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Disability Claims Jobs in Raleigh, NC (NOW HIRING)

Claims Facilitator

Raleigh, NC ยท On-site

$40K - $64K/yr

Casualty Claims Division Department of Position: Zones Dept Work from: Branch Office Salary Range ... Additional benefits that include company-paid basic life insurance; short-and long-term disability ...

Claims Facilitator

Cary, NC ยท On-site

$40K - $64K/yr

Casualty Claims Division Department of Position: Zones Dept Work from: Branch Office Salary Range ... Additional benefits that include company-paid basic life insurance; short-and long-term disability ...

Claims Facilitator

Raleigh, NC ยท On-site

$40K - $64K/yr

Casualty Claims Division Department of Position: Zones Dept Work from: Branch Office Salary Range ... Additional benefits that include company-paid basic life insurance; short-and long-term disability ...

Claims Facilitator

Cary, NC ยท On-site

$40K - $64K/yr

Casualty Claims Division Department of Position: Zones Dept Work from: Branch Office Salary Range ... Additional benefits that include company-paid basic life insurance; short-and long-term disability ...

Claims Representative I

Durham, NC ยท On-site

$16.23 - $24.36/hr

Claims Representative I Claims Representative I Location : This role enables associates to work ... disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and ...

Claims Representative I Location : This role enables associates to work virtually full-time, except ... disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and ...

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Disability Claims information

See Raleigh, NC salary details

$11

$23

$40

How much do disability claims jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for disability claims in Raleigh, NC is $23.45, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $26.63 per hour, depending on experience, location, and employer.

What is the difference between Disability Claims vs Disability Claims Adjuster?

AspectDisability ClaimsDisability Claims Adjuster
CredentialsTypically requires knowledge of insurance policies, claims processing, and sometimes certifications in insurance or claims managementRequires similar credentials, often with licensing or certifications in insurance adjusting or claims handling
Work EnvironmentOffice settings, remote work, or claims centersOffice-based, fieldwork, or remote, depending on employer
Industry UsageInsurance companies, government agencies, third-party administratorsInsurance companies, adjusting firms, government agencies
Search & Comparison IntentUnderstanding roles related to processing disability claimsComparing roles involved in evaluating and settling disability claims

Disability Claims generally refers to the process or the role of managing disability benefit requests, while Disability Claims Adjuster specifically involves evaluating and settling these claims. Both roles require knowledge of insurance policies and claims procedures, but the Adjuster often has a more active role in assessing damages and making decisions.

What are the key skills and qualifications needed to thrive as a disability claims specialist, and why are they important?

To thrive as a Disability Claims Specialist, you need a solid understanding of insurance policies, claims processing, and medical terminology, often supported by a degree in business, healthcare, or a related field. Familiarity with claims management software, medical coding systems, and regulatory compliance is typically required. Strong analytical thinking, attention to detail, and empathetic communication are crucial soft skills for assessing claims and interacting with clients. These competencies ensure accurate claim evaluations, regulatory adherence, and compassionate service for claimants navigating challenging circumstances.

What are some common challenges faced by professionals working in disability claims, and how can they be managed?

Professionals in disability claims often encounter complex cases that require careful interpretation of medical records and policy guidelines. Handling emotionally charged situations with empathy, while maintaining objectivity, is a frequent challenge. Effective time management and strong communication skills are essential for balancing a high caseload and collaborating with medical professionals, claimants, and team members. Regular training and support from experienced colleagues can also help navigate the evolving regulatory landscape and improve decision-making.

What are disability claims?

Disability claims are formal requests made by individuals to receive financial assistance or benefits due to a medical condition or injury that prevents them from working. These claims can be made through government programs like Social Security Disability Insurance (SSDI) or through private insurance policies. The process typically involves submitting medical evidence and documentation to prove the extent and duration of the disability. Approval of a claim depends on meeting specific criteria set by the agency or insurer. The goal of disability claims is to provide income support to those unable to earn a living due to their disabilities.
What are the most commonly searched types of Disability Claims jobs in Raleigh, NC? The most popular types of Disability Claims jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Disability Claims jobs? Cities near Raleigh, NC with the most Disability Claims job openings:
Infographic showing various Disability Claims job openings in Raleigh, NC as of July 2026, with employment types broken down into 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $48,779 per year, or $23.5 per hour.

$48K - $55K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago


Job description

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned
Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.
TCS Employee Benefits Summary:
โ€ข Discretionary Annual Incentive.
โ€ข Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
โ€ข Family Support: Maternal & Parental Leaves.
โ€ข Insurance Options: Auto & Home Insurance, Identity Theft Protection.
โ€ข Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.
โ€ข Time Off: Vacation, Time Off, Sick Leave & Holidays.
โ€ข Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
Salary Ran ge: $48,000 - $55,000 per year