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

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site

$18.12 - $25.51/hr

  • Medical

Works physician claims ("professional billing"). * Maintains A/R at acceptable aging levels by ... Identify issues and/or trends and provide suggestions for resolution to management, including payer ...

Walmart

Warehouse Manager

Carrboro, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Warehouse Manager

Durham, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Warehouse Manager

Morrisville, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Warehouse Manager

Chapel Hill, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Iatinsurancegroup

Underwriting Manager

Raleigh, NC · Hybrid

$72K - $157K/yr

  • Medical

  • Retirement

  • PTO

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.

Walmart

Distribution Center Manager

Carrboro, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Warehouse Area Manager

Chapel Hill, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Warehouse Area Manager

Durham, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Distribution Center Manager

Chapel Hill, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Warehouse Area Manager

Carrboro, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Warehouse Area Manager

Morrisville, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Distribution Center Manager

Durham, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Distribution Center Manager

Morrisville, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Distribution Center Area Manager

Chapel Hill, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Area Manager - Warehouse - Full Time

Chapel Hill, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Distribution Center Area Manager

Carrboro, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

Walmart

Walmart Warehouse Area Manager

Morrisville, NC · On-site

$65K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or unit Clarifies the role of each department and its relevance to the enterprise strategy ... claims Asset Protection Security Possesses knowledge of Asset protection policies practices and ...

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Showing results 21-40

All JobsClaims Unit JobsClaims Unit Manager JobsClaims Unit Manager Jobs in Raleigh, NC

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 Aug 15, 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 is a claims unit manager?

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 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.

What are the key skills and qualifications needed to thrive as a claims unit manager?

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

Revenue Cycle Representative

UNC HEALTH

Chapel Hill, NC • On-site

$18.12 - $25.51/hr

Full-time

Medical

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Description
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
    • Responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials.
    • Works physician claims ("professional billing").
    • Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims.
    • Performs all duties in a manner which promotes teamwork and reflects UNC Health Care's mission and philosophy.

    Job Responsibilities:
    • Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, write-offs, other methods.
    • Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers.
    • Submit requested medical information to insurance carrier.
    • Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues.
    • Access, review and respond to third party correspondence.
    • Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims.
    • Contact insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments or other methods.
    • Verify claims adjudication utilizing appropriate resources and applications.
    • Reconcile accounts, research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims.
    • Respond to any assigned correspondence in a timely, professional, and complete manner.
    • Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues.
    • May maintain data tables for systems that support PB Claims operations.
    • Evaluate carrier and departmental information and determines data to be included in system tables.
    • Read and interpret EOB's (Explanation of Benefits).
    • Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
    • Accurately and thoroughly document the pertinent collection activity performed.
    • Participate and attend meetings, training seminars and in-services to develop job knowledge.
    • Meet/Exceed Productivity and Quality standards.

Other Information
Other information:
Education Requirements:
• High School Degree
Licensure/Certification Requirements:
Professional Experience Requirements:
• Two (2) years of experience in hospital or physician insurance related activities ((Authorization, Billing, Follow-Up, Call-Center, or Collections)
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Physician Ins Billing and Foll
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.12 - $25.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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