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Remote Medical Claims Analyst Jobs in Decatur, GA

The Hartford

Short Term Disability Analyst

Alpharetta, GA · On-site +1

$46K - $68K/yr

... medical, vocational, financial, and functional information, the Ability Analyst manages claims ... This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office ...

The Hartford

Long Term Disability Analyst

Alpharetta, GA · On-site +1

$48K - $72K/yr

... claims by gathering and evaluating information from claimants, employers, and medical providers ... This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office ...

Elevance Health

Research Scientist Senior

Atlanta, GA · On-site +1

$94K - $120K/yr

... medical claims. * Designs and develops machine learning, predictive modeling, and reinforcement ... Partners closely with engineering, architecture, analytics, product, and business teams to deploy ...

Elevance Health

Research Scientist Senior

Atlanta, GA · On-site +1

$94K - $120K/yr

... medical claims. * Designs and develops machine learning, predictive modeling, and reinforcement ... Partners closely with engineering, architecture, analytics, product, and business teams to deploy ...

Crawford and Company

Quality Reviewer

Peachtree Corners, GA · On-site +1

$52K - $96K/yr

... analytical and documentation skills ?? Role Highlights • 100% remote - open to candidates nationwide • Non-driving, non-field role Reviews low severity property and/or casualty claims to ensure ...

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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 Jun 25, 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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Remote Medical Claims Analyst jobs near you
Auto and General Liability Claims Specialist

Auto and General Liability Claims Specialist

The Hartford

Alpharetta, GA • On-site, Remote

$107K - $161K/yr

Full-time

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

The Hartford rating

8.8

Company rating: 8.8 out of 10

Based on 104 frontline employees who took The Breakroom Quiz

52nd of 261 rated insurance

Job description

Specialist Claims - CH07DE

We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future.

As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure, auto and general liability claims throughout the claim's life cycle. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required.

Responsibilities:

  • Conducting investigations and analyzing and evaluating the information learned;

  • Making coverage determinations and communicating written position(s) to insureds and other required parties;

  • Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment;

  • Presenting cases to management for expense or indemnity reserve authority above established authority levels;

  • Developing and implementing resolution strategies to achieve high quality outcomes;

  • Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review;

  • Attending trials and mediations as necessary;

  • Contributing to broader claim and enterprise goals by participating in audits, projects and product development initiatives;

  • Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc.;

  • Providing support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity;

  • Work with business partners to evaluate and address claim trends and developments; and

  • Address inquiries from agents and policyholders, providing superior customer service.


Qualifications:

  • Bachelor's degree required; law degree a plus.

  • Minimum of seven years handling complex litigated coverage and liability matters.

  • Candidate should be disciplined, results-oriented and able to focus on bottom line results.

  • Superior analytical ability and organizational skills.

  • Excellent oral and written communication skills.

  • Excellent strategic thinking ability and execution skills.

  • Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws.

  • An ability to communicate thoughts clearly and concisely, and to influence and persuade others.

  • Superior interpersonal skills.

  • An ability to exceed expectations and influence others

WHAT ELSE CAN YOU TELL ME?

  • This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL,Scottsdale, AZ, Alpharetta, GA, and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business need arise.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$107,600 - $161,400

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

About Us|Our Culture|What It's Like to Work Here|Perks & Benefits

What The Hartford employees say

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About Hartford

Sourced by ZipRecruiter

Hartford Financial Services Group, widely recognized as The Hartford, is a renowned company based in Hartford, CT, US. Established in 1810, it has evolved into an industry leader in the insurance and financial services sector, proudly serving more than one million businesses in the US. The Hartford is committed to offering a gamut of insurance products that include homeowners, automobile, and business insurance as well as employee benefits and mutual funds. The company’s core values revolve around customer-focused innovations, diversity and inclusion, and ethical dealings that have earned them a customer-centric reputation. This shapes their mission which revolves around aiding their clients to overcome unforeseen obstacles and enhancing their wealth over time. Among the company's noted accomplishments is being consistently listed among the World's Most Ethical Companies, a testament to their unwavering commitment towards responsible business practices.

Industry

Finance and insurance

Company size

10,000+ Employees

Headquarters location

Hartford, CT, US

Year founded

1810

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