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Claims Unit Manager Jobs in Raleigh, NC (NOW HIRING)

CVS Health

Case Manager Registered Nurse

Raleigh, NC · On-site

$54K - $116K/yr

Reviews prior claims to address potential impact on current case management and eligibility ... ICU, NICU, Telemetry, Medical / Surgical, Orthopedics, Long Term Care, and Infusion nursing.

Iatinsurancegroup

Underwriting Manager

Raleigh, NC · Hybrid

$72K - $157K/yr

Makes recommendations on underwriting policy and pricing strategy to Business Unit Lead. * Reviews ... Work with the Claims team to review large loss reports and take corrective action when necessary.

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Claims Unit Manager information

See Raleigh, NC salary details

$34K

$85.4K

$135.1K

How much do claims unit manager jobs pay per year?

As of Jul 1, 2026, the average yearly pay for claims unit manager in Raleigh, NC is $85,408.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,100.00 and $102,100.00 per year, depending on experience, location, and employer.

What are Claims Unit Managers?

Claims Unit Managers are professionals who oversee a team of claims adjusters or examiners within an insurance company. They are responsible for managing daily operations, ensuring claims are processed accurately and efficiently, and maintaining compliance with company policies and legal regulations. Claims Unit Managers also handle escalated or complex cases, provide training and mentorship to staff, and monitor performance metrics to improve service quality. Their role is essential in ensuring fair and timely settlements for policyholders while minimizing risk for the company.

What jobs pay 500,000 a year in the US?

Claims Unit Managers in the insurance industry can earn close to or exceeding $500,000 annually with experience, bonuses, and leadership responsibilities. High-level executive roles such as Chief Claims Officer or other senior insurance executives also often reach or surpass this salary level, especially in large organizations. These roles typically require extensive industry knowledge, management skills, and relevant certifications.

What does a claims manager do?

A claims unit manager oversees the processing and settlement of insurance claims, ensuring accuracy and compliance with company policies. They coordinate with adjusters, review claim documentation, and may use claims management software to track progress and resolve issues efficiently.

What is the difference between Claims Unit Manager vs Claims Adjuster?

AspectClaims Unit ManagerClaims Adjuster
CredentialsRelevant certifications (e.g., CPCU, ARM), leadership experienceLicenses as required by state, insurance adjuster certifications
Work EnvironmentSupervisory role overseeing teams, administrative tasksField or office-based, evaluating claims and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentManagement, leadership, team oversightClaims evaluation, settlement, investigation

The Claims Unit Manager typically oversees a team of claims adjusters, focusing on management, strategy, and administrative duties. In contrast, a Claims Adjuster directly investigates and settles claims. Both roles require insurance knowledge and certifications, but the managerial position emphasizes leadership and team coordination, while the adjuster role centers on claim assessment and resolution.

How much do claims managers make in the US?

Claims managers in the US typically earn a median annual salary of around $80,000 to $100,000, depending on experience, location, and industry. Senior claims managers or those in specialized fields can earn higher salaries, often exceeding $120,000 annually. Compensation may also include bonuses and benefits related to management responsibilities and certifications.

What are the key skills and qualifications needed to thrive as a Claims Unit Manager, and why are they important?

To thrive as a Claims Unit Manager, you need expertise in claims processing, insurance regulations, team leadership, and typically a bachelor's degree in business, finance, or a related field. Familiarity with claims management systems, data analysis tools, and, in some cases, certifications like AIC (Associate in Claims) are highly valued. Strong communication, problem-solving, and organizational skills help foster an effective team environment and ensure high service standards. These skills and qualities are crucial to efficiently managing claims operations, minimizing risk, and ensuring regulatory compliance.

What are some common challenges faced by Claims Unit Managers, and how can they effectively address them?

Claims Unit Managers often encounter challenges such as balancing workloads across their teams, ensuring compliance with ever-changing regulations, and maintaining high levels of customer satisfaction. To address these, it's important to implement efficient workflow systems, provide ongoing training for staff on regulatory updates, and foster a collaborative team environment. Regular communication with both team members and upper management is also key to identifying bottlenecks early and implementing solutions proactively.
What are popular job titles related to Claims Unit Manager jobs in Raleigh, NC? For Claims Unit Manager jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Claims Unit Manager jobs in Raleigh, NC look for? The top searched job categories for Claims Unit Manager jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Claims Unit Manager jobs? Cities near Raleigh, NC with the most Claims Unit Manager job openings:
Claims Unit Manager jobs near you
Case Manager Registered Nurse

Case Manager Registered Nurse

CVS Health

Raleigh, NC • On-site

$54K - $116K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,270 frontline employees who took The Breakroom Quiz

78th of 101 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

The Case Manager RN role is telework/hybrid and applicant must live in the state of North Carolina .

Normal Working Hours: Monday through Friday 9:00am - 5:30pm EST.

Occasional evening, weekend, and holiday shifts per the needs of the team.

0-10% travel possible including but not limited to travel to the High Point office for customer meetings.

The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness.

RN Case Manager:

  • Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.

  • Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.

  • Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.

  • Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.

  • Reviews prior claims to address potential impact on current case management and eligibility.

  • Assessments include the member's level of work capacity and related restrictions/limitations.

  • Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.

  • Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.

  • Utilizes case management processes in compliance with regulatory and company policies and procedures.

  • Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Required Qualifications

-Must have an active and unrestricted RN license in the state of North Carolina.

-Multiple State RN licensure is welcomed but not required. If chosen must be willing and able to obtain multiple state RN licensure after hire (expenses paid for by company)

-2+ years of clinical experience as an RN

-All clinical experience will be considered, such as Emergency Department, Home Health, Hospice, Operating Room, ICU, NICU, Telemetry, Medical / Surgical, Orthopedics, Long Term Care, and Infusion nursing.

Preferred Qualifications

-Certified Case Manager (CCM) certification

-3+ years' experience with Microsoft Office Suite

-Case Management in an integrated model

-Discharge Planning experience

-Managed care experience

-BSN

Education

-Associates Degree in Nursing

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 07/12/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

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