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Claims Executive Jobs in Raleigh, NC (NOW HIRING)

DAN

Claims Director

Durham, NC · On-site

$130K/yr

Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONALSUMMARY: Responsible for the strategic leadership, operational management, and oversight of the ...

DAN

Claims Director

Durham, NC · Hybrid

Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONALSUMMARY: Responsible for the strategic leadership, operational management, and oversight of the ...

Divers Alert Network

Claims Director

Durham, NC · On-site

Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONAL SUMMARY: Responsible for the strategic leadership, operational management, and oversight of the ...

IAT Insurance Group

Claims Internship

Raleigh, NC · On-site

This internship will allow you to work within our Claims Department and will provide you with daily exposure to top level executives in the field. Responsibilities range from shadowing subject matter ...

Iatinsurancegroup

Claims Internship

Raleigh, NC · Hybrid

This internship will allow you to work within our Claims Department and will provide you with daily exposure to top level executives in the field. Responsibilities range from shadowing subject matter ...

NACBA

Client Executive, Business Insurance

Raleigh, NC · On-site

$100 - $125/hr

You will guide the marketing, servicing, and retention of larger accounts, and determine resources needed to support clients and prospects (Claims, Risk Control, Executive & Professional Liability ...

Commure

Enterprise Account Executive (South East)

Raleigh, NC · On-site

$118K - $140K/yr (+ commission)

... claims, all on a single AI-native platform integrated with 60+ EHRs. Healthcare carries a $1 ... About the Role Join Commure as an Enterprise Account Executive and take ownership of a growing ...

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Claims Executive information

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How much do claims executive jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for claims executive in Raleigh, NC is $20.46, according to ZipRecruiter salary data. Most workers in this role earn between $17.50 and $22.21 per hour, depending on experience, location, and employer.

What does a claims executive do?

A Claims Executive is responsible for managing and processing insurance claims on behalf of clients or an insurance company. Their duties typically include investigating claims, reviewing policy details, assessing liability, negotiating settlements, and ensuring that claims are handled efficiently and in compliance with company policies and legal standards. They act as a liaison between claimants, insurers, and other parties involved to ensure fair and prompt resolution of claims. Strong communication, analytical, and negotiation skills are essential for this role.

What are the key skills and qualifications needed to thrive as a claims executive?

To thrive as a Claims Executive, you need a solid understanding of insurance policies, claims processing, and risk assessment, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, policy administration systems, and relevant industry certifications like CII or AIC are typically required. Strong negotiation, analytical thinking, and effective communication skills help you excel in handling complex claims and client relationships. These skills ensure accurate, efficient claims resolution and maintain trust between clients and the organization.

What are the main challenges a claims executive typically encounters, and how can they effectively address them?

Claims Executives often face the challenge of balancing customer satisfaction with organizational policy, especially when handling complex or disputed claims. They must manage high workloads and tight deadlines, requiring strong organizational and time-management skills. Effective communication and negotiation are crucial for resolving disputes amicably. Staying updated on industry regulations and internal processes also helps Claims Executives make fair and accurate decisions. Building collaborative relationships with underwriters, legal teams, and clients can further streamline claim resolutions.

What is the difference between Claims Executive vs Claims Adjuster?

AspectClaims ExecutiveClaims Adjuster
CredentialsTypically requires a bachelor's degree in insurance, business, or related field; certifications like CPCU are commonOften requires a high school diploma or equivalent; certifications like AIC or CPCU are advantageous
Work EnvironmentOffice-based, client-facing, and administrative roles within insurance companiesField-based or office-based, investigating claims and assessing damages
Employer & Industry UsageUsed in insurance companies, corporate claims departmentsCommonly employed by insurance firms, adjusting claims on-site or remotely

While both Claims Executives and Claims Adjusters work within the insurance industry, Claims Executives typically handle higher-level administrative and strategic tasks, whereas Claims Adjusters focus on investigating and settling individual claims. Understanding these differences helps job seekers identify roles aligned with their skills and career goals.

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

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

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

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

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

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

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

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

Claims Executive jobs near you
Infographic showing various Claims Executive job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 10% Part Time, and 4% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $42,561 per year, or $20.5 per hour.

Claims Director

DAN

Durham, NC • On-site

$130K/yr

Full-time

Re-posted 25 days ago

Key responsibilities

  • Oversee the intake, investigation, evaluation, reserving, and resolution of claims.

  • Manage complex, high exposure, litigated, or escalated claims and approve significant coverage determinations, settlement authority, and denial recommendations.

  • Develop and implement claims handling strategies, workflows, and best practices, and monitor claim reserves, loss trends, and financial exposure.

Job description

TITLE: Director, Claims
FLSA: Exempt, Full Time
DEPARTMENT: Claims
WORKSITE: 6 West Colony Place, Durham, NC
REPORTS TO: EVP, Insurance Operations
OCCUPATIONALSUMMARY:
Responsible for the strategic leadership, operational management, and oversight of the organization's claims department. This role ensures timely, accurate, and compliant claims handling while promoting exceptional customer service, effective risk management, and continuous operational improvement. The Director of Claims leads claims staff, develops departmental processes and performance standards, manages complex and escalated claims matters, and collaborates with internal and external stakeholders to support organizational objectives.
DUTIES/RESPONSIBILITIES:
  • Lead and inspire a service-focused team.
  • Oversee the intake, investigation, evaluation, reserving, and resolution of claims.
  • Ensure claims are handled in accordance with policy provisions, company guidelines, regulatory requirements, and industry standards.
  • Manage complex, high exposure, litigated, or escalated claims
  • Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable.
  • Develop and implement claims handling strategies, workflows, and best practices.
  • Establish department goals, KPIs, and performance standards.
  • Oversee quality assurance and audit processes for claims handling activities.
  • Identify operational, legal, and financial risks within the claims process and implement corrective actions.
  • Assist in the development and implementation of reservation of rights letters, coverage position letters, and claims procedures.
  • Monitor claim reserves, loss trends, and financial exposure.
  • Assist with budgeting and forecasting related to claims operations.
  • Ensure appropriate expense management and vendor performance standards.
  • Maintain positive relationships with insureds, brokers, members, partners, and external stakeholders.
  • Collaborate cross-functionally with underwriting, operations, finance, and customer service teams.
  • Provide claims reporting and operational updates to executive leadership.
  • Other duties as assigned.

EDUCATION
  • Bachelor's degree or equivalent experience required
  • 10+ years of relevant claims experience
  • 2+ years leadership within a claims management role
  • Valid adjusters license or ability to obtain such

REQUIRED KNOWLEDGE, SKILLS & ABILITIES
  • Knowledge of the scuba diving industry
  • Deep knowledge and experience with captive insurance companies, risk retention groups, accident and health and trip/travel programs
  • Knowledge of Trip/Travel Insurance
  • Excellent interpersonal communication, organization, and management skills
  • Superior project management skills with proven ability to plan, lead and track projects from concept through implementation
  • Ability to manage timelines and milestones to ensure timely reporting and closures
  • Self-motivated with strong attention to details and problem-solving skills
  • Proficient with Microsoft Office Suite and experienced or adaptable to claims management platforms

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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