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Claims Manager Jobs in Raleigh, NC (NOW HIRING)

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 ...

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 ...

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 organizations claims department. This role ensures timely, accurate, and compliant claims handling while ...

IFG Companies

Claim Examiner

Chapel Hill, NC · On-site

$80K - $100K/yr

This role will keep Claims Management apprised of the status of difficult cases and be consultative with respect to their resolution, when appropriate, and within necessary timeliness and guidelines.

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All JobsClaims JobsClaims Manager JobsClaims Manager Jobs in Raleigh, NC

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 3, 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 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.

What jobs in the US pay 300,000 a year?

Claims managers in the insurance industry can earn $300,000 or more annually, especially with extensive experience, advanced certifications, and leadership responsibilities. High-level executive roles such as chief claims officer or senior insurance executives also typically reach or exceed this salary level. These positions often require strong analytical skills, industry knowledge, and management expertise.

Which claim adjusters make the most money?

Senior claims adjusters, especially those handling complex or high-value claims such as property or commercial claims, tend to earn the highest salaries in the claims adjusting field. Adjusters with specialized certifications, extensive experience, or who work for large insurance companies also typically earn more. Expertise in negotiation and claims management tools can further increase earning potential.

Is claims adjuster stressful?

A claims manager often finds the role stressful due to handling complex claims, meeting deadlines, and managing customer expectations. The job requires strong organizational skills and the ability to work under pressure, especially during high claim volumes or difficult cases.

What is the role of a claims manager?

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

How does a Claims Manager typically balance the demands of high case volumes with ensuring 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 are the key skills and qualifications needed to thrive as a Claims Manager, and why are they important?

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.

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.
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 July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $85,403 per year, or $41.1 per hour.

Claims Director

DAN

Durham, NC • On-site

$130K/yr

Full-time

Posted 25 days ago

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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