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Insurance Claims Processor Jobs in Raleigh, NC (NOW HIRING)

eTeam

Insurance Specialist

Chapel Hill, NC · On-site

... claims processing, and the policies and contracts of multiple insurance vendors. The ... responsibilities of this role include filing dental insurance claims and pre-treatment estimates ...

CapLeo Global

Insurance Specialist

Chapel Hill, NC · On-site

... 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 ...

Global Pharma Tek

Insurance Specialist

Chapel Hill, NC · On-site

... 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 ...

Erie Insurance

Claims Facilitator

Raleigh, NC · On-site

$40K - $64K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Processes first party automobile, third party clear liability automobile and low severity property ...

Erie Insurance

Claims Facilitator

Raleigh, NC

$40K - $64K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Processes first party automobile, third party clear liability automobile and low severity property ...

Erie Insurance

Claims Facilitator

Raleigh, NC

$40K - $64K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Processes first party automobile, third party clear liability automobile and low severity property ...

Erie Insurance

Claims Facilitator

Raleigh, NC · On-site

$40K - $64K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Processes first party automobile, third party clear liability automobile and low severity property ...

Erie Insurance

Claims Facilitator

Cary, NC · On-site

$40K - $64K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Processes first party automobile, third party clear liability automobile and low severity property ...

Erie Insurance

Claims Facilitator

Cary, NC

$40K - $64K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Processes first party automobile, third party clear liability automobile and low severity property ...

Sedgwick

Claims Representative, Auto

Raleigh, NC · On-site

$50K - $55K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... Performs coverage, liability, and damage analysis on all claims assignments. * Performs other ...

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

Insurance Claims Processor information

See Raleigh, NC salary details

$11

$21

$33

How much do insurance claims processor jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for insurance 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.

Is claims processing a stressful job?

Claims processing as an insurance claims processor can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires attention to detail, communication skills, and the ability to handle sensitive information, which can contribute to job-related stress levels.

What does an insurance claims processor do?

An Insurance Claims Processor reviews and handles insurance claims submitted by policyholders. Their primary responsibilities include verifying information, ensuring all necessary documentation is provided, and assessing claims for accuracy and compliance with policy guidelines. They communicate with policyholders, adjusters, and healthcare providers to gather additional information if needed, and determine how much the insurance company should pay out. The role is essential for ensuring claims are processed efficiently and fairly, maintaining customer satisfaction, and preventing fraud.

Is an insurance claims processor job in demand?

The demand for insurance claims processors remains steady due to the ongoing need for claims management in the insurance industry. Employment is expected to grow at a moderate rate, with skills in data entry, customer service, and familiarity with claims processing software being valuable for job candidates.

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

To thrive as an Insurance Claims Processor, you need strong attention to detail, knowledge of insurance policies and regulations, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic databases, and sometimes certifications like the Associate in Claims (AIC) are common requirements. Excellent organizational skills, clear communication, and problem-solving abilities help you stand out in this role. These skills ensure accurate claim processing, effective customer service, and compliance with industry standards.

What are some common challenges faced by insurance claims processors, and how can they be managed effectively?

Insurance Claims Processors often encounter challenges such as managing high volumes of claims, navigating complex policy details, and meeting strict deadlines. Staying organized and detail-oriented is key to ensuring accuracy and timely processing. Effective communication with policyholders, adjusters, and other team members also helps resolve discrepancies quickly and improves overall workflow. Many employers provide ongoing training and support to help processors stay current on regulations and best practices, which can further ease these challenges.

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

AspectInsurance Claims ProcessorInsurance Claims Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are a plusRequires a high school diploma; often holds certifications such as AIC or CPCU
Work EnvironmentOffice setting, processing claims dataField and office work, investigating claims
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusProcessing and data entry of claimsInvestigating, evaluating, and settling claims

While both roles are essential in the insurance industry, Claims Processors focus on handling claim data and documentation, whereas Claims Adjusters investigate and determine claim validity and settlement amounts. Understanding these differences helps job seekers identify the right career path within insurance claims roles.

What are popular job titles related to Insurance Claims Processor jobs in Raleigh, NC? For Insurance Claims Processor jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processor jobs in Raleigh, NC look for? The top searched job categories for Insurance Claims Processor jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Insurance Claims Processor jobs? Cities near Raleigh, NC with the most Insurance Claims Processor job openings:
Insurance Claims Processor jobs near you
Infographic showing various Insurance Claims Processor job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 20% Part Time, and 7% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $45,162 per year, or $21.7 per hour.

Medical Insurance Claims Specialist

Robert Half

Durham, NC • On-site

$20 - $23/hr

Temporary

Posted 14 days ago

Job description

We are looking for a Medical Insurance Claims Specialist to join a growing revenue cycle team in Durham, North Carolina. This contract-to-permanent opportunity is ideal for someone who thrives in a complex claims environment, can work independently, and is motivated to resolve payer-related issues with persistence and sound judgment. The role supports specialized insurance and billing operations, requiring close attention to payer guidelines, regional differences, and accurate claim follow-up. This position offers strong training, career growth potential, and a hybrid schedule with onsite work Monday through Wednesday.
Responsibilities:
• Manage medical insurance claims across an assigned group of states, taking ownership of payer follow-up and resolution activities within your region.
• Review and address claim issues by interpreting payer requirements, identifying coverage or billing discrepancies, and pursuing appropriate next steps for reimbursement.
• Verify patient and insurance eligibility details to support accurate claim submission and reduce avoidable denials.
• Post payments and reconcile billing activity while maintaining accuracy in documentation and account updates.
• Communicate with insurance carriers to clarify claim status, provide needed education on specialized services, and advocate for proper claim handling.
• Partner with billing and collections team members, supervisors, and managers to resolve complex accounts and improve reimbursement outcomes.
• Maintain organized records of claim actions, payer responses, and follow-up efforts in accordance with internal standards.
• Contribute to a high-accountability team environment by managing daily work consistently, meeting attendance expectations, and taking full ownership of assigned responsibilities.• Experience working with medical claims, insurance claims, or medical billing in a healthcare revenue cycle setting.
• Knowledge of patient eligibility verification and insurance eligibility processes.
• Ability to navigate complex payer guidelines and adjust approach based on state-specific or payer-specific requirements.
• Strong problem-solving skills with the initiative to investigate difficult claim scenarios and pursue resolution independently.
• Dependable work habits, including consistent attendance, punctuality, and the ability to manage a full workday effectively.
• Comfort working in a specialized, fast-paced environment where priorities may shift and teamwork is essential.
• Clear communication skills for interacting with payers and collaborating across billing, insurance, and collections functions.
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About Robert Half

Sourced by ZipRecruiter

Founded in 1948, Robert Half pioneered the idea of professional talent solutions to connect opportunities at great companies with highly skilled job seekers. As business needs changed, we evolved to offer specialized talent solutions for finance and accounting, technology, administrative and customer support, creative and marketing, and legal fields. In 2002, we introduced our subsidiary, Protiviti, a global independent risk consulting and internal audit service, to support companies as they faced more strategic business challenges.

Industry

Recruiting and staffing services

Company size

10,000+ Employees

Headquarters location

San Ramon, CA, US

Year founded

1948

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