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Claims Jobs in Raleigh, NC (NOW HIRING)

Robert Half

Medical Insurance Claims Specialist

Durham, NC · On-site

$20 - $23/hr

We are looking for a Medical Insurance Claims Specialist to join a growing revenue cycle team in Durham, North Carolina. This contract-to-permanent opportunity is ideal for someone who thrives in a ...

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All JobsClaims JobsClaims Jobs in Raleigh, NC

Claims information

See Raleigh, NC salary details

$29.6K

$62.8K

$87.5K

How much do claims jobs pay per year?

As of Aug 21, 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 1% Internship, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $62,805 per year, or $30.2 per hour.

Major Case Director (Property Claims)

Iatinsurancegroup

Raleigh, NC • On-site, Remote

$92K - $130K/yr

Full-time

Medical, Retirement, PTO

Posted 5 days ago

Job description

IAT Insurance Group has an immediate need for a Major Case Unit Director that can report to one of the following IAT locations:

  • Sarasota, Florida
  • Alpharetta, Georgia
  • Raleigh, North Carolina
  • Spring, Texas
  • Plano, Texas
  • Virginia Beach, Virginia

This role works a hybrid schedule that requires working from the office Monday through Wednesday, with the option of working Thursday and Friday remotely.

While we prefer candidates to work from one of our listed IAT office locations, we're open to considering fully remote arrangements for the ideal candidate.

This role is a true complex claims handling role that is tasked with managing those claims that are most complex and have the greatest financial exposure under our commercial and homeowners' property policies. The ideal candidate for this role will be an experienced claims professional with extensive experience handling claims on a national basis with value in excess of $250,000.

Responsibilities:

  • Handles highly complex exposure claims based on Claim Guidelines.
  • Directs and manages use of independent investigators, appraisers, and experts. Selects, directs and manages defense counsel including approval of budgets.
  • Develops litigation/file disposition strategy. Attends mediations, settlement conferences and trials as needed.
  • Reports to reinsurers as required by reporting guidelines.
  • Assist Sr. Claim specialists with analysis of claim issues as needed.
  • Verifies/analyzes applicable coverage for the reported loss.
  • Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file.
  • Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing and analyzing reports and related bills.
  • Identifies and addresses subrogation/contribution/SIU opportunities.
  • Sets accurate/timely loss/expense reserves in compliance with Claim Guidelines.
  • Evaluates, negotiates, and authorizes settlements with all stakeholders within designated authority.
  • Negotiates directly with claimants and claimant attorneys upon receipt of critical information.
  • Drafts correspondence, including but not limited to, coverage letters to stakeholders as required.
  • Maintains resident/nonresident adjuster licenses as required.
  • As one of the most senior handler roles, this person will provide continued training and development of the discipline on technical matters.
  • Performs other duties as assigned.

Qualifications:

Must have:

  • Bachelor's degree with a minimum of 12 years of claims handling experience in the insurance industry or equivalent applicable experience.
  • Equivalent applicable experience is defined as high school diploma and 16 years of relevant experience.
  • Extensive experience working with commercial and homeowners' property claims
  • At least 5 years of large loss property claims experience, with a focus on claims containing an exposure of $250,000 or more.
  • Advanced technical knowledge including estimating skills using estimating software such as Xactimate and Cotality.
  • Excellent coverage analysis skills with experience in drafting coverage position correspondence
  • Experience handling litigated files and direction of defense counsel.
  • Excellent negotiation skills.
  • Ability to travel 50%
  • Licensure as required by respective state(s).
  • Ability to analyze data, utilize sound judgment to draw conclusion and make supported decisions
  • To qualify, applicants must be authorized to work in the United States and must not require VISA sponsorship, now or in the future, for employment purposes.

Preferred to have:

  • CPCU and other insurance related studies

Compensation

Please note, that the annual gross starting salary range associated with this posting is $92,800 - $130,000.Actual salaries will vary based on factors such as a candidate's qualifications, skills, competencies, and geographical location related to this specific role.The total compensation will include a base salary, performance-based bonus opportunities, 401(K) match, profit-sharing opportunities, and more.

To view details of our full benefits, please visithttps://www.iatinsurancegroup.com/careers/benefits

 

IAT Insurance Group is the largest private, family-owned property and casualty insurer in the U.S. Insurance Answers Together is how we define IAT, in letter and in spirit. We work together to provide solutions for people and businesses. We collaborate internally and with our partners to provide the best possible insurance and surety options for our customers.

At IAT, we're committed to driving and building an open and supportive culture for all. Our employees propel IAT forward - driving innovation, stable partnerships and growth. That's why we continue to build an engaging workplace culture to attract and retain the best talent.

We offer comprehensive benefits like:

  • 26 PTO Days (Entry Level) + 12 Company Holidays = 38 Paid Days Off
  • 7% 401(k) Company Match and additional Profit Sharing
  • Hybrid work environment
  • Numerous training and development opportunities to assist you in furthering your career
  • Healthcare and Wellness Programs
  • Opportunity to earn performance-based bonuses
  • College Loan Assistance Support Plan
  • Educational Assistance Program
  • Mentorship Program
  • Dress for Your Day Policy

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.

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