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Claims Processor Jobs in Raleigh, NC (NOW HIRING)

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 ...

Assesses operating risks involving clinical (patient care and regulatory), business (safety/WC), and legal (claims processing/investigation) risk exposures and liabilities * Serves as a liaison with ...

Assesses operating risks involving clinical (patient care and regulatory), business (safety/WC), and legal (claims processing/investigation) risk exposures and liabilities * Serves as a liaison with ...

Oversees maintenance and optimization of the EMR and billing system related to payor setup, service configuration, and claims processing functionality. * Ensures standardized processes and procedures ...

Oversees maintenance and optimization of the EMR and billing system related to payor setup, service configuration, and claims processing functionality. * Ensures standardized processes and procedures ...

Senior Automation Engineer

Raleigh, NC · Hybrid

$101K - $132K/yr

Create automated tests and operational workflows for complex claims processes, helping ensure accuracy in adjudication, payment integrity, and compliance. * Embed test automation into sprint ...

Create automated tests and operational workflows for complex claims processes, helping ensure accuracy in adjudication, payment integrity, and compliance. * Embed test automation into sprint ...

Customer Service Representative

Raleigh, NC · On-site

$15.50 - $21.25/hr

Collaborate with insurance carriers to obtain quotes, underwriting information, and policy details. * Assist clients in claims reporting and follow-up, providing support throughout the claims process.

Licensed Property & Casualty CSR

Raleigh, NC · On-site

$38K - $53K/yr

Clearly explain coverage details, deductibles, limits, billing inquiries, and claims processes * Resolve customer questions and concerns professionally with a focus on customer satisfaction and ...

Required 5 Years Data visualization software experience Required 5 Years Medicaid, MMIS, claims process or related experience. Highly desired 3 Years Demonstrated experience using project tracking ...

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Orthodontic Billing Specialist

Angier, NC · On-site

$13.50 - $18/hr

Knowledge of dental insurance claims processing and accounts receivable management * Ability to lift up to 20 pounds occasionally Benefits That Make You Smile: * Competitive pay! * Comprehensive ...

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Claims Processor information

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How much do claims processor jobs pay per hour?

As of Jun 26, 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. For claims processors, salaries generally range from $40,000 to $70,000 per year.

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 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 job makes $10,000 a month without a degree?

A claims processor typically does not earn $10,000 a month without a degree; most roles in this field pay less. High-paying jobs that can reach this level without a degree often include specialized sales, real estate brokers, or certain entrepreneurial ventures, but they usually require experience, skills, or licensing. Most jobs with such high income potential without a degree involve sales, entrepreneurship, or skilled trades.

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 reviews insurance claims to determine their validity and ensure they comply with policy terms. They verify information, calculate payouts, and process payments using claims management software, often working within set deadlines and following company guidelines.

What jobs pay 2000 a day?

Claims processors typically do not earn $2,000 a day; their salaries are usually based on an annual or hourly rate. High-paying jobs that can reach this level include specialized roles such as surgeons, anesthesiologists, or certain high-level executives, often requiring advanced skills, certifications, or extensive experience. These roles are generally found in healthcare, finance, or executive management environments.
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:
Infographic showing various Claims Processor job openings in Raleigh, NC as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $38,748 per year, or $18.6 per hour.
Software Developer Principal

Software Developer Principal

GDIT

Raleigh, NC • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago


General Dynamics Information Technology rating

7.8

Company rating: 7.8 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

69th of 205 rated it services


Job description

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

None

Job Family:

Software Engineering

Job Qualifications:

Skills:

Agile Methodology, COBOL, Java (Programming Language), JSON, Web Applications

Certifications:

None

Experience:

8 + years of related experience

US Citizenship Required:

No

Job Description:

SOFTWARE DEVELOPER PRINCIPAL
Transform technology into opportunity as a Software Developer Principal at GDIT. Shape what's next for mission-critical government projects while shaping what's next for your engineering career.
WHAT YOU'LL NEED TO SUCCEED
Bring your engineering expertise along with a drive for innovation to GDIT. The Software Developer Principal must have:
Education: Bachelor degree in Computer Science, engineering or related field.
Experience: 8+ years of related experience

MEANINGFUL WORK AND PERSONAL IMPACT

  • As a Software Developer Principal, the work you'll do at GDIT will be impactful to the mission of the North Carolina State MMIS program.. You will play a crucial role in transforming the mainframe COBOL Medicaid Claims processing application to a modernized Java AWS hosted application.
  • 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 Claims processing
  • Work with the existing NCTracks development team to support current R&M activities on the Claims development team
  • Most critical skill is AWS Developer certification and strong Java development experience
  • Must also have mainframe COBOL development experience in a Medicaid MMIS system or an Insurance Industry environment
  • Role requirements: Work may be performed remotely within the Continental US, but occasional travel to Raleigh, NC (once a month) may be required.


Required Technical skills:

  • Must have current AWS Solutions Architect (Associate or Professional) certification.
  • Experience with AI models for software development.
  • 8+ years of hands-on full-stack experience, designing and developing enterprise-level Web Applications, Web Services and APIs using various technologies like Java, J2EE, and XML.
  • Experience with migration of COBOL code to AWS in a Medicaid or large enterprise COBOL based applications.
  • Experience developing Struts, Spring MVC, Spring batch, Angular, Node or any other JS Frameworks, Java-script and jQuery.
  • Experience developing Web Services and working with XML, JSON, SOAP/REST APIs, JAX-WS.
  • Experience in managing App/Web servers/Containers like JBOSS, Tomcat, WebLogic or WebSphere.
  • Experience with cloud native architecture and development in either AWS, GCP or Azure.
  • Experience working with IDEs (Eclipse or NetBeans or IBM Data Studio or Any point Studio), source control systems (Subversion or Git preferred), and defect tracking systems.
  • Experience with Continuous integration tools (e. g. Jenkins, Team City or RTC), Monitoring/alerting tools.
  • Experience in building advanced automated and integrated acceptance tests using modern techniques and tools (e.g. SoapUI, Selenium).
  • Experience developing SQL, PL/SQL and Stored Procedures with Oracle or IBM DB2 or MS SQL Server Databases.
  • Experience working with Agile methodology.
  • Good Understanding of networking concepts and protocols (IP/TCP/UDP/DNS/HTTP).
  • Strong mentoring skills with excellent communication, collaboration, and problem solving capabilities.
  • Ability to quickly learn and apply new technologies.
  • Self motivated.

Desired Technical Skills:

  • Knowledge of AWS AI tools like AWS Transform and Agentic AI tools like Kiro.
  • Experience in using JMS Queue and Topics for building messaging related solutions.
  • Experience using MuleSoft Anypoint Studio, MULE ESB, JMS, MULE MMC, Active MQ, Kafka, JPA, designing using API's Led Architecture.
  • Experience with healthcare and healthcare insurance solutions and information architectures, especially Medicaid or similar industry.
  • Experience working with HIPAA healthcare data and X12 like 834, 837, 820, 835, 270/271, 276/277, 278, and 999 transactions.
  • Experience designing, developing, securing and managing APIs via API Gateways and proxies using platforms such as MuleSoft or Apigee.

GDIT IS YOUR PLACE
At GDIT, the mission is our purpose, and our people are at the center of everything we do.
Growth: AI-powered career tool that identifies career steps and learning opportunities.

Support: An internal mobility team focused on helping you achieve your career goals.

Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off.

Community: Award-winning culture of innovation and a military-friendly workplace.
OWN YOUR OPPORTUNITY
Explore a career in software development at GDIT and you'll find endless opportunities to grow alongside colleagues who share your dedication to advancing innovation.

The likely salary range for this position is $123,250 - $166,750. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

None

Telecommuting Options:

Hybrid

Work Location:

USA NC Raleigh

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Our Identity Verification Process:

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.

About Our Work:

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.Join our Talent Community to stay up to date on our career opportunities and events at

gdit.com/tc.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

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About General Dynamics Information Technology

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GDIT is a global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense, and intelligence community. Its 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. The company operates across 50+ countries worldwide, offering leading capabilities in digital modernization, AI/ML, cloud, cyber, and application development.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Falls Church, VA, US