ZipRecruiter

Log In

1

Claims Processor Jobs in Raleigh, NC (NOW HIRING)

Erie Insurance

Inside Claims Representative I

Cary, NC · On-site

$44K - $71K/yr

Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential ...

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site

$44K - $71K/yr

Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential ...

Erie Insurance

Inside Claims Representative I

Cary, NC · On-site +1

$44K - $71K/yr

Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential ...

Erie Insurance

Inside Claims Representative I

Cary, NC · On-site +1

$44K - $71K/yr

Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential ...

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site +1

$44K - $71K/yr

Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential ...

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site

$44K - $71K/yr

Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential ...

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site +1

$44K - $71K/yr

Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential ...

next page

Showing results 1-20

People also search for

All JobsClaims Processor JobsClaims Processor Jobs in Raleigh, NC

Claims Processor information

See Raleigh, NC salary details

$11

$18

$25

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.

More about Claims Processor jobs
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 are popular job titles related to Claims Processor jobs in Raleigh, NC? For Claims Processor jobs in Raleigh, NC, the most frequently searched job titles 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 Processor jobs near you
Inside Claims Representative I

Inside Claims Representative I

Erie Insurance

Cary, NC • On-site

$44K - $71K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 hours ago

Erie Insurance Group rating

8.9

Company rating: 8.9 out of 10

Based on 79 frontline employees who took The Breakroom Quiz

45th of 260 rated insurance

Job description

Division or Field Office:
Casualty Claims Division
Department of Position:Zones Dept
Work from:
Raleigh Office- RemoteSalary Range:
$44,936.00 - $71,781.00 *
salary range is for this level and may vary based on actual level of role hired for
*This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.
At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.
Benefits That Go Beyond The Basics
We strive to be Above all in Service® to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including:
  • Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work.
  • Low contributions to medical and prescription premiums. We currently pay up to 97% of employees' monthly premium costs.
  • Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service.
  • 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension.
  • Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave.
  • Career development. Including a tuition reimbursement program for higher education and industry designations.

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.
Position Summary
Under close supervision, handles liability and property claims within designated authority. Resolves coverage and/or liability issues in accordance with applicable state insurance laws, regulations, and procedures.
Duties and Responsibilities
  • Investigates and adjudicates claims within designated authority, ensuring compliance with appropriate statutory laws. Verifies coverage, establishes and maintains reserves, secures recorded statements, drafts and processes correspondence, reports and records. Obtains additional information as required to determine liability. Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential recovery.
  • Establishes contact with all parties involved in the claim in accordance with ERIE's expectations.
  • Evaluates and negotiates claims, recognizes subrogation opportunities, and initiates action. Sets up and/or issues payment using ERIE's approved payment methods for settlement; or declines payment within designated authority.
  • Responds to inquiries from Policyholders, Agents, insurance carriers, claimants, assigned experts and others.
  • Learns and maintains knowledge of liability laws for each state. Learns and maintains knowledge of motor vehicle codes.
  • Learns and maintains knowledge of no fault/medical management/FPB laws for each state, including recognition of bodily injury claims.
  • With supervisor guidance, responds to intercompany arbitration applications. Files contentions and supporting documents on behalf of the insured/driver.
  • Conducts research, attends industry-related training programs and other training sessions to stay current on policy changes, interpretation, or new legislation.
  • Provides support for property claims during periods of heavy volume.

The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.
This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become clear.
Duties and Responsibilities (cont'd if applicable)
Capabilities
  • Self-Development
  • Collaborates
  • Cultivates Innovation
  • Instills Trust
  • Decision Quality
  • Values Diversity
  • Nimble Learning
  • Customer Focus
  • Optimizes Work Processes (IC)
  • Ensures Accountability
  • Detail Orientation
  • Information Management Skills
  • Job-Specific Knowledge

Qualifications
Minimum Educational and Experience Requirements
  • High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required.
  • Bachelor's or Associate's degree preferred.

Designations and/or Licenses
  • Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred.
  • Obtain appropriate licenses as required by state within 45 days of employment in the role for external applicants and 90 days of employment in the role for internal applicants.

Physical Requirements
  • Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%)
  • Climbing/accessing heights; Rarely
  • Ability to move over 50 lbs using lifting aide equipment; Rarely
  • Driving; Never
  • Lifting/Moving 0-20 lbs; Rarely
  • Lifting/Moving 20-50 lbs; Rarely
  • Pushing/Pulling/moving objects, equipment with wheels; Rarely

What Erie Insurance Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply