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Remote Medical Insurance Claims Jobs in Georgia (NOW HIRING)

Claims Team Lead

Atlanta, GA ยท On-site +1

... of insurance claims experience in multiple lines of business, preference for an auto * 3+ years of leadership experience with a preference for experience managing in a remote environment

... TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable ... Foster a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv ...

... TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable ... remote environment * Active adjuster license required: resident state license if available ...

Workers Compensation Claims Examiner

Atlanta, GA ยท On-site +1

$31.50 - $42.75/hr

This is a fully remote position. Workers' compensation claims experience is required for this role ... Comprehensive medical insurance, dental insurance, and vision insurance; life and disability ...

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Insurance verificationexperience Required * Experience with payment postings Required * Callcenter ...

Showing results 21-40

Remote Medical Insurance Claims information

What is a remote medical insurance claims job?

Remote medical insurance claims jobs involve processing, reviewing, and approving or denying insurance claims related to medical services from a remote location, typically from home. Professionals in this field assess claims for accuracy, verify patient and provider information, and ensure compliance with insurance policies and regulations. These roles often require knowledge of medical terminology, coding, and insurance procedures, as well as strong attention to detail and communication skills. Remote positions offer flexibility and the ability to work with healthcare providers, insurance companies, or third-party administrators virtually.

What are the key skills and qualifications needed to thrive as a remote medical insurance claims specialist?

To thrive as a Remote Medical Insurance Claims Specialist, you need a solid understanding of medical terminology, health insurance policies, and claims processing, typically supported by relevant experience or certification such as Certified Professional Coder (CPC). Familiarity with claims management software, electronic health records (EHRs), and billing systems like ICD-10 and CPT coding is crucial. Attention to detail, strong organizational skills, and effective written communication are vital soft skills for accurately processing claims and resolving discrepancies. These competencies are essential for ensuring timely, accurate claims adjudication and maintaining compliance with healthcare regulations.

What are some common challenges faced by remote medical insurance claims professionals, and how can they be addressed?

Remote medical insurance claims professionals often face challenges such as maintaining clear communication with healthcare providers and colleagues, staying updated on frequently changing insurance policies, and managing high volumes of complex claims. These challenges can be addressed by utilizing reliable collaboration tools, participating in ongoing training sessions, and establishing a structured daily routine. Staying organized and proactive in seeking clarification on unclear policies or procedures also helps ensure accuracy and efficiency in claim processing.

What is the difference between Remote Medical Insurance Claims vs Remote Medical Billing Specialist?

AspectRemote Medical Insurance ClaimsRemote Medical Billing Specialist
CredentialsInsurance claims processing certifications, knowledge of insurance policiesMedical billing certifications, coding knowledge
Work EnvironmentHome-based, insurance companies or third-party claims processorsHome-based, healthcare providers or billing companies
Industry UsageInsurance companies, claims processing firmsHospitals, clinics, billing service providers
Search/Comparison IntentUnderstanding claims processing roles, remote claims jobsBilling roles, coding, and invoicing jobs

Remote Medical Insurance Claims specialists focus on reviewing and submitting insurance claims for reimbursement, requiring knowledge of insurance policies and claims procedures. Remote Medical Billing Specialists handle invoicing and coding for healthcare providers. While both roles are remote and industry-related, claims specialists primarily work with insurance companies, whereas billing specialists work directly with healthcare providers.

What cities in Georgia are hiring for Remote Medical Insurance Claims jobs?

Cities in Georgia with the most Remote Medical Insurance Claims job openings:

Infographic showing various Remote Medical Insurance Claims job openings in Georgia as of August 2026, with employment types broken down into 74% Full Time, 11% Part Time, 7% Temporary, and 8% Contract. Highlights an 100% Remote job distribution.

Claims Team Lead

Reserv, Inc.

Atlanta, GA โ€ข On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 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 Team Lead at Reserv, you will be a working leader providing support to a Claims manager with leadership and claim technical responsibilities. Leadership responsibilities will include overseeing work done within the Commercial Auto Claims (ASE) adjusting staff. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers, and the client. This role will balance management responsibilities and individual contributor responsibilities when volume dictates the need for assistance with a claim
What you'll do
  • Flexibility - you will need to be able to switch from claims handling to coaching and feedback
  • Agility- you must have an agile mindset and the ability to pivot from focus to focus in a moment's notice
  • Serve as backup/leader when the Manager is out of office
  • Responsible for initial onboarding tasks / access and new hire cultural immersion
  • SME for first-line questions, escalations, roundtable discussions
  • Be consistently dependable in achieving or exceeding goals and overcoming obstacles
  • Implement and maintain best practices for claims handling, including claim intake, investigation, evaluation, settlement, and recovery
  • Align team with client and customer expectations of the claims process
  • Serve as a resource for escalated claims
  • Foster a positive work environment, promote teamwork, and encourage professional growth and development
  • Attract, hire, retain, and provide a high level of training with the support of the rest of the leadership team
  • Prepare and present comprehensive claims reports, metrics, and analyses to clients and customers; advise clients on claim trends and loss mitigation
  • Increased reserve and payment authority with the ability to assist with moderate reviews
  • Identify topics and trends to discuss in team Huddles and Elevated Claims Experience
  • Workshops lead/co-lead by Team Leads, Managers, and other Reserv employees
  • Customer Obsession Champions- Active advocates who help leadership cultivate a customer-centric mindset

Qualifications
  • 5+ years of insurance claims experience in multiple lines of business, preference for an auto
  • 3+ years of leadership experience with a preference for experience managing in a remote environment
  • Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes
  • Demonstrated commitment to quality, accuracy, and attention to detail
  • Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information

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!

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!