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Claims Manager Jobs in Raleigh, NC (NOW HIRING)

Iatinsurancegroup

Manager, Claims Services

Raleigh, NC · Hybrid

$72K - $157K/yr

The Casualty Claims department within IAT Insurance Group has an immediate opening for a Manager of Claims Services in our Auto-PD department.The Manager is a strong technical leader with operational ...

DAN

Claims Director

Durham, NC · On-site

$130K/yr

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 ...

DAN

Claims Director

Durham, NC · Hybrid

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 ...

Divers Alert Network

Claims Director

Durham, NC · On-site

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 ...

Divers Alert Network

Claims Coordinator

Durham, NC · On-site

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 ...

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 ...

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 ...

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Claims Manager information

See Raleigh, NC salary details

$34K

$85.4K

$135.1K

How much do claims manager jobs pay per year?

As of Aug 23, 2026, the average yearly pay for claims 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 does a claims manager do?

A Claims Manager oversees the processing and resolution of insurance claims within an organization. Their responsibilities include evaluating claims, ensuring compliance with company policies and legal regulations, and managing a team of claims adjusters or examiners. Claims Managers work to ensure claims are handled efficiently and fairly, often acting as a point of escalation for complex or disputed cases. They also analyze data to improve claims processes and mitigate risk. Effective communication and leadership skills are essential in this role.

What skills and qualifications are needed to be a claims manager?

To thrive as a Claims Manager, you need expertise in insurance policies, risk assessment, and claims processing, usually supported by a degree in business, finance, or a related field. Familiarity with claims management software, regulatory compliance tools, and industry certifications such as AIC (Associate in Claims) is typically required. Strong analytical thinking, negotiation skills, and effective communication help you manage complex cases and lead teams successfully. These skills and qualities are vital for ensuring accurate claims resolution, minimizing financial loss, and maintaining client trust.

How does a claims manager balance high case volumes with thorough and accurate claim assessments?

Claims Managers often face the challenge of managing a large number of claims while maintaining quality and compliance. To address this, they implement efficient workflows, delegate tasks among team members, and use claims management software to automate routine processes. Regular team meetings and performance tracking help ensure that each claim is processed accurately and within regulatory timelines. Strong organizational skills and effective communication are key to balancing these demands and supporting both claimants and internal stakeholders.

What is the difference between Claims Manager vs Claims Adjuster?

AspectClaims ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceUsually requires a high school diploma or bachelor’s degree, with certifications like AIC or CPCU preferred
Work EnvironmentOversees claims departments, manages teams, and develops policies within insurance companiesEvaluates individual claims, investigates damages, and determines settlement amounts
Employer & Industry UsageCommonly employed in insurance companies, handling claims processes and team managementFound in insurance firms, adjusting claims directly with policyholders and providers

In summary, Claims Managers oversee the claims process and manage teams, requiring leadership skills and industry certifications. Claims Adjusters focus on evaluating individual claims, investigating damages, and determining payouts. Both roles are essential in the insurance industry but differ in scope and responsibilities.

How much do claims managers make in the US?

Claims managers in the US typically earn a median annual salary of around $80,000 to $100,000, with experienced professionals and those in senior roles earning over $120,000. Salaries vary based on location, industry, and level of experience, and many claims managers hold certifications such as the CPCU or ARM to advance their careers.

What is the role of a claims manager?

A claims manager oversees the processing and settlement of insurance claims, ensuring accuracy and compliance with policies. They evaluate claim validity, coordinate with adjusters and clients, and may use claims management software to streamline operations.
More about Claims Manager jobs

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 Manager jobs in Raleigh, NC?

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

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

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

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

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

Claims Manager jobs near you
Infographic showing various Claims Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 94% In-person, 3% Hybrid, and 3% Remote job distribution, with an average salary of $85,403 per year, or $41.1 per hour.

Manager, Claims

Blue Cross and Blue Shield of North Carolina

Chapel Hill, NC • On-site

$107K - $172K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

196th of 311 rated insurance

Job description

Job Description

The Manager, Claims implements end to end service model across provider segments and ensures delivery against business targets. The role sets performance and process targets within customer segment(s) to enable high level of claims processing, claims financial processing, and customer service. Manages claims submission, refunds, and recovery from all lines of business for assigned customer segment(s). Collaborates with claims leadership to understand customer segment(s) and contractual obligations. This role is also responsible for claims accounting and financial reporting.

What You'll Do

  • Streamline shared processing to reduce management by exception

  • Set operational process to address market trends, BCBSNC capabilities and customer demand

  • Manage accounting and financial reporting functions in support of the Finance Division including overseeing the gathering, preparation, analysis, and reconciliation of financial data to ensure compliance with accepted accounting principles and standards.

  • Research and resolve banking issues.

  • Participate in projects to improve and/or facilitate claims processing, recovery, and accounting functions.

  • Manage financial recovery activities including refunds and collections

  • Manage team leads and staff by efficiently driving work volume to keep high level of utilization and engagement in the group

  • Resolve complex claims appeal by coordinating with different stakeholders for certain high value claims

  • Collaborate with Audit and Payment Integrity to sustain a pre-determined level of accuracy and quality

  • Design and develop tools and techniques for improvements. Identifies needed process and procedural changes which will result in improved customer satisfaction.

  • Negotiate Claims ASO performance guarantees, reviews, approvals, and client RFPS in collaboration with Sales organization

  • Serve as ASO Claims Subject Matter Expert and single point of contact for performance monitoring and troubleshooting.

  • Represent Claims Operations to ASO executives providing data, reports, analytics, and expertise routinely and on demand.

  • Support ASO Channel lead serving as the Claims ASO Subject Matter Expert and acting as single point of contact both internally and to the ASO for all Claims, Claims Recovery, and Claims Accounting related escalations.

What You Need

  • Bachelor's degree or advanced degree (where required)

  • 8+ years of experience in related field.

  • In lieu of degree, 10+ years of experience in related field.

Bonus

  • Demonstrated claims operations experience in a regulated claims environment (Medicare, government programs, or similar).

  • Experience leading claims teams and performance management.

  • Proven understanding of claims systems and processing workflows

  • Data analytics and reporting experience.

  • Experience with Facets or similar claims platforms strongly preferred.

What You'll Get

  • The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community

  • Work-life balance, flexibility, and the autonomy to do great work

  • Medical, dental, and vision coverage along with numerous health and wellness programs

  • Parental leave and support plus adoption and surrogacy assistance

  • Career development programs and tuition reimbursement for continued education

  • 401k match including an annual company contribution

  • Learn more

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$107,901.00 - $172,642.00

Skills

Accounts Receivable (AR), Claims Analysis, Claims Management, Claims Processing, Claims Resolution, Claims Submission, Documentations, Financial Processing, Health Insurance, Insurance Claim Handling, Insurance Claims Processing, Insurance Industry, Medicare Advantage, People Management, Recruiting

_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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