ZipRecruiter

Log In

1

Claims Review Jobs in Raleigh, NC (NOW HIRING)

Erie Insurance

Claims Facilitator

Cary, NC

$40K - $64K/yr

Reviews all pending claims/activities on a regular basis. * Provides support for property claims during periods of heavy volume. The first six duties listed are the functions identified as essential ...

Sedgwick

Claims Representative, Auto

Raleigh, NC · On-site

$50K - $55K/yr

Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims. * Knowledge of total loss processing, State ...

Elevance Health

Claims Representative I

Durham, NC · On-site

$16.23 - $24.36/hr

Work is reviewed for technical accuracy and soundness. * Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made. * Researches and analyzes ...

Iatinsurancegroup

Claims Major Case Director

Raleigh, NC · On-site +1

$92K - $130K/yr

This role is a true complex claims handling role that is tasked with managing those claims that are ... reviewing and analyzing reports and related bills. * Identifies and addresses subrogation ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Review credit balances for possible reallocation or refunds. May be responsible for posting payments ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Review credit balances for possible reallocation or refunds. May be responsible for posting payments ...

Allstate

Field RV/Specialty Adjuster

Durham, NC · On-site

$35.82 - $50.24/hr

... Review, Claims Settlement, Commercial Vehicles, Complex Claims, Customer Satisfaction, Customer Service, Insurance Claim Handling, Insurance Claims, Material Estimating, Negotiation, Quality ...

previous pagenext page

Showing results 21-40

All JobsClaims Review JobsClaims Review Jobs in Raleigh, NC

Claims Review information

See Raleigh, NC salary details

$38.9K

$59.9K

$89.4K

How much do claims review jobs pay per year?

As of Aug 7, 2026, the average yearly pay for claims review in Raleigh, NC is $59,880.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $63,700.00 per year, depending on experience, location, and employer.

What does a claims review do?

A claims review involves examining insurance claims to verify their accuracy, completeness, and compliance with policy terms. Claims reviewers assess documentation, determine claim validity, and identify potential errors or fraud, often using specialized software and industry knowledge. This process helps ensure proper claim processing and cost control for insurance companies.

Is claims review processing a stressful job?

Claims review is a detail-oriented role that can be stressful due to tight deadlines, high accuracy requirements, and the need to interpret complex policies. It often involves managing large volumes of claims and making critical decisions, which can contribute to job stress, especially during busy periods or when handling difficult cases.

What is the difference between Claims Review vs Claims Adjuster?

AspectClaims ReviewClaims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires similar certifications, often with licensing depending on state
Work EnvironmentMostly office-based, reviewing claims electronically or on paperField and office-based, inspecting damages and interviewing claimants
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, public adjusters, third-party administrators
Search & Comparison IntentOften compared for claims processing rolesRelated but involves more investigation and assessment

Claims Review specialists focus on evaluating insurance claims for accuracy and completeness, primarily working in an office setting. Claims Adjusters, on the other hand, investigate claims, assess damages, and determine payouts, often working in the field. Both roles require similar certifications and are integral to the insurance industry, but they differ in responsibilities and work environment.

Do you need a degree to be a claims review?

A degree is not always required to become a claims reviewer, but many employers prefer candidates with a high school diploma or equivalent. Relevant skills include attention to detail, knowledge of insurance policies, and experience with claims processing software; some roles may offer on-the-job training or certification programs.
What cities near Raleigh, NC are hiring for Claims Review jobs? Cities near Raleigh, NC with the most Claims Review job openings:
Claims Review jobs near you
Infographic showing various Claims Review job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $59,880 per year, or $28.8 per hour.

Claims Facilitator

Erie Insurance

Cary, NC

$40K - $64K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

Erie Insurance Group rating

8.7

Company rating: 8.7 out of 10

Based on 83 frontline employees who took The Breakroom Quiz

69th of 303 rated insurance

Job description

Division or Field Office:

Casualty Claims Division

Department of Position: Zones Dept 

Work from:

Branch Office Salary Range:

$40,121.00 - $64,090.00 *

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 minimal supervision, settles claims within limits of authority.

  • This is an in-office position, reporting to ERIE's Cary, NC office with hybrid flexibility.  
  • Hours are Monday - Friday, 8:00 am - 4:30 pm. 
  • The selected candidate will be required to obtain appropriate licensing within 45 days.
Duties and Responsibilities
  • Processes first party automobile, third party clear liability automobile and low severity property claims within limits of authority. Contacts Policyholders and/or claimants, verifies coverage, sets reserves, sets up and/or issues payment using ERIE's approved payment methods, and settles claims.
  • Establishes contact with all parties involved in the claim in accordance with ERIE's expectations.
  • Handles inquiries from Policyholders, Agents, insurance carriers, claimants and others.
  • Enters loss information into claims system.
  • Prepares correspondence, forms and related materials. Reviews all pending claims/activities on a regular basis.
  • Provides support for property claims during periods of heavy volume.


The first six 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 evident.
 

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 one year of related claims handling, customer service, or clerical experience required; or equivalent educational experience required.  
  • Bachelor's or Associate's degree preferred.


Additional Experience

  • Pursuit of general insurance education preferred.


Designations and/or Licenses 

  • 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
  • Driving; Rarely
  • 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
  • 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