to research and resolve claims
  • Review and process medical claims to ensure accurate billing and reimbursement
  • Enter and update claim information across multiple systems with accuracy
  • Follow up on outstanding claims to maximize recovery for clients
  • Maintain strict compliance with HIPAA and company policies
  • Apply knowledge of medical billing forms (UB-04, CMS-1500) when applicable

What We're Looking For

  • High school diploma or GED required
  • Strong verbal communication and problem-solving skills
  • Ability to work independently in a remote environment
  • Comfortable navigating multiple systems and tools
  • Proficiency in Microsoft Office and Google Workspace

Preferred (not required):

  • Experience in medical billing, claims processing, or insurance follow-up
  • Familiarity with EMR systems (Epic, Meditech, Athena, Cerner)
  • Familiarity with medical terminology or third-party liability
  • Knowledge of UB-04 and CMS-1500 forms

What We Offer

  • Fully remote role (equipment provided)
  • 11 paid holidays
  • 120 hours of PTO (with increases over time)
  • Birthday PTO
  • Medical, dental, and vision insurance options
  • Access to a Benefits Hub offering employee discounts and wellness resources
  • Company-paid life insurance
  • 401(k) with company match
  • Employee recognition programs

Additional Requirements

Applicants must reside in one of the following states:
Georgia, Florida, Indiana, North Carolina, New Jersey, Ohio, Pennsylvania, Texas, Minnesota, or Virginia

Apply Today

If you're looking to grow your career in a supportive, team-driven environment while making a meaningful impact, we encourage you to apply.

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