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Claim Manager Jobs in Raleigh, NC (NOW HIRING)

DAN

Claims Coordinator

Durham, NC · Hybrid

Process claims in a timely manner while maintaining accurate and complete records within the department's claims management system. Prepare claim recommendations (pay/deny) and forward processed ...

Iatinsurancegroup

Claims Major Case Director

Raleigh, NC · On-site +1

$92K - $130K/yr

Handles highly complex exposure claims based on Claim Guidelines. * Directs and manages use of independent investigators, appraisers, and experts. Selects, directs and manages defense counsel ...

Quest Global

DC Protection Engineer

Raleigh, NC · On-site

$100K - $120K/yr

You will support our Commissioning Management in Quality, Risk and Claim Management and you actively participate in our improvement programs What You Will Bring: * Completed studies in electrical ...

DAN

Claims Coordinator

Durham, NC · On-site

$50K - $55K/yr

... management system. • Prepare claim recommendations (pay/deny) and forward processed claims to the appropriate carrier for determination. • Communicate with DAN and program assistance partners ...

gpec

Field Service Manager III

Garner, NC

Manages the warranty claims program for the department ... Reviews/finalizes service repair work orders, and assist in warranty claim, and processes to final ...

gpec

Field Service Manager III

Garner, NC · On-site

Manages the warranty claims program for the department ... Reviews/finalizes service repair work orders, and assist in warranty claim, and processes to final ...

gpec

Field Service Manager III

Garner, NC · On-site

Manages the warranty claims program for the department ... Reviews/finalizes service repair work orders, and assist in warranty claim, and processes to final ...

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Showing results 21-40

All JobsClaim JobsClaim Manager JobsClaim Manager Jobs in Raleigh, NC

Claim Manager information

See Raleigh, NC salary details

$34K

$85.4K

$135.1K

How much do claim manager jobs pay per year?

As of Aug 12, 2026, the average yearly pay for claim manager in Raleigh, NC is $85,403.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,100.00 and $102,100.00 per year, depending on experience, location, and employer.

What is the difference between Claim Manager vs Claims Adjuster?

AspectClaim ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU, AIC), and experience in claims handlingOften requires a high school diploma or associate degree; certifications like AIC are common but not mandatory
Work EnvironmentManages teams, oversees claims processes, and develops policies; often in an office settingInvestigates claims, assesses damages, and makes settlement decisions; may work in the field or office
Industry UsageUsed across insurance companies, especially in managerial and supervisory rolesCommonly employed in insurance companies, adjusting claims directly with clients and providers

In summary, Claim Managers oversee the claims process and manage teams, requiring more experience and certifications, while Claims Adjusters focus on investigating and settling individual claims, often with less formal education.

What is a claim manager?

Claim Managers are professionals responsible for overseeing and managing insurance claims within an organization. They ensure that claims are processed efficiently, fairly, and in compliance with policy terms and relevant regulations. Claim Managers often supervise a team of adjusters and examiners, review complex claims, resolve disputes, and communicate with policyholders, legal teams, and other stakeholders. Their work helps protect the financial interests of both the insurer and the insured.

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

To thrive as a Claim Manager, you need strong analytical skills, deep knowledge of insurance policies and claims processes, and typically a bachelor's degree in business, finance, or a related field. Familiarity with claims management software, risk assessment tools, and relevant certifications such as AIC (Associate in Claims) are common requirements. Excellent negotiation, problem-solving, and communication skills help you effectively resolve claims and liaise with clients and stakeholders. These skills ensure efficient and fair claim resolutions, contributing to client satisfaction and minimizing company risk.

What are some common challenges claim managers face when handling complex claims, and how can they effectively overcome them?

Claim Managers often encounter challenges such as coordinating between multiple stakeholders, interpreting nuanced policy language, and managing high volumes of complex cases simultaneously. Effectively overcoming these challenges requires strong organizational skills, clear communication, and the ability to make well-informed decisions under pressure. Building collaborative relationships with adjusters, legal teams, and clients, as well as staying updated on industry regulations, helps Claim Managers resolve claims efficiently while maintaining compliance and customer satisfaction.
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 Manager jobs? Cities near Raleigh, NC with the most Claim Manager job openings:
Claim Manager jobs near you
Infographic showing various Claim Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $85,403 per year, or $41.1 per hour.

Claims Coordinator

DAN

Durham, NC • Hybrid

Full-time

Posted 9 days ago

Job description

Claims Coordinator
POSITION OVERVIEW


FLSA: Non-Exempt, Full Time


Department: Claims


Primary Worksite: 6 West Colony Place, Durham, NC


Supervisory Responsibilities: None


Reports to: Claims, QA & Compliance Officer


JOB SUMMARY


The Claims Coordinator is responsible for overseeing and efficiently processing member benefit and insurance claims. You will work closely with insurance carriers, members, and healthcare providers to ensure that claims are handled in a timely and accurate manner.
Supports DAN members throughout the claims process by coordinating with insurance carriers and facilitating timely and accurate claim handling. Calculates applicable benefits and prepares claim recommendations for underwriter review and final determination.


Common duties include reviewing claim forms, verifying information, contacting members and providers to gather additional information, developing recommendations, and forwarding claims to carriers for payment. The Claims Coordinator will also assist with subrogation and the coordination of claims among carriers.


CORE RESPONSIBILITIES


Verify coverage, calculate benefit payments, and communicate claim determinations to members and providers.
Review and validate claim submissions for accuracy, completeness, and compliance with applicable requirements.
Coordinate with members, insurance adjusters, and other stakeholders to obtain required documentation and information.
Review, compile, and organize claim documentation for submission to the appropriate carrier.
Process claims in a timely manner while maintaining accurate and complete records within the department's claims management system.
Prepare claim recommendations (pay/deny) and forward processed claims to the appropriate carrier for determination.
Communicate with DAN and program assistance partners regarding complex, urgent, or ongoing cases.
Support members by helping ensure needed care and services are provided promptly and professionally; guide members through the claims process and assist in resolving issues or discrepancies.
Serve as a liaison between DAN Medical Services, DAN Claims, and third-party assistance companies for emergent cases and situations requiring coordinated support.
Participate in a rotating on-call schedule, including providing 24-hour emergency benefit verification support.
Pursue subrogation opportunities and other potential reimbursement avenues through third-party carriers.
Adhere to all policies and procedures outlined in the DAN Employee Handbook.
Perform additional duties and responsibilities as assigned.


MINIMUM QUALIFICATIONS
Bachelor's degree or a minimum of 5 years of experience in claims, customer service, or a related field
Proficiency in Microsoft Office applications
Strong verbal and written communication skills, including professional phone etiquette
Excellent organizational, time management, and problem-solving abilities with strong attention to detail
Ability to handle sensitive information with confidentiality and professionalism.
Ability to obtain and maintain required insurance licensing (training and associated costs provided by DSI


Work Environment
Hybrid work arrangement is available with this role, 2 days remote and 3 days in office, post the 90-day probationary period.


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