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Claims Processor Jobs in Raleigh, NC (NOW HIRING)

It also requires a comprehensive understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing, and the policies ...

... claims processing, and of insurance policies and contracts for multiple insurance vendors. The duties of this position include filing dental insurance claims and pre-treatment estimates for privately ...

... claims processing, and of insurance policies and contracts for multiple insurance vendors. The duties of this position include filing dental insurance claims and pre-treatment estimates for privately ...

Support the claims development team to modernize the claims processing application * Utilize knowledge of AWS AI based mainframe modernization technologies to create real-time and batch programs for ...

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Claims Processor information

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How much do claims processor jobs pay per hour?

As of Jul 16, 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 jobs pay 500,000 a year in the US?

Claims processors typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Most claims processing roles have salaries well below this threshold.

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.

Is claim adjusting a dying field?

Claims processing is a stable field that involves reviewing and settling insurance claims, often requiring attention to detail and knowledge of insurance policies. While automation and AI tools are increasingly used to streamline tasks, the need for human claims adjusters remains, especially for complex cases and customer interactions.

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.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that involves reviewing and verifying insurance claims. While it can involve tight deadlines and attention to detail, the level of stress varies depending on workload, workplace environment, and individual coping skills.

What is the role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for this role.

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 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 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 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 cities near Raleigh, NC are hiring for Claims Processor jobs? Cities near Raleigh, NC with the most Claims Processor job openings:
Infographic showing various Claims Processor job openings in Raleigh, NC as of July 2026, with employment types broken down into 87% Full Time, and 13% Contract. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $38,748 per year, or $18.6 per hour.

Management Liability Senior Claims Specialist

Iatinsurancegroup

Raleigh, NC • On-site, Remote

$60K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted yesterday


Job description

IAT Insurance Group has an immediate opening for a Management Liability Senior Claims Specialist that can be located in any of our IAT locations.

This role works a hybrid schedule that requires working from the office Monday through Wednesday, with the option of working Thursday and Friday remotely.

While we prefer candidates to work from one of our IAT office locations, we are open to considering fully remote arrangements for the ideal candidate.

Responsibilities:

  • Responsible for handling Management Liability Claims (EPL, D&O, Fiduciary and Crime) for Private and Non-Profit businesses based on Claim Guidelines
  • Within authority limit, thoroughly analyze, investigate, negotiate and resolve all levels of severity claims
  • Selects, directs and manages defense counsel including approval of budgets
  • Develops litigation/file disposition strategy. Attends mediations, settlement conferences and trials
  • Verifies/analyzes applicable coverage for the reported claims
  • Follow operational policies and procedures, including compliance, regulatory and performance and customer service standards
  • Prepare reports, including Large Loss Reports, to management which accurately reflects loss development, potential/actual financial exposure, coverage issues, claim and recovery strategies
  • Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file
  • Identifies and addresses recovery/contribution/SIU opportunities
  • Sets accurate/timely loss/expense reserves in compliance with Claim Guidelines.
  • Drafts correspondence, including but not limited to, coverage letters to stakeholders as required
  • Support business partners on an as needed basis on various claim and underwriting related issues and marketing meetings
  • Maintains resident/nonresident adjuster licenses as required
  • Performs other duties as assigned

Qualifications:

Must Have:

  • Bachelor's Degree with 8+ years of management liability claims experience (including handling employment liability practices, directors & officers' liability and fiduciary liability coverages)
    • In Lieu of a Bachelor's Degree with 8+ years of management liability claims, a high school diploma/GED with 12+ years of relevant litigation claims experience will be considered
  • Excellent coverage analysis skills with experience in drafting coverage position correspondence
  • Experience handling litigated files and direction of defense counsel
  • Excellent negotiation skills
  • Must be willing to travel, average 1 day a month
  • Claims Licensure as required by respective state(s)
  • Excellent oral and written communication skills
  • Ability to organize, multi-task and prioritize work
  • Excellent customer service and interpersonal skills
  • Ability to analyze data, utilize sound judgment to draw conclusion and make supported decisions
  • To qualify, applicants must be authorized to work in the United States and must not require, now or in the future, VISA sponsorship for employment purposes

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.

Compensation:

Please note, that the annual gross salary range associated with this posting is $60,600 - $120,000. Actual salaries will vary based on factors such as a candidate's qualifications, skills, competencies, and geographical location related to this specific role. The total compensation will include a base salary, performance-based bonus opportunities, 401(K) match, profit-sharing opportunities, and more.

To view details of our full benefits, please visit https://www.iatinsurancegroup.com/careers/benefits

 

IAT Insurance Group is the largest private, family-owned property and casualty insurer in the U.S. Insurance Answers Together is how we define IAT, in letter and in spirit. We work together to provide solutions for people and businesses. We collaborate internally and with our partners to provide the best possible insurance and surety options for our customers.

At IAT, we're committed to driving and building an open and supportive culture for all. Our employees propel IAT forward - driving innovation, stable partnerships and growth. That's why we continue to build an engaging workplace culture to attract and retain the best talent.

We offer comprehensive benefits like:

  • 26 PTO Days (Entry Level) + 12 Company Holidays = 38 Paid Days Off
  • 7% 401(k) Company Match and additional Profit Sharing
  • Hybrid work environment
  • Numerous training and development opportunities to assist you in furthering your career
  • Healthcare and Wellness Programs
  • Opportunity to earn performance-based bonuses
  • College Loan Assistance Support Plan
  • Educational Assistance Program
  • Mentorship Program
  • Dress for Your Day Policy

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.