ZipRecruiter

Log In

1

Claims Examiner Jobs in Raleigh, NC (NOW HIRING)

Erie Insurance

Claims Facilitator

Cary, NC · On-site

$52 - $70/hr

Position Summary Under minimal supervision, settles claims within limits of authority. The selected candidate will report to the Raleigh Branch office. The selected candidate will be required to ...

Sedgwick

Claims Representative , Auto

Raleigh, NC · On-site

$50K/yr

To analyze and process low to mid-level auto and transportation claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE * Processes auto property damage and lower level injury claims; assesses damage, makes ...

previous pagenext page

Showing results 21-40

All JobsClaims Examiner JobsClaims Examiner Jobs in Raleigh, NC

Claims Examiner information

See Raleigh, NC salary details

$14

$28

$44

How much do claims examiner jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for claims examiner in Raleigh, NC is $28.58, according to ZipRecruiter salary data. Most workers in this role earn between $21.73 and $34.13 per hour, depending on experience, location, and employer.

What is a claims examiner?

A claims examiner evaluates claim files that have been submitted by an insurance adjuster. They decide whether to authorize or deny payments and refer suspicious or complicated claims to insurance investigators. This job is a risk management position. In health insurance, examiners may have to decide if medical procedures are worth the patient’s prognosis, if someone's cause of death warrants incidental fees, or if witness interviews waive the insurance company’s liability.

What does a claims examiner do?

A Claims Examiner is responsible for reviewing insurance claims to determine their validity and whether they should be approved or denied. They carefully examine claim forms, supporting documents, and sometimes conduct interviews to gather additional information. Claims Examiners ensure that claims comply with policy terms and legal requirements, and may calculate the amount to be paid out. Their work helps prevent fraudulent claims and ensures fair processing for all parties involved.

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

To thrive as a Claims Examiner, you need strong analytical skills, attention to detail, and a background in insurance, finance, or a related field, often supported by relevant certifications or a degree. Familiarity with claims management software, regulatory compliance systems, and industry-specific databases is typically required. Excellent communication, problem-solving abilities, and good judgment help you stand out in this position. These skills and qualities are crucial for ensuring accurate claim evaluations, minimizing risk, and maintaining customer trust.

What are some common challenges faced by claims examiners, and how can they be managed effectively?

Claims Examiners often encounter challenges such as reviewing complex or incomplete documentation, managing a high volume of claims, and balancing the need for accuracy with efficiency. Effective organization, strong attention to detail, and clear communication with claimants and other team members are essential for overcoming these obstacles. Additionally, staying current with industry regulations and using claims management software can help streamline the process and reduce errors.

What is the difference between Claims Examiner vs Claims Processor?

AspectClaims ExaminerClaims Processor
Required credentialsHigh school diploma or equivalent; often some insurance or claims experienceHigh school diploma or equivalent; may have basic insurance knowledge
Work environmentOffice setting, reviewing claims, making determinationsOffice setting, processing claims data, data entry
Employer and industry usageInsurance companies, government agenciesInsurance companies, third-party administrators
Common search intentUnderstanding roles, career differences, job requirementsEntry-level position, processing claims, job duties

Claims Examiners review insurance claims to determine coverage and approve or deny payments, requiring analytical skills and some insurance knowledge. Claims Processors handle the data entry and processing of claims, focusing on accuracy and efficiency. While both roles work in insurance settings and may require similar credentials, Claims Examiners have more decision-making responsibilities, whereas Claims Processors focus on data handling.

How much do claims examiners make in the US?

Claims examiners in the US typically earn a median annual salary of around $45,000 to $65,000, depending on experience, location, and employer. Entry-level positions may start lower, while experienced examiners or those with specialized skills can earn higher wages, often supplemented with benefits and opportunities for advancement.

Is being a claims examiner hard?

Claims examiners review insurance claims to determine coverage and payment, which can involve detailed analysis and attention to accuracy. The job often requires strong organizational skills, knowledge of policies, and sometimes certification, but the difficulty varies based on experience and the complexity of claims handled.
More about Claims Examiner jobs

What are the most commonly searched types of Claims Examiner jobs in Raleigh, NC?

The most popular types of Claims Examiner jobs in Raleigh, NC are:

What are popular job titles related to Claims Examiner jobs in Raleigh, NC?

For Claims Examiner jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Claims Examiner jobs in Raleigh, NC look for?

The top searched job categories for Claims Examiner jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Claims Examiner jobs?

Cities near Raleigh, NC with the most Claims Examiner job openings:

Claims Examiner jobs near you
Infographic showing various Claims Examiner job openings in Raleigh, NC as of August 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $59,445 per year, or $28.6 per hour.

Claims Facilitator

Erie Insurance

Cary, NC • On-site

$52 - $70/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago

Erie Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

57th of 315 rated insurance

Job description

Select how often (in days) to receive an alert:

salary range is for thislevel and may vary based on actual level of role hired for

*This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.
Benefits That Go Beyond The Basics

We strive to be Above all in Service® to our customers—and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including:

  • Premier health, prescription, dental, and vision benefits for you and your dependents.Coverage begins your first day of work.
  • Low contributions to medical and prescription premiums.We currently pay up to 97% of employees' monthly premium costs.
  • Pension. We are among the 2% of Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of services.
  • 401(k) with up to 4% contribution match.The 401(k) is offered in addition to the pension.
  • Paid time off.Paid vacation, personal days, sick days, bereavement days and parental leave.
  • Career development.Including a tuition reimbursement program for higher education and industry designations.

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.

Position Summary

Under minimal supervision, settles claims within limits of authority.

The selected candidate will report to the Raleigh Branch office.

The selected candidate will be required to obtain appropriate licensing within 45 days.

Duties and Responsibilities
  • Processes first party automobile, third party clear liability automobile and low severity property claims within limits of authority. Contacts Policyholders and/or claimants, verifies coverage, sets reserves, sets up and/or issues payment using ERIE's approved payment methods, and settles claims.
  • Establishes contact with all parties involved in the claim in accordance with ERIE's expectations.
  • Handles inquiries from policyholders, agents, insurance carriers, claimants and others.
  • Prepares correspondence, forms and related materials. Reviews all pending claims/activities on a regular basis.
  • Provides support for property claims during periods of heavy volume.


The first six duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.


This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident.

Capabilities
  • Self-Development
  • Decision Quality
  • Values Diversity
  • Nimble Learning
  • Customer Focus
  • Ensures Accountability
  • Detail Orientation
  • Information Management Skills
  • Job-Specific Knowledge
Qualifications Minimum Educational and Experience Requirements
  • High school diploma or GED and one year of related claims handling, customer service, or clerical experience required; or equivalent educational experience required.
  • Bachelor's or Associate's degree preferred.
#J-18808-Ljbffr

What Erie Insurance Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply