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Claims Processor Jobs in Raleigh, NC (NOW HIRING)

Claims Facilitator

Raleigh, NC · On-site

$40K - $64K/yr

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 ...

Claims Facilitator

Raleigh, NC · On-site

$40K - $64K/yr

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 ...

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Claims Processor information

See Raleigh, NC salary details

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How much do claims processor jobs pay per hour?

As of Jun 5, 2026, the average hourly pay for claims processor in Raleigh, NC is $18.63, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $20.10 per hour, depending on experience, location, and employer.

What Is a Claims Processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

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

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

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

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

What does a Claims Processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.

What is the qualification for claims processor?

A claims processor typically needs a high school diploma or equivalent, strong attention to detail, good organizational skills, and familiarity with claims processing software. Some employers may prefer candidates with prior experience in insurance or customer service, and certifications such as the Certified Claims Professional (CCP) can be advantageous.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

What are the most commonly searched types of Claims Processor jobs in Raleigh, NC? The most popular types of Claims Processor jobs in Raleigh, NC are:
What job categories do people searching Claims Processor jobs in Raleigh, NC look for? The top searched job categories for Claims Processor jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Claims Processor jobs? Cities near Raleigh, NC with the most Claims Processor job openings:
Claims Coordinator and Safety Generalist

Claims Coordinator and Safety Generalist

Arc3 Gases

Rolesville, NC • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted yesterday


Arc3 Gases rating

7.0

Company rating: 7.0 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

185th of 335 rated retail wholesalers


Job description

About Us

Arc3 Gases is a family-owned, independent distributor of industrial gases, welding supplies, safety products, and hardgoods used in metal fabrication industries. We prioritize family values and a focus on people while safely delivering solutions to the customers we serve. Our core values include trust, responsiveness, reliability, and technical competence.

Job Summary

The Claims Coordinator and Safety Generalist is a full-time position within Arc3s Safety and Compliance Department. The primary purpose of this role is to facilitate all Workers' Compensation, Motor Vehicle Accident, and General Liability claims processing for Arc3 Gases. This role will enjoy strong support from Arc3s insurance broker, outside claims adjusters, Arc3s in-house lawyer, and the rest of Arc3s Safety and Compliance Team.

Claims Coordinator Responsibilities

    Receive, enter, process, and proactively manage to conclusion all General Liability, Motor Vehicle Accident, and Workers Compensation claimsEnsure all claims are processed and managed in accordance with Arc3 Gases and outside claims adjusters policies and procedures and regulatory agency requirements (state workers comp, OSHA, DOT, etc.)Create and maintain detailed records of all claims, including documenting and compiling all actions taken and communications with othersCommunicate with claimants, adjusters, and other stakeholders to provide information, updates, and instructions in a professional and timely mannerWorking with others, investigate cause of accidents to determine preventability and non-preventability and seek corrective actions to prevent reoccurrenceEnsure internal incident investigations are accurate, complete, and compliant; follow up with respective partners as neededDetermine panel physician requirements and work with employees on selecting panel physician on non-emergency workers compensation claimsEnsure continuous communication with injured claimants regarding claim status and opportunities for light-duty workWork with Arc3 employees at all levels of the company to continually improve Arc3s Return-to-Work processTimely prepare leave of absence and return-to-work letters and notify HR and Payroll whenever an employee goes on leave or returns from leaveCoordinate, manage, and resolve minor General Liability, Motor Vehicle Accident, and First Aid claims that Arc3 does not report to its outside claim adjustersCoordinate response and claims management for any claims litigated against Arc3Generate monthly reports on claim metrics, performance, and outcomes for management and other stakeholdersReview and audit claim files to ensure accuracy, consistency, and compliance with established guidelinesWork with local law enforcement following any criminal incident on company property (larceny, break in, property damage, etc.)Handle other administrative tasks for the Safety and Compliance Team as requested.

Safety Generalist Responsibilities

Assist Arc3s Safety and Compliance Team, as needed, with the following responsibilities:

    Continuously improve Arc3s Safety and Compliance functions following company policies, industry standards, and best practicesAudit Arc3s locations and processes to confirm that safety awareness activities are continuously occurring and to ensure compliance with regulations and Arc3 policiesPrepare Safety and Regulatory Compliance standard operating procedures and training materialsConduct risk assessments and implement risk mitigation strategies, programs, and actionsRespond to external audit requests and agency requests for informationModernize Arc3s Safety and Compliance administration by leveraging technology, automation, and best practicesPerform other duties as assigned.

Qualifications:

    At least two years of prior claims coordination experience in at least one of the following areas: General Liability, Motor Vehicle Accidents, or Workers CompensationAt least two years of prior Safety Generalist experienceHigh School Diploma; bachelors degree preferableAdvanced communication skills, including the ability to review documents for content, structure, and accuracyExcellent organizational and time management skills; able to multi-task effectively in dynamic environmentHandle confidential information with discretion, and sound judgmentStrong interpersonal skills, professionalism, and integrityAbility to communicate effectively with all levels of staffA passion for providing excellent customer service to both internal and external customersSelf-starter who can work independently with minimal supervisionExperience with Microsoft Office (Outlook, Word, Excel, PowerPoint)Experience with claims management software

Additional Information:

    Arc3 currently has 45 open claims and averages 15 new claims per month, most of which are minor claims. The typical claim resolves in three to six months. This leaves time to engage in a wide variety of Safety Generalist duties.This is an hourly paid position that is not exempt from FLSA overtime regulationsThis will be an 8am to 5pm job with a one-hour unpaid lunch period, Monday through FridayThis role will not have any direct or indirect reports
Benefits 401(k) Retirement Plan with Company MatchHealth, Dental, and Vision InsuranceHealth Care and Dependent Care Flexible Spending Accounts Health Savings Accounts with Annual Company ContributionCompany Paid Short-Term and Long-Term Disability Insurance Company Paid Life and Accidental Death and Dismemberment InsuranceVoluntary Life, Critical Illness, and Accident InsuranceNew Employee Referral Bonus ProgramTuition ReimbursementPaid Time OffPaid HolidaysEmployee Assistance ProgramWellness Program with Health Insurance Premium DiscountsCompany Paid UniformsPersonal Protective Equipment ReimbursementsEqual Opportunity Employer. Disabled/Protected Veterans.

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