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Claims Representative Associate Jobs in Raleigh, NC

Addison Group

Pre-Litigation Case Manager

Raleigh, NC · On-site

$24 - $26/hr

Establish, maintain, and follow up on insurance claims while ensuring accuracy and adherence to ... Associate's degree preferred. Equivalent relevant experience may be considered. * Spanish fluency ...

Addison Group

Pre-Litigation Case Manager

Raleigh, NC · On-site

$24 - $26/hr

Establish, maintain, and follow up on insurance claims while ensuring accuracy and adherence to ... Associate's degree preferred. Equivalent relevant experience may be considered. * Spanish fluency ...

Black & Veatch

Associate Subcontracts Manager

Cary, NC · On-site

Participates in meetings for assigned project(s), representing the Subcontracts department. * Files ... Assists with the resolution of claims. * Monitors project subcontract activities and reports status.

Spgi

Manager, Insurance Risk Management

Raleigh, NC · Hybrid

$85K - $153K/yr

Manage casualty claims by leveraging services from claims TPAs and insurers, ensuring efficient ... ARM (Associate in Risk Management) or CPCU (Chartered Property Casualty Underwriter) professional ...

S&P Global

Manager, Insurance Risk Management

Raleigh, NC · Hybrid

$85K - $153K/yr

Manage casualty claims by leveraging services from claims TPAs and insurers, ensuring efficient ... ARM (Associate in Risk Management) or CPCU (Chartered Property Casualty Underwriter) professional ...

Mohawk Industries

CSR WAREHOUSE II - SSC

Morrisville, NC · On-site

$15 - $20.25/hr

As the Customer Service/Warehouse Associate II will need someone responsible for providing a ... claims. * Operates forklift equipment. * Maintains a clean and organized facility by sweeping ...

Actalent

Pharmacy Technician

Cary, NC · Hybrid

$22/hr

Pharmacy Technician - Customer Support Representative The Pharmacy Technician - Customer Support ... Process medical claims and document notes regarding referral and patient status updates. * Use ...

Duke Health

Risk Manager

Durham, NC · On-site

Investigate, evaluate and document pre-litigation occurrences and claims. Recommend resolution, and ... Represent the Department of Clinical Risk Management on various DUHS and entity committees as ...

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All JobsClaims Representative Associate JobsClaims Representative Associate Jobs in Raleigh, NC

Claims Representative Associate information

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How much do claims representative associate jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for claims representative associate in Raleigh, NC is $20.40, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $22.45 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a claims representative associate?

To thrive as a Claims Representative Associate, you need strong analytical skills, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or relevant work experience. Familiarity with claims management software, customer relationship management (CRM) systems, and basic office tools is essential. Excellent communication, problem-solving, and customer service skills help you effectively handle inquiries and resolve disputes. These skills ensure accurate claim processing, customer satisfaction, and efficient operations within the insurance industry.

What are some common challenges claims representative associates face when handling claims?

Claims Representative Associates often encounter challenges such as managing high caseloads, navigating complex policy details, and addressing discrepancies in documentation. Balancing efficiency with attention to detail is crucial, as errors can impact claim outcomes and customer satisfaction. Additionally, collaborating with policyholders, providers, and internal teams to resolve issues and provide clear communication requires strong interpersonal skills and resilience, especially when dealing with sensitive or disputed claims.

What is the difference between Claims Representative Associate vs Claims Adjuster?

AspectClaims Representative AssociateClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance licensesHigh school diploma; state licensing often required
Work EnvironmentOffice setting, customer service interactions, administrative tasksField or office, investigating claims, inspecting damages
Employer & Industry UsageInsurance companies, government agenciesInsurance companies, third-party administrators
Common Search & ComparisonClaims Representative Associate vs Claims Adjuster

The Claims Representative Associate typically handles customer inquiries, processes claims, and provides administrative support within insurance companies. In contrast, Claims Adjusters investigate claims, inspect damages, and determine claim validity. While both roles require similar credentials and work in the insurance industry, Claims Adjusters often have more technical responsibilities and fieldwork. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

How much do claims representative associates make in the US?

Claims representative associates in the US typically earn an average annual salary of around $45,000 to $55,000, depending on experience, location, and employer. Entry-level positions may start lower, while experienced claims reps with specialized skills can earn higher wages and bonuses.

What do claims representative associates do?

Claims representative associates evaluate insurance claims by reviewing reports, documentation, and policy details to determine coverage and liability. They communicate with claimants, investigate claims, and process payments or denials, often using claims management software. Strong attention to detail and knowledge of insurance policies are essential for this role.

What are the most commonly searched types of Claims Representative jobs in Raleigh, NC?

The most popular types of Claims Representative jobs in Raleigh, NC are:

What are popular job titles related to Claims Representative Associate jobs in Raleigh, NC?

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

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

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

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

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

Claims Representative Associate jobs near you
Infographic showing various Claims Representative Associate job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 68% Full Time, 28% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $42,435 per year, or $20.4 per hour.

Pre-Litigation Case Manager

Addison Group

Raleigh, NC • On-site

$24 - $26/hr

Contractor

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Job description

Job Title: Pre-Litigation Case Manager

Location: Charlotte, NC

Type: Temp to Hire, Full time

Pay: $24 - $26 per hour

Work Schedule: Monday–Friday 8-5pm

Overview:

We are partnering with a respected law firm to identify a Pre-Litigation Case Manager to manage a high-volume caseload of personal injury claims from inception through resolution. This position is ideal for an organized, client-focused legal professional with personal injury experience who can independently manage multiple cases while providing exceptional client service. The Pre-Litigation Case Manager will work closely with attorneys, clients, medical providers, insurance adjusters, and other external parties to ensure claims progress efficiently toward resolution.

Key Responsibilities:

  • Manage and organize 120+ personal injury cases from inception through resolution.
  • Provide comprehensive support to clients navigating bodily injury and property damage claims.
  • Conduct monthly client calls to gather treatment updates, address concerns, and monitor medical treatment progress.
  • Identify and prioritize cases at various stages of the claims process to ensure timely resolution.
  • Establish, maintain, and follow up on insurance claims while ensuring accuracy and adherence to established procedures.
  • Build and maintain strong relationships with clients, healthcare providers, insurance adjusters, and other external parties.
  • Identify potential claim issues and collaborate with managers and attorneys to develop appropriate solutions.
  • Request, organize, review, and summarize medical records to support case development.
  • Prepare and submit comprehensive settlement packages and demands to insurance companies.
  • Maintain accurate case documentation and ensure files remain organized and up to date.
  • Complete documentation and financial disbursement processes with a high level of accuracy.
  • Communicate professionally and effectively with clients, attorneys, medical providers, insurance representatives, and other parties involved in each claim.

What They're Looking For:

  • 1–3 years of experience working in a personal injury law firm as a Case Manager, Paralegal, or similar legal role.
  • Prior legal experience is required, ideally with experience managing a high-volume litigation or pre-litigation caseload.
  • Demonstrated experience managing 120+ active personal injury cases is highly preferred.
  • Strong understanding of personal injury claims and pre-litigation processes.
  • Excellent client service and interpersonal skills, including the ability to de-escalate and resolve client concerns.
  • Strong organizational and time-management skills with exceptional attention to detail.
  • Excellent written and verbal communication skills.
  • Strong critical thinking and problem-solving abilities.
  • Ability to work independently while also collaborating effectively with attorneys and internal teams.
  • High School Diploma required; Associate's degree preferred. Equivalent relevant experience may be considered.
  • Spanish fluency, including verbal and written communication, is highly preferred.
  • Proficiency with Microsoft Office Suite and legal case management systems.

Systems & Tools:

  • Microsoft Office Suite
  • Microsoft Word
  • Microsoft Excel
  • Microsoft Outlook
  • Legal Research Databases
  • Medical Lien Portals
  • Legal Case Management Software
  • GrowPath
  • Filevine
  • Electronic Document Management Systems

Compensation & Benefits:

  • Full-time opportunity
  • Competitive compensation
  • Medical, Dental, and Vision Insurance
  • 401(k)
  • Paid Time Off (PTO)
  • Paid Holidays
  • Additional benefits may be available based on employment status

 Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, veteran status, or any other protected characteristic in accordance with applicable federal, state, and local laws. Reasonable accommodations are available for qualified individuals with disabilities upon request.

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