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Insurance Benefits Claims Processor Jobs in Raleigh, NC

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site

$44K - $71K/yr

That's why Erie Insurance offers you an exceptional benefits package, including: * Premier health ... Documents claim files and facilitates processing of claims in collaboration with other departments.

Elevance Health

Claims Representative I

Durham, NC

$16.23 - $24.36/hr

Codes and processes claims forms for payment ensuring all information is supplied before eligible ... benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial ...

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

Insurance Benefits Claims Processor information

See Raleigh, NC salary details

$11

$21

$33

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

As of Jul 3, 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 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.

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 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 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 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
Delivery manager - (Insurance) Domain is required - insurance domains (Claims, Policy, Finance)

Delivery manager - (Insurance) Domain is required - insurance domains (Claims, Policy, Finance)

Inficare Technologies

Raleigh, NC • On-site

Full-time

Posted 15 days ago

Job description

Job Title: Delivery manager (Insurance)
Location: Raleigh, NC (Locals preferred as they need to go to office when required)
Job Description :
Overview
Seeking an experienced Onshore Delivery Lead to drive execution of a data platform modernization and reporting transformation program within an insurance environment. The role will act as the primary onsite interface, ensuring alignment between business stakeholders and offshore delivery teams while driving high-quality, timely outcomes.
Key Expectations:
  • Act as the primary point of contact for client stakeholders across business and technology
  • Drive end-to-end delivery across data ingestion, modeling, reporting, and governance workstreams
  • Demonstrate strong understanding of insurance domains (Claims, Policy, Finance) and how business processes drive data and reporting
  • Translate business requirements into data and reporting solutions aligned to insurance KPIs and workflows
  • Coordinate effectively between onsite stakeholders and offshore teams to ensure seamless execution
  • Ensure clarity of requirements, priorities, and dependencies across Claims, Policy, and Finance
  • Monitor progress, manage risks, and ensure adherence to timelines and quality standards
  • Facilitate business validation, UAT, and sign-offs for deliverables
  • Ensure consistency in KPIs, data quality, and reporting outputs
  • Drive adoption of dashboards and support business users in transitioning to self-service analytics
  • Experience with Snowflake projects will be preferred

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