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Full Time Remote Claims Jobs in Raleigh, NC (NOW HIRING)

Hitachi

Project Controller

Raleigh, NC · Remote

Project/Program Management Job Schedule: Full time Remote: No Project Controller The Opportunity As ... claims management activities, and partnering with project teams on commercial matters. You will ...

Hitachi

Contract Management Professional

Raleigh, NC · On-site +1

$86K - $115K/yr

Legal, Compliance & Audit Job Schedule: Full time Remote: No The Opportunity At Hitachi Energy, we ... Ensure timely execution of claims, variation orders, and warranties. * Maintain accurate ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

Oshi Health

Accounts Receivable Specialist

Raleigh, NC · Remote

$19.75 - $26/hr

Monday- Friday 9-6pm EST Employment Type: Full-Time Role Overview As an Account Receivable ... Investigate and resolve claim denials by submitting corrected claims, appeals, reconsiderations ...

Orkin

Inbound Sales Agent_Seasonal

Raleigh, NC · Remote

We are seeking talented SEASONAL SALES PROFESSIONALS for our remote Orkin Customer Contact Center ... High performance and reliability could lead to regular, full-time employment, when available, based ...

Orkin

Outbound Telesales Agent_Seasonal

Raleigh, NC · Remote

We are seeking talented OUTBOUND SALES REPRESENTATIVES for our remote Orkin Customer Contact Center ... High performance and reliability could lead to regular, full-time employment, when available, based ...

DAN

TravelAssist Case Manager

Durham, NC · On-site +1

$19 - $24.50/hr

Exempt, Full Time Department: Assistance Services Primary Worksite: 6 West Colony Place, Durham, NC ... Vice President, Claims and Assistance Services Salary: Commensurate with experience This position ...

All JobsClaims JobsFull Time Remote Claims JobsFull Time Remote Claims Jobs in Raleigh, NC

Full Time Remote Claims information

See Raleigh, NC salary details

$29.6K

$62.8K

$87.5K

How much do full time remote claims jobs pay per year?

As of Aug 8, 2026, the average yearly pay for full time remote 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 the difference between Full Time Remote Claims vs Full Time Remote Underwriters?

AspectFull Time Remote ClaimsFull Time Remote Underwriters
Required CredentialsInsurance claims certification, relevant experienceInsurance underwriting certification, risk assessment skills
Work EnvironmentHome-based, computer-focused, claim processing systemsHome-based, risk analysis, policy evaluation tools
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, underwriting departments
Common Search & ComparisonYesYes

Full Time Remote Claims and Full Time Remote Underwriters both work remotely within the insurance industry, but Claims roles focus on processing and managing claims, while Underwriters evaluate risks and determine policy terms. Both require industry-specific certifications and involve computer-based work from home, making them comparable in work environment and employer usage.

What are common challenges faced by remote claims professionals, and how can they be managed?

Remote claims professionals often encounter challenges such as maintaining clear communication with team members and clients, managing sensitive information securely, and staying organized without in-person supervision. To address these, it's important to leverage collaboration tools, establish regular check-ins, and follow strict data protection protocols. Proactive time management and seeking feedback can also help ensure productivity and strong relationships with both colleagues and policyholders.

What skills and qualifications are needed to thrive as a full time remote claims representative?

To thrive as a Full Time Remote Claims Representative, you need strong analytical abilities, attention to detail, and typically a background in insurance, business, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and basic office productivity tools is essential. Excellent written and verbal communication, problem-solving skills, and self-motivation help professionals excel in a remote environment. These skills are crucial for ensuring accurate claims processing, effective customer service, and maintaining productivity while working independently.

What is a full time remote claims job?

Full time remote claims jobs typically involve working for insurance companies or third-party administrators to process, investigate, and resolve insurance claims while working from home. Employees in these roles assess submitted claims, verify coverage, communicate with policyholders and providers, and ensure claims are handled efficiently and accurately. These positions usually require strong attention to detail, good communication skills, and familiarity with computer systems, and they offer the flexibility of working remotely while maintaining a full-time schedule.
What are the most commonly searched types of Remote Claims jobs in Raleigh, NC? The most popular types of Remote Claims jobs in Raleigh, NC are:
Full Time Remote Claims jobs near you
Infographic showing various Full Time Remote 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 $62,805 per year, or $30.2 per hour.

Supervisor-Contracts and Enrollment (Full Time, Remote, North Carolina Based)

Alliance

Morrisville, NC • On-site, Remote

$69K - $88K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

The Supervisor of Contracts and Enrollment provides day-to-day oversight of all provider enrollment and contracting functions. The Supervisor of Contracts and Enrollment works with the Manager of Provider Contracts and Enrollment to implement all unit and departmental goals, and ensure internal and external requirements for provider contracting are met.
This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Responsibilities & Duties
Supervise Day-to-Day Unit Operations
  • Supervise day-to-day operations of the Enrollment and Contracting teams to ensure timely and accurate completion of all enrollment and contract requirements
  • Ensure all enrollment and contract processes are consistent across new and existing providers
  • Monitor Enrollment requests and responses to ensure compliance with internal policies and procedures
  • Support and oversee the assessment of provider applications to determine eligibility status for enrollment and contract, in line with network inclusion/exclusion criteria
  • Ensure provider contract set up is complete, accurate, and in alignment with all internal and external contracting requirements
  • Investigate provider service discrepancies in contract details, subsequent claims issues, and/or complaints as requested and report findings
  • Conduct Enrollment and Contracts quality audits
  • Ensure timely responses are provided for internal and external inquiries related to enrollment/contracting

Supervise and Develop Staff
  • Maintain all Contract and Enrollment desk procedures, reference materials, and workflows
  • Ensure staff are well trained in and comply with all organization and department policies, procedures, and business processes
  • Organize workflows and communicate updates to ensure all staff understand respective roles and responsibilities
  • Actively establish and promote a positive, diverse, and inclusive working environment that builds trust
  • Cultivate and encourage efforts to expand cross-team collaboration and partnership
  • Conduct team meetings and individual supervisory meetings as indicated

Collaborate with Internal Departments
  • Serve as primary point of contact for escalated concerns related to a contract and/or enrollment status, including related claims issues
  • Investigate all concerns related to provider contracts or enrollment
  • Coordinate with internal departments to ensure provider contracting process is complete and timely, and does not negatively impact claims submission/payment

Take Lead in Special Projects
  • Coordinate special projects, contract changes, or other outreaches as assigned by Manager

Minimum Requirements
Education & Experience
Required:
Bachelor's degree from an accredited college or university in Human Services, Education, Sociology, Business, Public Administration, or related field and four (4) years of experience in community, business, or governmental programs in health-related fields.
Preferred:
Supervisory experience in consultative, or administrative functions is preferred.
Prior experience in Managed Care setting, Provider Relations, or Provider Contracting preferred.
Knowledge, Skills, & Abilities
  • General knowledge of Provider Enrollment and Contract requirements
  • General healthcare and managed care knowledge
  • Knowledge of database systems for contract and claims management
  • Thorough knowledge of Microsoft Office Suite, particularly MS Word and MS Excel
  • Knowledge of NC Tracks enrollment requirements
  • Strong interpersonal skills and ability to communicate with various staff
  • Ability to problem solve
  • Ability to prepare reports
  • Ability to manage multiple tasks and/or projects

Salary Range
$69,592 - $88,729/ Annual
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity
An excellent fringe benefit package accompanies the salary, which includes:
  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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