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Claims Professional Jobs in Raleigh, NC (NOW HIRING)

DAN

Claims Coordinator

Durham, NC · Hybrid

Support members by helping ensure needed care and services are provided promptly and professionally; guide members through the claims process and assist in resolving issues or discrepancies. Serve as ...

Divers Alert Network

Claims Coordinator

Durham, NC · On-site

Support members by helping ensure needed care and services are provided promptly and professionally; guide members through the claims process and assist in resolving issues or discrepancies. * Serve ...

DAN

Claims Coordinator

Durham, NC · On-site

$50K - $55K/yr

... and professionally; guide members through the claims process and assist in resolving issues or discrepancies. • Serve as a liaison between DAN Medical Services, DAN Claims, and third-party ...

Builders Mutual Insurance

Claims Processor I

Raleigh, NC · On-site

$16.50 - $21/hr

Claims Processor I At Builders Mutual, we believe in the power of teamwork to get the job done ... Professional development through Builders University. * Everyday Wins recognition with swag and ...

Builders Mutual

Claims Processor I

Raleigh, NC · On-site

$16.50 - $21/hr

The OPPORTUNITY Leverage your claims experience and join our team as a Claims Processor I! This ... Professional development through Builders University * Everyday Wins recognition with swag and ...

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All JobsClaims Professional JobsClaims Professional Jobs in Raleigh, NC

Claims Professional information

See Raleigh, NC salary details

$14

$28

$44

How much do claims professional jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for claims professional in Raleigh, NC is $28.58, according to ZipRecruiter salary data. Most workers in this role earn between $21.73 and $34.13 per hour, depending on experience, location, and employer.

What is a claims professional?

Claims Professionals are specialists who handle insurance claims on behalf of insurance companies or policyholders. Their main responsibilities include investigating, evaluating, and settling claims to ensure fair compensation is provided in accordance with the terms of the insurance policy. They often interact with clients, assess damage or loss, and work with other professionals such as adjusters and legal experts to resolve disputes. Claims Professionals play a critical role in ensuring that claims are processed efficiently and accurately, maintaining trust between insurers and their clients.

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

To thrive as a Claims Professional, you need strong analytical skills, attention to detail, and a background in insurance or finance, often supported by a bachelor's degree. Familiarity with claims management systems, industry-specific software such as Guidewire, and relevant certifications like AIC (Associate in Claims) is highly valuable. Excellent communication, negotiation, and problem-solving abilities help you effectively interact with clients and resolve disputes. These skills are essential for accurately assessing claims, minimizing risk, and ensuring customer satisfaction throughout the claims process.

What are some common challenges faced by claims professionals, and how can they be addressed on the job?

Claims Professionals often encounter challenges such as managing a high volume of cases, navigating complex policy details, and communicating effectively with clients who may be experiencing stress. To address these challenges, it is important to stay organized, leverage claims management software, and develop strong interpersonal skills. Regular training on policy updates and clear communication with both clients and colleagues can also help ensure efficient and fair claims resolution.

What is the difference between Claims Professional vs Claims Adjuster?

AspectClaims ProfessionalClaims Adjuster
CredentialsCertifications like CPCU, ARM, or state licensing often preferredSimilar certifications, often required or preferred
Work EnvironmentOffice-based, administrative, and customer service rolesField or desk-based, investigating and evaluating claims
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms

Claims Professionals and Claims Adjusters both work within the insurance industry, often sharing similar certifications and work environments. However, Claims Professionals typically focus on administrative tasks, policy management, and customer service, while Claims Adjusters are more involved in investigating and evaluating claims, often in the field. Understanding these differences helps job seekers target the right roles within the insurance sector.

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 Professional jobs in Raleigh, NC?

For Claims Professional jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Claims Professional jobs in Raleigh, NC look for?

The top searched job categories for Claims Professional jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Claims Professional jobs?

Cities near Raleigh, NC with the most Claims Professional job openings:

Claims Professional jobs near you
Infographic showing various Claims Professional job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, and 5% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $59,449 per year, or $28.6 per hour.

Insurance Claims Analyst - Risk Management - Part-Time - $33-$35/Hour

AVANT Group, LLC

Durham, NC

$33 - $35/hr

Full-time, Part-time

Posted 13 days ago

Job description

Insurance Claims Analyst - Part Time
Ready to put your claims expertise to work in a flexible, part-time role? 

We're seeking an experienced Insurance Claims Analyst to support a busy Risk Management team during an extended employee leave. This opportunity offers meaningful work, a consistent schedule, and competitive pay. 
What You'll Do
  • Coordinate workers' compensation and liability claims
  • Partner with third-party claims administrators and audit claim activity
  • Manage subrogation efforts and return-to-work processes
  • Support salary continuation administration for compensable claims
  • Research claim issues, prepare reports, and maintain records
  • Collaborate with internal stakeholders and external vendors to resolve claims efficiently
What We're Looking For
  • North Carolina Claims Adjuster License strongly preferred
  • Experience handling workers' compensation and/or liability claims
  • Strong analytical, organizational, and communication skills
  • Ability to work independently and manage multiple priorities
  • Bachelor's degree and related professional experience preferred 
Schedule & Pay
  • $33-$35/hour
  • Monday-Wednesday
  • 24 hours per week
  • Onsite position
  • Immediate opening
  • Assignment is expected to be indefinite/open-ended based on business needs. 
Apply Today
If you're a licensed claims professional or experienced claims analyst looking for a flexible, long-term part-time opportunity, we want to hear from you.

Submit your resume today for immediate consideration.