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Claim Manager Jobs in Raleigh, NC (NOW HIRING)

Epic Denials Management Operator

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 ...

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.

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.

Revenue Cycle Specialist (4087)

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 ...

Showing results 41-60

Claim Manager information

See Raleigh, NC salary details

$34K

$85.4K

$135.1K

How much do claim manager jobs pay per year?

As of Sep 2, 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 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 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 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 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.

How much do claim managers make in the US?

Claim managers in the US typically earn a median annual salary of around $75,000 to $85,000, with experienced professionals and those in senior roles earning over $100,000. Salaries vary based on location, industry, and level of experience, and the role often requires strong negotiation and claims processing skills.

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:

Infographic showing various Claim Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $85,403 per year, or $41.1 per hour.

Project Manager (Charlotte, Elon & Surrounding Areas)

SPC Mechanical

Wendell, NC • On-site

Other

Re-posted 2 days ago


SPC Mechanical rating

7.0

Company rating: 7.0 out of 10

Based on 8 frontline employees who took The Breakroom Quiz


Job description

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:

  1. Lead the workflow: Ensure the elements of the project elements move smoothly though the workflow. Foresee and remove any bottle necks. This involves collaborating with Internal SPC Departments, vendors and subcontractors, to establish project goals and objectives.
  2. Project Planning: Collaborate with Precon Mgr. to develop comprehensive project plans that outline the scope, schedule, budget, and resources required for successful project execution. This involves collaborating with Internal SPC functions, designers, and subcontractors, to establish project goals and objectives.
  3. Budgeting and Cost Management:  Manage project budgets, track expenses, and control costs throughout the project lifecycle. Work closely with preconstruction and scheduler to ensure that the project remains within budget constraints.  Accurately project cost-at-completion through formalized monthly Job reviews.
  4. Scheduling and Time Management: In collaboration with the Schedule Manager, create detailed project schedules using scheduling software (e.g., Primavera P6, Microsoft Project) that outline the sequence of mechanical construction activities, milestones, and deadlines. Coordinate with project teams to ensure timely completion of project milestones.
  1. Resource Allocation: Coordinate with project teams to allocate resources, including labor, materials, equipment, and subcontractors, to specific tasks based on project requirements and schedules. Ensure that resources are effectively utilized to meet project objectives.
  1. Risk Management: Identify potential risks and uncertainties that may impact the project's success and develop strategies to mitigate them. This includes conducting risk assessments, implementing risk mitigation measures, and establishing contingency plans to address unforeseen challenges.
  2. Claim Prevention:  Create and maintain proper records and documentation to properly protect SPC’s right to claim and prevent claims from being brought forth against SPC.
  3. Quality Control and Assurance: Ensure that construction work meets quality standards and specifications. This involves conducting regular inspections, reviewing workmanship, and addressing any deficiencies or non-compliance issues. Work closely with quality field forces and subcontractors to maintain high-quality standards throughout the project.
  4. Contract Administration: Oversee the administration of contracts with clients, subcontractors, and suppliers.  This includes negotiating contract terms, reviewing contract documents, and ensuring compliance with legal and regulatory requirements. Manage claims and disputes that may arise during the project.
  5. Customer and End-User Management:  Communicate project status, updates, and milestones to customers and internal teams. Manage customer expectations and address their concerns and feedback.  Foster positive relationships with customers to ensure their support throughout the project lifecycle.
  6. Change Management:  In Collaboration with the Change Manager, evaluate and assess proposed changes to project scope, schedule, and other requirements.  Document change requests, assess their impact on the project, and obtain approval.  Implement approved changes and communicate updates to project teams and customers.
  7. Documentation and Reporting:  Maintain accurate and up-to-date project documentation, including plans, schedules, progress reports, and meeting minutes.  Document lessons learned and best practices for future reference and continuous improvement.
  8. Closure and Evaluation:  Ensure the successful completion and closure of projects, including final deliverables, documentation, and handover to stakeholders.  Conduct post-project reviews to evaluate project performance, identify lessons learned, and document key insights.  Celebrate project successes and recognize the contributions of team members.
  9. Communication:  Effective communication is essential in construction project management. Primary point of contact for all project stakeholders, including clients, upper management, design teams, contractors, and regulatory agencies. Provide regular updates, address concerns, and facilitate collaboration to ensure that everyone is aligned and working towards common goals.
  10. Safety Management:  Create and maintain a safe working environment for all project personnel. This involves implementing safety policies and procedures, conducting regular safety inspections, and providing safety training to workers. They also ensure compliance with occupational health and safety regulations to prevent accidents and injuries on the job site.


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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