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Insurance Claims Processing Jobs in North Carolina

Project Resources Group

Claims Specialist

Charlotte, NC · On-site

$4.0K - $10K/mo

Understanding of B2B construction, claims management, recovery, or insurance claim negotiation and settlement processes is preferred. * Ideally, 3-5 years of experience in claims, recovery, and/or ...

Builders Mutual

Claims Processor I

Raleigh, NC · On-site

$16.50 - $21/hr

... insurance and/or claims experience or an equivalent combination of education and experience. * PC Computer skills (MS Office, Outlook); knowledge of policy processing systems, imaging systems and/or ...

Corvel

Claims Specialist

Charlotte, NC · Remote

$52K - $85K/yr

... process taking into consideration experience, qualifications, and overall fit for the role. The ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...

Corvel

Claims Specialist

Charlotte, NC · Remote

$52K - $85K/yr

... process taking into consideration experience, qualifications, and overall fit for the role. The ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...

Corvel

Claims Specialist

Charlotte, NC · On-site

$52K - $85K/yr

... process taking into consideration experience, qualifications, and overall fit for the role. The ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in North Carolina

Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are the key skills and qualifications needed to thrive in insurance claims processing?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Insurance Claims Processing jobs in North Carolina?

For Insurance Claims Processing jobs in North Carolina, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processing jobs in North Carolina look for?

The top searched job categories for Insurance Claims Processing jobs in North Carolina are:

What cities in North Carolina are hiring for Insurance Claims Processing jobs?

Cities in North Carolina with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in North Carolina as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 17% Part Time, 7% Temporary, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Claims Specialist/Senior Claims Specialist

Great American Insurance Group

Concord, NC • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 24 days ago

Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

57th of 315 rated insurance

Job description

Mid-Continent Group, a subsidiary of Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business in other industries. Mid-Continent Group provides a broad selection of General Liability, Commercial Auto, Inland Marine and Umbrella products.

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group, a Fortune 500 company, combines "small company" culture with "big company" expertise. Here, your ideas will be heard, and you'll have the support to succeed. With over 35 specialty and property and casualty operations, there are always opportunities to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Mid-Continent Group is currently seeking a Claims Specialist/Senior Claims Specialist to join our Claims Team. The position will work a hybrid schedule from downtown Tulsa, OK, or downtown Cincinnati, OH.

Essential Job Functions and Responsibilities

  • Manage a portfolio of complex, high-value commercial general liability and auto claims across the U.S.

  • Lead investigations, evaluate coverage and liability, and drive resolution strategies.

  • Represent the company in mediations, depositions, and trials.

  • Collaborate with underwriting and marketing teams to identify trends and improve outcomes.

  • Serve as a technical expert and strategic advisor within your line of business.

  • Ensure compliance with all legal and regulatory standards.

  • Offer expert advice to other members of your team on complex claim file management and demonstrate leadership across the organization.

Job Requirements

  • 9+ years of experience handling general liability and/or commercial auto claims.

  • Strong analytical skills and deep understanding of policy coverage.

  • Excellent communication, negotiation, and organizational abilities.

  • Bachelor's degree in Business, Risk Management, Insurance, or related field (or equivalent experience).

  • Professional designations (e.g., CPCU) are a plus.

Ready to Make a Difference?

Join a team where your expertise is valued, your voice is heard, and your career can flourish. Apply today and be part of something great.

Company:

MCC Mid-Continent Casualty Company

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

*Excludes seasonal employees and interns.

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