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Insurance Benefits Claims Processor Jobs in Raleigh, NC

CapLeo Global

Insurance Specialist

Chapel Hill, NC · On-site

  • Medical

  • Dental

... claims processing, and of insurance policies and contracts for multiple insurance vendors. The ... This position answers questions from patients and providers regarding dental insurance benefits ...

Global Pharma Tek

Insurance Specialist

Chapel Hill, NC · On-site

  • Medical

  • Dental

... claims processing, and of insurance policies and contracts for multiple insurance vendors. The ... This position answers questions from patients and providers regarding dental insurance benefits ...

Divers Alert Network

Claims Coordinator

Durham, NC · On-site

Supports DAN members throughout the claims process by coordinating with insurance carriers and facilitating timely and accurate claim handling. Calculates applicable benefits and prepares claim ...

DAN

Claims Coordinator

Durham, NC · Hybrid

Supports DAN members throughout the claims process by coordinating with insurance carriers and facilitating timely and accurate claim handling. Calculates applicable benefits and prepares claim ...

DAN

Claims Coordinator

Durham, NC · On-site

$50K - $55K/yr

Supports DAN members throughout the claims process by coordinating with insurance carriers and facilitating timely and accurate claim handling. Calculates applicable benefits and prepares claim ...

Tata Consultancy Service Limited

Claims Consultant

Knightdale, NC · On-site

$48K - $55K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... level process escalation. Determines benefits due, makes timely claims payments/approvals and ... Auto & Home Insurance, Identity Theft Protection. • Convenience & Professional Growth: Commuter ...

DAN

Claims Director

Durham, NC · On-site

$130K/yr

Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations ... The Director of Claims leads claims staff, develops departmental processes and performance ...

Divers Alert Network

Claims Director

Durham, NC · On-site

Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONAL ... The Director of Claims leads claims staff, develops departmental processes and performance ...

DAN

Claims Director

Durham, NC · Hybrid

Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations ... The Director of Claims leads claims staff, develops departmental processes and performance ...

Erie Insurance

Claims Facilitator

Raleigh, NC · On-site

$40K - $64K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

That's why Erie Insurance offers you an exceptional benefits package, including: * Premier health ... Processes first party automobile, third party clear liability automobile and low severity property ...

Erie Insurance

Claims Facilitator

Raleigh, NC · On-site

$40K - $64K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

That's why Erie Insurance offers you an exceptional benefits package, including: * Premier health ... Processes first party automobile, third party clear liability automobile and low severity property ...

Erie Insurance

Claims Facilitator

Raleigh, NC

$40K - $64K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

That's why Erie Insurance offers you an exceptional benefits package, including: * Premier health ... Processes first party automobile, third party clear liability automobile and low severity property ...

Erie Insurance

Claims Facilitator

Cary, NC · On-site

$40K - $64K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

That's why Erie Insurance offers you an exceptional benefits package, including: * Premier health ... Processes first party automobile, third party clear liability automobile and low severity property ...

Erie Insurance

Claims Facilitator

Raleigh, NC · On-site

$40K - $64K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

That's why Erie Insurance offers you an exceptional benefits package, including: * Premier health ... Processes first party automobile, third party clear liability automobile and low severity property ...

Erie Insurance

Claims Facilitator

Cary, NC · On-site

$40K - $64K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

That's why Erie Insurance offers you an exceptional benefits package, including: * Premier health ... Processes first party automobile, third party clear liability automobile and low severity property ...

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All JobsInsurance Benefits Claims Processor JobsInsurance Benefits Claims Processor Jobs in Raleigh, NC

Insurance Benefits Claims Processor information

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$33

How much do insurance benefits claims processor jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for insurance benefits claims processor in Raleigh, NC is $21.71, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $24.76 per hour, depending on experience, location, and employer.

What does an insurance benefits claims processor do?

An Insurance Benefits Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify information, determine coverage eligibility, and ensure that all documentation meets company and regulatory standards. Their work helps ensure that valid claims are paid promptly and accurately, while also identifying any errors or fraudulent activity. Claims processors often communicate with policyholders, healthcare providers, and other parties to gather necessary information or clarify details related to a claim.

What are the key skills and qualifications needed to thrive as an insurance benefits claims processor, and why are they important?

To thrive as an Insurance Benefits Claims Processor, you need strong attention to detail, analytical abilities, and a solid understanding of insurance policies, often supported by a high school diploma or relevant certification. Familiarity with claims management software, data entry systems, and standard office applications is typically required. Excellent communication, organizational skills, and problem-solving abilities help professionals excel when interacting with clients and resolving complex claims. These skills ensure accurate and timely claims processing, customer satisfaction, and compliance with industry regulations.

What are some common challenges faced by insurance benefits claims processors and how can they be addressed?

Insurance Benefits Claims Processors often encounter challenges such as managing high volumes of claims, interpreting complex policy details, and ensuring compliance with regulatory requirements. Staying organized, using workflow management tools, and maintaining strong attention to detail can help address these issues. Regular communication with team members and ongoing training on policy updates also play a key role in overcoming these challenges. Collaboration with other departments, such as underwriting and customer service, is essential for resolving discrepancies and providing accurate claim resolutions.

What is the difference between Insurance Benefits Claims Processor vs Insurance Claims Adjuster?

AspectInsurance Benefits Claims ProcessorInsurance Claims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; licensing or certification often required
Work EnvironmentOffice setting, processing claims dataField and office, investigating claims
Industry UsageUsed across insurance companies for processing claimsUsed for evaluating and settling claims
Primary FocusProcessing and verifying insurance benefits claimsAssessing damages and determining claim validity

Insurance Benefits Claims Processors primarily handle the administrative side of claims, focusing on data entry and verification. Insurance Claims Adjusters evaluate claims on-site or remotely, investigating damages and making settlement decisions. Both roles are essential in the insurance industry but differ in responsibilities and work environment.

Is an insurance benefits claims processor job in demand?

The demand for insurance benefits claims processors remains steady due to ongoing growth in the insurance industry and the need for claims management. Employment in this role is expected to grow as companies seek skilled workers to handle claims efficiently, often requiring familiarity with claims processing software and attention to detail.

Is claims processing a stressful job?

Claims processing for insurance benefits can be stressful due to tight deadlines, high volume of claims, and the need for accuracy. It requires attention to detail, strong organizational skills, and sometimes dealing with upset claimants, which can contribute to job stress.

What are popular job titles related to Insurance Benefits Claims Processor jobs in Raleigh, NC?

For Insurance Benefits Claims Processor jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Insurance Benefits Claims Processor jobs in Raleigh, NC look for?

The top searched job categories for Insurance Benefits Claims Processor jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Insurance Benefits Claims Processor jobs?

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

Insurance Benefits Claims Processor jobs near you

Insurance Specialist Insurance Specialist

CapLeo Global

Chapel Hill, NC • On-site

Other

Medical, Dental

Re-posted 29 days ago

Job description

Insurance Specialist

This Insurance Specialist position performs both dental and medical insurance services for the Client. The Insurance Specialist position works in all areas of billing and reimbursement from private dental insurance companies as well as Managed Care companies. This position requires specialized knowledge of the insurance industry standards relating to billing and reimbursement in order to perform position duties and a strong understanding of accounts receivable. This position works closely with private insurance carriers, particularly those contracting with the clinics. The position also requires an extensive and detailed understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing and of insurance policies and contracts for multiple insurance vendors. The duties of this position include filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, i.e. x-rays, chart notes and letters of necessity; investigating certain denied claims, following-up on those investigations and submitting claims appeals for those denied claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient records for accuracy and completion of billing, coding, and clinical documentation. This position answers questions from patients and providers regarding dental insurance benefits, claim status and account summary, as well as assisting patients with in-house payment arrangements under the policies of the school advising patient of their options. This position requires HIPAA compliance.

Capleo Global logo

About Capleo Global

Sourced by ZipRecruiter

Capleo Global, based in Edison, NJ, USA, operates in the field of financial management and consultancy. The company, as reflected on its official website capleoglobal.com, specializes in providing expert guidance and services in portfolio management, risk management, and business growth strategies. Since its foundation, Capleo Global has progressively expanded its services and consolidated its expertise, making it a reliable partner for businesses aiming to optimize their finances and risk factors. Their distinguished mission is to empower their clients by offering innovative financial solutions and strategic advice that drives growth and success.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

2019

Social media

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