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

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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 Sep 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 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 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 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 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 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.

IT Agentic AI Software Developer

Ethos Risk Services

Raleigh, NC • On-site, Remote

Full-time

Posted 27 days ago

Job description

ABOUT US:

Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.

JOB SUMMARY:

Our synergetic Ethos IT Team is growing and seeking a full-time Agentic AI Software Developer (REMOTE) to architect and guide software solutions in an AI-first, spec-driven environment. This role translates business requirements into structured specifications, oversees AI-assisted development workflows, and ensures the quality, security, and performance of AI-generated code.

Our ideal candidate is a senior engineer with hands-on spec-driven development experience who has worked with agentic AI tools and AI-integrated systems. They have strong SQL experience, preferably PostgreSQL, and experience on development teams leveraging AI-assisted workflows, including reviewing and validating AI-generated code.

KEY RESPONSIBILITIES:

  • Spec-Driven Development– Translate business requirements into clear, testable specifications for AI-assisted development.
  • AI Workflow Orchestration – Oversee software generation using agentic AI tools, ensuring alignment with architecture.
  • Code Review & Quality – Rigorously review AI-generated code for accuracy, security, and maintainability.
  • Testing & Validation – Ensure outputs meet specifications through strong testing practices.
  • Prompt Engineering – Develop and refine prompts, constraints, and AI workflows for better outcomes.
  • Architecture & Modernization – Support scalable system design and migration from legacy environments.
  • Risk & Security – Identify and mitigate risks in AI-generated code and ensure secure development practices.
  • CI/CD & Automation – Contribute to pipelines with validation and quality gates for generated code.
  • Mentorship & Support – Guide team members and provide production support for AI-assisted systems.
  • Documentation – Maintain clear specifications, workflows, and technical documentation.
  • Collaboration – Partner with stakeholders to refine requirements and solution design.

QUALIFICATIONS:

Education: Master's degree in Computer Science, Data Science or a related field (preferred). Relevant experience may be a substitute for formal education.

Experience:

  • Minimum of 7 to 10 years of software development experience, primarily with C# and .NET technologies (required).
  • Minimum of 5 years working with MS SQL Server and PostgreSQL (required).
  • Minimum of 3 to 5 years of experience with cloud platforms, preferably in AWS (required).
  • Hands-on experience with AI-assisted or spec-driven development tools (e.g., Kiro or similar) (strongly preferred).
  • Proven experience reviewing and validating AI-generated code (required).
  • Experience with modern front-end frameworks, preferably in React.
  • Strong background in CI/CD pipelines, automation, and quality assurance.
  • Demonstrated ability to lead architecture and mentor engineering teams.

Certifications:

  • AI-assisted development or prompt engineering certifications (preferred).
  • Microsoft, AWS, or security certifications (plus).
  • Required completion of secure software development training annually, including AI-specific secure coding practices and validation techniques.

Skills:

  • Proficiency in Python and ML frameworks such as TensorFlow or PyTorch (preferred).
  • Experience with MLOps, CI/CD pipelines, and infrastructure-as-code (Terraform or CloudFormation) (required).
  • Strong understanding of data pipelines, model deployment, and performance monitoring (preferred).
  • Ability to translate business requirements into scalable AI system designs (preferred).
  • Excellent communication, stakeholder management, and problem-solving skills (required).

WORKING CONDITIONS:

This is a primarily remote position working in a home office environment, with a preference for candidates able to work within Eastern or Central Time Zone business hours. The role requires prolonged periods of sitting or standing while operating a computer and other office equipment. Communication with team members, clients, and stakeholders is expected.

Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.

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