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Insurance Claims Associate Remote Jobs in Raleigh, NC

Sagility

Licensed Health Insurance Agents

Raleigh, NC · Remote

$21/hr

... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... This is a seasonal, fully remote opportunity. Schedules, pay rates, program details, and assignment ...

Sagility

Licensed Health Insurance Agents

Raleigh, NC · Remote

$21/hr

... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... This is a seasonal, fully remote opportunity. Schedules, pay rates, program details, and assignment ...

Deloitte

Epic Denials Manager

Raleigh, NC · Remote

Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

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Insurance Claims Associate Remote information

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How much do insurance claims associate remote jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for insurance claims associate remote in Raleigh, NC is $20.40, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $22.45 per hour, depending on experience, location, and employer.

What does an insurance claims associate do when working remotely?

An Insurance Claims Associate working remotely is responsible for processing and evaluating insurance claims submitted by policyholders. They review documentation, verify claim details, communicate with clients and other stakeholders, and ensure claims comply with company policies and regulations. Remote associates use digital tools to manage claims, handle customer inquiries, and keep accurate records, all while maintaining a high level of confidentiality and customer service. Their goal is to resolve claims efficiently and fairly, either approving payment or denying claims as appropriate.

What are some of the main challenges faced by remote insurance claims associates, and how can they be overcome?

One of the key challenges for remote Insurance Claims Associates is maintaining effective communication with both clients and internal teams, especially when handling complex claims. Staying organized and using digital collaboration tools can help bridge the gap and ensure timely follow-ups. Additionally, remote associates may need to be proactive in seeking support or clarification on policy details and claim procedures. Regular check-ins with supervisors and participating in virtual training sessions can help address these challenges and foster professional growth in a remote setting.

What are the key skills and qualifications needed to thrive as a remote insurance claims associate, and why are they important?

To thrive as an Insurance Claims Associate (Remote), you need strong analytical skills, attention to detail, and a background in insurance or related fields, often supported by a high school diploma or relevant certifications. Familiarity with claims management software, document processing systems, and Microsoft Office Suite is typically required. Exceptional communication, problem-solving abilities, and time management are standout soft skills for remote collaboration and customer service. These skills are crucial to efficiently process claims, ensure accuracy, and deliver a positive experience for policyholders in a virtual work environment.

What is the difference between Insurance Claims Associate Remote vs Insurance Claims Processor?

AspectInsurance Claims Associate RemoteInsurance Claims Processor
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma or equivalent; insurance certifications beneficial
Work EnvironmentRemote, home-based settingTypically office-based or remote, depending on employer
Industry UsageCommon in insurance companies, third-party administratorsUsed in insurance companies, claims departments
Job FocusHandling claims inquiries, customer service, initial claim reviewProcessing claims, data entry, verifying information

Both roles involve working with insurance claims, often requiring similar credentials and industry experience. The main difference is that Insurance Claims Associate Remote emphasizes customer interaction and initial claim handling in a remote setting, while Insurance Claims Processor focuses more on data processing and verification, which can be in-office or remote.

What are popular job titles related to Insurance Claims Associate Remote jobs in Raleigh, NC?

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

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

The top searched job categories for Insurance Claims Associate Remote jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Insurance Claims Associate Remote jobs?

Cities near Raleigh, NC with the most Insurance Claims Associate Remote job openings:

Insurance Claims Associate Remote jobs near you

Patient Account Analyst - HBC Management - Remote

Durham, NC • On-site, Remote

Duke University
Colleges, Universities, and Professional Schools • 10K+ employees
Learn more about Duke Universityexternal

Full-time

Posted 19 days ago

Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.
REMOTE POSITION: Monday - Friday
General Description of the Job Class
Coordinate, prepare and analyze complex accounts receivable and/or financial reports. Review and analyze trends, advising PRMO, DUHS and PDC leadership regarding conclusions and recommendations. Serve as expert resource for covered area.
Duties and Responsibilities of this Level
65% Service Now Review/Testing:
  • Identify process improvements, including staff education/training, operational workflow modifications, system enhancements and external payer policy changes and work with Billing and Collection management to request and implement those improvements.
  • Enter Service Now tickets for system changes related to billing and collections.
  • Perform positive and negative testing of system changes to ensure appropriate updates are made and validate the process once the changes are moved to production.
  • Collaborate with DHTS Maestro Care team to communicate operational needs, coordinate testing efforts, and ensure appropriate turn around on changes and resolution of tickets.
  • Serve as an expert resource to leadership in decision-making process. Plays an integral role in implementing and managing change related to area of expertise.
  • Become a subject matter expert related to system logic and functionality.
  • Primary tester and liaison for system upgrade testing which includes performing parallel testing and providing feedback to leadership on issues found during testing.
  • Initiate and implement system logic changes per review of payor bulletins and guidelines.

30% AR Review:
  • Identify trends and opportunities for improvement for operational, payor, system and/or user issues.
  • Monitor clean claim rates and reporting to identify trends associated with edits across operational systems.
  • Escalate trends to management with recommendations for resolution with ideas/opportunities.
  • Proactively monitor payor rules and regulations related to claims logic build and billing guidelines.
  • Assist with facilitation of workgroup meetings including updating project log and validating testing within the system.
  • Prepare written reports and analysis for PRMO, DUHS and PDC leadership highlighting trends and appropriate recommendations/conclusions.
  • Maintain liaison with DUHS, PRMO and PDC management and staff, documenting reports and analysis and discussing results, trends and recommendations.
  • Conduct detailed research to identify trends, including a review of specifics in the appropriate accounts receivable and/or financial systems.
  • Act as a technical resource to operational management and staff on the appropriate interpretation of accounts receivable and/or financial data. Coordinate and mentor staff regarding accounts receivable and financial systems, analyses, reports and policies/procedures.

5% Other
  • Organize and lead committee meetings across DUHS, PRMO and PDC as it relates to accounts receivable and or financial data operation improvements.
  • Perform other related duties incidental to the work described herein.

Required Qualifications at this Level
Education:
Bachelor's Degree in business, healthcare administration, accounting, finance or a related field is required
Experience:
Minimum of four years of applicable experience.
Previous experience successfully managing complex projects involving multiple stakeholders with a consistent track record of delivering on time, or high quality results preferred.
A Master's degree in a related field can substitute two years of experience on a 1:1 basis.
Degrees, Licensure, and/or Certification:
Knowledge, Skills, and Abilities:
Data analysis and reporting Billing/Collections Insurance Claims Microsoft Office (Excel, Access, Word, Powerpoint) Good communication skills (verbal and written) are essential. Knowledge of Epic and IT related training/testing is essential.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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About Duke University

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Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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