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Claim Associate Jobs in Raleigh, NC (NOW HIRING)

Elevance Health

eCOB Specialist II

Durham, NC · On-site

Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as recovered in error. * Associate must identify the correct formulas in order to adjudicates ...

Elevance Health

eCOB Specialist II

Durham, NC · On-site

Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as recovered in error. * Associate must identify the correct formulas in order to adjudicates ...

Crawford and Company

Property General Adj

Raleigh, NC · On-site

$49K - $89K/yr

Controls claim costs. * Maintains expected case load. * Recommends litigation when appropriate ... Associate in Claims (AIC) through AICPCU. * A variable schedule including on-call may be required.

Veradigm

RCM Medical Billing Coordinator

Raleigh, NC · On-site

$19.50 - $25.25/hr

Creates claim edit report for charge entries. * Reconciles imputed payment postings and balances ... Enhancing Lives and Building Careers Veradigm believes in empowering our associates with the tools ...

Veradigm

RCM Medical Billing Coordinator

Raleigh, NC · On-site

$19.50 - $25.25/hr

Creates claim edit report for charge entries. * Reconciles imputed payment postings and balances ... Enhancing Lives and Building Careers Veradigm believes in empowering our associates with the tools ...

Allied Universal

Surveillance Investigator

Henderson, NC · On-site

$20 - $24.75/hr

As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators ... Associate's Degree or higher, preferably in Criminal Justice * Security/Loss Prevention experience

Allied Universal

Surveillance Investigator

Henderson, NC · On-site

$20 - $24.75/hr

As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators ... Associate's Degree or higher, preferably in Criminal Justice * Security/Loss Prevention experience

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All JobsClaim Associate JobsClaim Associate Jobs in Raleigh, NC

Claim Associate information

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How much do claim associate jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for claim associate in Raleigh, NC is $20.46, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.21 per hour, depending on experience, location, and employer.

What is a claim associate?

Claim Associates are professionals who handle and process insurance claims for individuals or businesses. They review claim details, gather necessary documentation, and communicate with policyholders to verify information and determine coverage. Their goal is to ensure that claims are processed efficiently and accurately according to company policies and regulations. Claim Associates may also coordinate with other departments and provide customer service throughout the claims process.

What is the difference between Claim Associate vs Claims Adjuster?

AspectClaim AssociateClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance licensesHigh school diploma; state licensing often required
Work EnvironmentOffice setting, customer service interactions, data entryField and office work, investigating claims, inspecting damages
Employer & Industry UsageInsurance companies, claims processing centersInsurance companies, third-party claims firms
Common Search & ComparisonOften compared for entry-level roles in claims processingMore experienced, investigative roles in claims handling

The main difference between a Claim Associate and a Claims Adjuster lies in their responsibilities and experience level. Claim Associates typically handle initial claims processing and customer service, while Claims Adjusters investigate and evaluate claims, often requiring more experience and licensing. Both roles are essential in the insurance industry, but they differ in scope and complexity.

What are the typical challenges a claim associate faces when handling multiple claims simultaneously?

Claim Associates often manage several claims at once, which requires strong organizational skills and attention to detail. One common challenge is prioritizing tasks to ensure timely processing while maintaining accuracy. Additionally, balancing communication with claimants, providers, and internal teams can be demanding, especially when resolving complex cases. Building effective time management strategies and leveraging claim management software can help Claim Associates meet deadlines and reduce errors.

Is claims processing a stressful job?

Claims processing is a core responsibility of Claim Associates, involving reviewing and managing insurance claims, which can be stressful due to tight deadlines, high workload, and the need for accuracy. The job often requires strong attention to detail, communication skills, and the ability to handle sensitive information under pressure.

How much do claim associates make in the US?

Claim associates in the US typically earn an average salary of around $45,000 to $55,000 per year. Salaries can vary based on experience, location, and the employer, with some earning higher with specialized skills or certifications in claims processing and insurance procedures.

What are the key skills and qualifications needed to thrive as a claim associate, and why are they important?

To thrive as a Claim Associate, you need strong analytical abilities, attention to detail, and a foundational understanding of insurance policies, typically supported by a high school diploma or equivalent. Familiarity with claims management software, document processing systems, and sometimes basic Excel skills is often required. Excellent communication, problem-solving, and customer service skills help build trust and effectively resolve client issues. These skills ensure accurate claim processing, client satisfaction, and efficient workflow in a high-volume environment.
What are the most commonly searched types of Claim jobs in Raleigh, NC? The most popular types of Claim jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Claim Associate jobs? Cities near Raleigh, NC with the most Claim Associate job openings:
Claim Associate jobs near you
Infographic showing various Claim Associate job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 68% Full Time, 28% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $42,561 per year, or $20.5 per hour.

Sr Epic Resolute (Billing & Claims) Certified Analyst

UNC Health Careers

Morrisville, NC • Hybrid

$41.45 - $59.58/hr

Other

Re-posted 18 days ago

Job description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:
UNC Health is seeking an experienced Epic Resolute Certified Analyst to support our Community Connect program. This role supports external partner clinics using UNC Health's Epic platform, with a focus on professional billing (PB), claims management, and end-to-end revenue cycle workflows, with strong alignment to ambulatory operations.

Location: Morrisville, NC (Hybrid: Remote & Onsite) 

Team: Community Connect | UNC Health ISD 

Responsibilities:

  • Design, build, and support Epic Resolute (Professional Billing & Claims) functionality 
  • Maintain billing rules, including charge routing, claim edits, payer setup, and workqueues 
  • Support charge capture, claim submission, payment posting, denials, and A/R workflows 
  • Troubleshoot billing and claims issues, including rejections, denials, and workflow gaps 
  • Partner with revenue cycle, coding, and operational teams to optimize workflows and reduce revenue leakage 
  • Support requirements gathering, testing, go-lives, and system enhancements 
  • Provide onsite clinic support, including workflow analysis and optimization 
  • Ensure data integrity, compliance, and reporting support for revenue cycle performance 

Preferred Qualifications: 

  • Epic Resolute Certification (Professional Billing) (active) 
  • 3+ years of Epic Resolute experience in a healthcare environment 
  • Strong knowledge of billing, claims processing, and revenue cycle operations 
  • Experience with claim edits, denials management, and A/R follow-up workflows 
  • Ability to travel to clinics for onsite support 
  • Experience with Community Connect or multi-site environments 
  • Experience with workqueues, claim scrubbing, and payer/plan build 
  • Understanding of ambulatory (PB) workflows and integrations with Cadence/Prelude 
  • Experience supporting go-lives, testing (UAT), and workflow optimization initiatives 

Other Information

Education Requirements:
Bachelor's degree in Computer Science, Information Systems Management or related field (or equivalent combination of education, training and experience).
Licensure/Certification Requirements:
No licensure or certification required.
Professional Experience Requirements:
If a Bachelor's degree: Four (4) years of experience with IT systems and/or related operational experience.
If an Associate's degree: Six (6) years of IT systems and/or related operational experience.
If a High School diploma or GED: Eight (8) years of IT systems and/or related operational experience.
Knowledge/Skills/and Abilities Requirements:

  • Epic Resolute Certification (Professional Billing) (active) 
  • 3+ years of Epic Resolute experience in a healthcare environment 
  • Strong knowledge of billing, claims processing, and revenue cycle operations
  • Experience with claim edits, denials management, and A/R follow-up workflows 
  • Ability to travel to clinics for onsite support 
  • Excellent analytical and communication skills. Ability to work well in a team environment. Demonstrated ability to successfully manage multiple tasks simultaneously. Highly responsive to internal customers.

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: ISD Ambulatory Services

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $41.45 - $59.58 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Morrisville

Exempt From Overtime: Exempt: Yes


This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.


Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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