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Remote Medical Claims Analyst Jobs in Decatur, GA

INTEGRO

VSC Claims Supervisor

Atlanta, GA · On-site +1

$70K - $75K/yr

We are seeking a highly skilled and detail-oriented VSC Level 3 Claims Adjuster (Remote) to join ... Payroll processed weekly with direct deposit * Healthcare options including medical, vision, and ...

INTEGRO

VSC Level 3 Claims Adjuster

Atlanta, GA · On-site +1

$65K - $72K/yr

We are seeking a highly skilled and detail-oriented VSC Level 3 Claims Adjuster (Remote) to join ... Payroll processed weekly with direct deposit * Healthcare options including medical, vision, and ...

Iatinsurancegroup

Claims Major Case Director

Alpharetta, GA · On-site +1

$92K - $130K/yr

... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ... All Time Limit Demands to be escalated to management. * Assist Sr. Claim specialists with analysis ...

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Remote Medical Claims Analyst information

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How much do remote medical claims analyst jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for remote medical claims analyst in Decatur, GA is $24.52, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $24.66 per hour, depending on experience, location, and employer.

What is a Remote Medical Claims Analyst?

A Remote Medical Claims Analyst is a professional who reviews, processes, and evaluates healthcare insurance claims from a remote location, often working from home. Their primary responsibilities include verifying the accuracy of medical billing codes, ensuring claims comply with insurance policies and regulations, and identifying discrepancies or fraudulent activities. They collaborate with healthcare providers, insurance companies, and sometimes patients to resolve claim issues efficiently. Strong analytical skills, attention to detail, and knowledge of medical terminology and billing codes are essential for this role.

What are some common challenges faced by Remote Medical Claims Analysts, and how can they be addressed?

Remote Medical Claims Analysts often encounter challenges such as interpreting complex medical documentation, staying updated with ever-changing insurance regulations, and managing high volumes of claims efficiently. To address these, it's important to develop strong attention to detail, maintain ongoing education on coding and compliance, and leverage digital tools for workflow management. Collaboration with team members and clear communication with providers and insurers can also help resolve discrepancies more effectively and ensure accurate claims processing.

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

To thrive as a Remote Medical Claims Analyst, you need a solid understanding of medical terminology, insurance policies, and claims processing, usually supported by a relevant degree or experience in healthcare administration. Familiarity with claims management software, ICD-10/CPT coding systems, and sometimes certifications like CPC or CPB are typically required. Strong attention to detail, analytical thinking, and effective written communication set top performers apart in this role. These skills ensure accurate and timely claims adjudication, minimize errors, and support both customer satisfaction and regulatory compliance.
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What job categories do people searching Remote Medical Claims Analyst jobs in Decatur, GA look for? The top searched job categories for Remote Medical Claims Analyst jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Medical Claims Analyst jobs? Cities near Decatur, GA with the most Remote Medical Claims Analyst job openings:
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Complex Claims Adjuster - Commercial Liability

Complex Claims Adjuster - Commercial Liability

Berkshire Hathaway GUARD Insurance Companies

Alpharetta, GA • On-site, Remote

$70K - $115K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago

Job description

Overview

Good Things Start Here.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies-an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, longterm careers.

Good Things You Can Count On.

  • Hybrid schedule: 2 days remote / 3 inoffice
  • Predictable hours (no nights, weekends, or holidays)
  • Competitive pay + generous PTO
  • Medical, dental & vision starting day one
  • 401(k), tuition reimbursement & longevity bonuses
Responsibilities

Berkshire Hathaway GUARD Insurance Companies is seeking a Complex Liability Adjuster to handle Commercial General Liability (CGL) and Business Owners Policy (BOP) claims, including litigated files.

What You'll Do

  • Handle CGL and BOP claims from initial investigation through resolution
  • Manage litigated claims in coordination with defense counsel and vendors
  • Review policy language and determine coverage, liability, and damages
  • Develop and implement claim handling and resolution plans
  • Negotiate settlements with claimants and attorneys
  • Maintain accurate claim documentation in accordance with company and regulatory requirements
  • Communicate with insureds, claimants, attorneys, and internal teams
Qualifications
  • Experience handling commercial liability claims, including litigated CGL and BOP claims
  • Experience analyzing coverage and policy language
  • JD preferred, or bachelor's degree with experience adjusting litigated liability claims
  • Strong written and verbal communication skills
  • Ability to manage multiple claims and competing priorities
  • Experience using claims systems and standard business tools

  • Licensing Requirement: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses. The company will support the licensing process, including training and compliance with ongoing continuing education requirements.

Salary $70,000 - $115,000 

In accordance with applicable pay transparency laws, this range represents a goodfaith estimate. Final compensation will be determined based on factors such as experience, credentials, geographic location, and other considerations permitted by law.

This role may be based out of any of our office locations, including:

New York, NY; Parsippany, NJ; Conshohocken, PA; WilkesBarre, PA; Alpharetta, GA; Rosemont, IL; Plano, TX; and Scottsdale, AZ.

Employment Type: FULL_TIME

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