Claim Prevention: Create and maintain proper records and documentation to properly protect SPC ... Manage claims and disputes that may arise during the project. * Customer and End-User Management:
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Claim Prevention: Create and maintain proper records and documentation to properly protect SPC ... Manage claims and disputes that may arise during the project. * Customer and End-User Management:
Quick apply
Claim Prevention: Create and maintain proper records and documentation to properly protect SPC ... Manage claims and disputes that may arise during the project. * Customer and End-User Management:
Communicate with FCCHC clinic staff about missing and erroneous data (impeding claim submission ... Manage and coordinate the billing team's work results for quality, accuracy, and timeliness.
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Communicate with FCCHC clinic staff about missing and erroneous data (impeding claim submission ... Manage and coordinate the billing team's work results for quality, accuracy, and timeliness.
Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Coordinator on the AI & Engineering team, you will be ...
Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Coordinator on the AI & Engineering team, you will be ...
Communicate with FCCHC clinic staff about missing and erroneous data (impeding claim submission ... Manage and coordinate the billing team's work results for quality, accuracy, and timeliness.
Communicate with FCCHC clinic staff about missing and erroneous data (impeding claim submission ... Manage and coordinate the billing team's work results for quality, accuracy, and timeliness.
Partner with third-party claims administrators and audit claim activity * Manage subrogation efforts and return-to-work processes * Support salary continuation administration for compensable claims
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Partner with third-party claims administrators and audit claim activity * Manage subrogation efforts and return-to-work processes * Support salary continuation administration for compensable claims
Raleigh, NC · Remote
$17.50 - $23.25/hr
Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...
Raleigh, NC · Remote
$17.50 - $23.25/hr
Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...
Raleigh, NC · On-site
$24 - $26/hr
Identify potential claim issues and collaborate with managers and attorneys to develop appropriate solutions. * Request, organize, review, and summarize medical records to support case development.
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Raleigh, NC · On-site
$24 - $26/hr
Identify potential claim issues and collaborate with managers and attorneys to develop appropriate solutions. * Request, organize, review, and summarize medical records to support case development.
Raleigh, NC · On-site
$24 - $26/hr
Identify potential claim issues and collaborate with managers and attorneys to develop appropriate solutions. * Request, organize, review, and summarize medical records to support case development.
Raleigh, NC · On-site
$24 - $26/hr
Identify potential claim issues and collaborate with managers and attorneys to develop appropriate solutions. * Request, organize, review, and summarize medical records to support case development.
Raleigh, NC · On-site +1
$80K - $95K/yr
Possess strong litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. * Perform ...
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Raleigh, NC · On-site +1
$80K - $95K/yr
Possess strong litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. * Perform ...
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 ...
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 ...
Morrisville, NC · On-site +1
$41.45 - $59.58/hr
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
Morrisville, NC · On-site +1
$41.45 - $59.58/hr
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
Raleigh, NC · On-site
$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 ...
Raleigh, NC · On-site
$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 ...
The Senior Financial Specialist, Managed Care is responsible for analyzing managed care contract ... Validate claim payments, investigate reimbursement variances, and identify opportunities to improve ...
The Senior Financial Specialist, Managed Care is responsible for analyzing managed care contract ... Validate claim payments, investigate reimbursement variances, and identify opportunities to improve ...
You will be assigned a mentor and manager that will support and guide you on your career journey ... Administering claim benefits i.e., indemnity and medical benefits, through maintenance of ...
You will be assigned a mentor and manager that will support and guide you on your career journey ... Administering claim benefits i.e., indemnity and medical benefits, through maintenance of ...
Morrisville, NC · On-site +1
$41.45 - $59.58/hr
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
Morrisville, NC · On-site +1
$41.45 - $59.58/hr
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
Durham, NC · On-site
$20/hr
Utilize payer portals, Electronic Health Records (EHR), patient accounting systems, and other available technology to investigate claim status and manage follow-up activities. * Accurately document ...
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Durham, NC · On-site
$20/hr
Utilize payer portals, Electronic Health Records (EHR), patient accounting systems, and other available technology to investigate claim status and manage follow-up activities. * Accurately document ...
Durham, NC · On-site
$20/hr
Utilize payer portals, Electronic Health Records (EHR), patient accounting systems, and other available technology to investigate claim status and manage follow-up activities. * Accurately document ...
Durham, NC · On-site
$20/hr
Utilize payer portals, Electronic Health Records (EHR), patient accounting systems, and other available technology to investigate claim status and manage follow-up activities. * Accurately document ...
You will be assigned a mentor and manager that will support and guide you on your career journey ... Administering claim benefits i.e., indemnity and medical benefits, through maintenance of ...
You will be assigned a mentor and manager that will support and guide you on your career journey ... Administering claim benefits i.e., indemnity and medical benefits, through maintenance of ...
Raleigh, NC · On-site
$20.27 - $26.02/hr
The role also includes collaborating with the billing team to address claim submission discrepancies, contributing to denial management efforts, actively participating in revenue optimization ...
Raleigh, NC · On-site
$20.27 - $26.02/hr
The role also includes collaborating with the billing team to address claim submission discrepancies, contributing to denial management efforts, actively participating in revenue optimization ...
Durham, NC · On-site
$20/hr
Utilize payer portals, Electronic Health Records (EHR), patient accounting systems, and other available technology to investigate claim status and manage follow-up activities. * Accurately document ...
Durham, NC · On-site
$20/hr
Utilize payer portals, Electronic Health Records (EHR), patient accounting systems, and other available technology to investigate claim status and manage follow-up activities. * Accurately document ...
$34K - $43.2K
4% of jobs
$43.2K - $52.4K
4% of jobs
$52.4K - $61.6K
10% of jobs
$65.1K is the 25th percentile. Wages below this are outliers.
$61.6K - $70.8K
18% of jobs
$70.8K - $80K
12% of jobs
The median wage is $81.5K / yr.
$80K - $89.2K
13% of jobs
$89.2K - $98.4K
14% of jobs
$98.8K is the 75th percentile. Wages above this are outliers.
$98.4K - $107.5K
12% of jobs
$107.5K - $116.7K
7% of jobs
$116.7K - $125.9K
4% of jobs
$125.9K - $135.1K
2% of jobs
$34K
$85.4K
$135.1K
| Aspect | Claim Manager | Claims Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree, industry certifications (e.g., CPCU, AIC), and experience in claims handling | Often requires a high school diploma or associate degree; certifications like AIC are common but not mandatory |
| Work Environment | Manages teams, oversees claims processes, and develops policies; often in an office setting | Investigates claims, assesses damages, and makes settlement decisions; may work in the field or office |
| Industry Usage | Used across insurance companies, especially in managerial and supervisory roles | Commonly 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.
The most popular types of Claim jobs in Raleigh, NC are:
Cities near Raleigh, NC with the most Claim Manager job openings:

Other
Re-posted 2 days ago
7.0
Based on 8 frontline employees who took The Breakroom Quiz
Job Summary:
Oversee all aspects of a mechanical construction project from inception to completion by ensuring the successful planning, execution, and completion of construction projects while managing risks, costs, quality, and Customer expectations. Leadership, communication, and problem-solving skills are essential for navigating the complexities of mechanical construction projects and delivering results that exceed client expectations.
Responsibilities:
Work Environment:
While performing the duties of this Job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 50 pounds.
While performing the duties of this job, the employee is frequently exposed to moving mechanical parts and the risk of electrical shock. The employee is occasionally exposed to high, precarious places; outside weather conditions, including wet, humid, cold, or hot environments; and vibration.
While performing the duties of this job, the employee regularly uses hands and arms for tasks requiring handling, reaching, and coordination, and engages in a combination of standing, walking, sitting, and occasional postural movements such as bending, kneeling, crouching, or balancing. The position involves verbal communication and the ability to hear.
The employee may frequently lift, carry, or move items weighing up to 50 pounds and may occasionally lift or move heavier items up to 100 pounds, with the ability to carry items for extended periods of time as needed.
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Sourced by ZipRecruiter
Construction
51 - 200 Employees
Wilson, NC, US
1965