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Claims Jobs in Raleigh, NC (NOW HIRING)

DAN

Claims Director

Durham, NC · On-site

$130K/yr

Director, Claims FLSA: Exempt, Full Time DEPARTMENT: Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONALSUMMARY: Responsible for the strategic ...

Divers Alert Network

Claims Director

Durham, NC · On-site

Director, Claims FLSA: Exempt, Full Time DEPARTMENT: Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONAL SUMMARY: Responsible for the strategic ...

DAN

Claims Director

Durham, NC · Hybrid

Director, Claims FLSA: Exempt, Full Time DEPARTMENT: Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONALSUMMARY: Responsible for the strategic ...

DAN

Claims Coordinator

Durham, NC · Hybrid

Claims Coordinator POSITION OVERVIEW FLSA: Non-Exempt, Full Time Department: Claims Primary Worksite: 6 West Colony Place, Durham, NC Supervisory Responsibilities: None Reports to: Claims, QA ...

DAN

Claims Coordinator

Durham, NC · On-site

$50K - $55K/yr

Claims Coordinator POSITION OVERVIEW FLSA: Non-Exempt, Full Time Department: Claims Primary Worksite: 6 West Colony Place, Durham, NC Supervisory Responsibilities: None Reports to: Claims, QA ...

Divers Alert Network

Claims Coordinator

Durham, NC · On-site

Claims Coordinator POSITION OVERVIEW FLSA: Non-Exempt, Full Time Department: Claims Primary Worksite: 6 West Colony Place, Durham, NC Supervisory Responsibilities: None Reports to: Claims, QA ...

Erie Insurance Group

Claims Facilitator

Raleigh, NC · On-site

Claims Facilitator Under minimal supervision, settles claims within limits of authority. This is an in-office position, reporting to ERIE's Cary, NC office. Hours are Monday - Friday, 8:00 am - 4:30 ...

Erie Insurance Group

Claims Facilitator

Cary, NC · On-site

Claims Facilitator 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 ...

Erie Insurance

Claims Facilitator

Cary, NC · Hybrid

$40K - $64K/yr

Casualty Claims Division Department of Position: Zones Dept Work from: Raleigh Branch Office Salary Range: $40,121.00 - $64,090.00 * salary range is for this level and may vary based on actual level ...

Erie Insurance

Claims Facilitator

Cary, NC · On-site

$40K - $64K/yr

Casualty Claims Division Department of Position: Zones Dept Work from: Raleigh Branch Office Salary Range: $40,121.00 - $64,090.00 * salary range is for this level and may vary based on actual level ...

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 right. Every day, our team delivers comprehensive commercial insurance and trusted safety solutions to ...

Erie Insurance

Claims Facilitator

Raleigh, NC · On-site

$40K - $64K/yr

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 ...

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 role will receive cross-functional training in various claims support tasks such as: cataloguing ...

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 role will receive cross-functional training in various claims support tasks such as: cataloguing ...

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Claims information

See Raleigh, NC salary details

$29.6K

$62.8K

$87.5K

How much do claims jobs pay per year?

As of Aug 29, 2026, the average yearly pay for claims in Raleigh, NC is $62,805.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,600.00 and $73,400.00 per year, depending on experience, location, and employer.

What is a claims job?

Claims jobs involve handling and processing insurance claims for customers who have experienced a loss or damage covered by their insurance policy. Professionals in these roles evaluate, investigate, and determine the validity of claims, calculate appropriate payouts, and ensure that all procedures comply with company policies and regulations. They work closely with policyholders, adjusters, and sometimes legal professionals to resolve claims efficiently and fairly.

What are the key skills and qualifications needed to thrive in a claims role?

To thrive in a Claims role, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies, typically supported by a relevant degree or prior experience in insurance or finance. Familiarity with claims management software, industry regulations, and, in some cases, certifications like the Associate in Claims (AIC) are highly beneficial. Excellent communication, negotiation, and problem-solving skills help you effectively manage client expectations and resolve disputes. These skills ensure accurate claim assessments, regulatory compliance, and superior customer service in a fast-paced environment.

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

Claims professionals often navigate high workloads, tight deadlines, and complex cases that require thorough investigation and documentation. Dealing with emotional claimants and ensuring compliance with regulations can add additional pressure. Building strong time management skills, staying updated on policy changes, and utilizing available technology can help manage these challenges effectively. Team collaboration and continuous training are also key strategies for successfully navigating the demands of a claims role.

What is the difference between Claims vs Claims Adjuster?

AspectClaimsClaims Adjuster
CredentialsVaries; often includes insurance knowledge, certificationsRequires licensing, certifications like AIC, CPCU
Work EnvironmentOffice, remote, or field work in insurance companiesField and office work assessing claims
Industry UsageBroad term covering all types of claims processingSpecific role within insurance companies handling claim evaluations
Search IntentGeneral claims processing rolesClaims evaluation and settlement roles

Claims is a broad term encompassing all activities related to processing insurance claims, while Claims Adjuster specifically refers to professionals who evaluate and settle these claims. The Adjuster role involves detailed assessment, often requiring licensing and certifications, and typically includes fieldwork. Understanding these differences helps job seekers target the right positions within the insurance industry.

Do I need a degree to be a claims specialist?

A claims specialist typically does not need a college degree, but relevant skills such as attention to detail, communication, and knowledge of insurance policies are important. Some employers may prefer or require certifications or training programs, but many roles accept candidates with a high school diploma or equivalent. On-the-job training is common in this field.

Is claims a stressful job?

Claims jobs can be stressful due to the need to handle high volumes of cases, meet deadlines, and manage difficult customer interactions. The role often requires strong organizational skills, attention to detail, and the ability to work under pressure, especially during busy periods or complex claims processing.

What are claims in jobs?

In jobs related to insurance or legal fields, claims refer to the formal requests made by policyholders or clients for compensation or benefits due to a loss, damage, or injury. Claims adjusters or specialists review, process, and evaluate these requests to determine their validity and the appropriate payout, often using specific tools and adhering to company policies.

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 cities near Raleigh, NC are hiring for Claims jobs?

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

Claims jobs near you
Infographic showing various Claims job openings in Raleigh, NC as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% In-person job distribution, with an average salary of $62,805 per year, or $30.2 per hour.

Claims Director

Durham, NC • On-site

DAN
Construction • 11 - 50 employees
Learn more about DANexternal

$130K/yr

Full-time

Re-posted 16 days ago

Job description

TITLE: Director, Claims
FLSA: Exempt, Full Time
DEPARTMENT: Claims
WORKSITE: 6 West Colony Place, Durham, NC
REPORTS TO: EVP, Insurance Operations
OCCUPATIONALSUMMARY:
Responsible for the strategic leadership, operational management, and oversight of the organization's claims department. This role ensures timely, accurate, and compliant claims handling while promoting exceptional customer service, effective risk management, and continuous operational improvement. The Director of Claims leads claims staff, develops departmental processes and performance standards, manages complex and escalated claims matters, and collaborates with internal and external stakeholders to support organizational objectives.
DUTIES/RESPONSIBILITIES:
  • Lead and inspire a service-focused team.
  • Oversee the intake, investigation, evaluation, reserving, and resolution of claims.
  • Ensure claims are handled in accordance with policy provisions, company guidelines, regulatory requirements, and industry standards.
  • Manage complex, high exposure, litigated, or escalated claims
  • Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable.
  • Develop and implement claims handling strategies, workflows, and best practices.
  • Establish department goals, KPIs, and performance standards.
  • Oversee quality assurance and audit processes for claims handling activities.
  • Identify operational, legal, and financial risks within the claims process and implement corrective actions.
  • Assist in the development and implementation of reservation of rights letters, coverage position letters, and claims procedures.
  • Monitor claim reserves, loss trends, and financial exposure.
  • Assist with budgeting and forecasting related to claims operations.
  • Ensure appropriate expense management and vendor performance standards.
  • Maintain positive relationships with insureds, brokers, members, partners, and external stakeholders.
  • Collaborate cross-functionally with underwriting, operations, finance, and customer service teams.
  • Provide claims reporting and operational updates to executive leadership.
  • Other duties as assigned.

EDUCATION
  • Bachelor's degree or equivalent experience required
  • 10+ years of relevant claims experience
  • 2+ years leadership within a claims management role
  • Valid adjusters license or ability to obtain such

REQUIRED KNOWLEDGE, SKILLS & ABILITIES
  • Knowledge of the scuba diving industry
  • Deep knowledge and experience with captive insurance companies, risk retention groups, accident and health and trip/travel programs
  • Knowledge of Trip/Travel Insurance
  • Excellent interpersonal communication, organization, and management skills
  • Superior project management skills with proven ability to plan, lead and track projects from concept through implementation
  • Ability to manage timelines and milestones to ensure timely reporting and closures
  • Self-motivated with strong attention to details and problem-solving skills
  • Proficient with Microsoft Office Suite and experienced or adaptable to claims management platforms

Hybrid work arrangement is available with this role, 2 days remote and 3 days in office, post the 90-day probationary period.

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