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

Builders Mutual Insurance

Claims Processor I

Raleigh, NC · On-site

$16.50 - $21/hr

Claims Processor I At Builders Mutual, we believe in the power of teamwork to get the job done ... Every day, our team delivers comprehensive commercial insurance and trusted safety solutions to ...

Builders Mutual

Claims Processor I

Raleigh, NC · On-site

$16.50 - $21/hr

Every day, our team delivers comprehensive commercial insurance and trusted safety solutions to ... The OPPORTUNITY Leverage your claims experience and join our team as a Claims Processor I! This ...

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 ...

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 · 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 ...

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 ...

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 · 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 ...

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

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 ...

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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 Sep 1, 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.

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.

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.

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 education or relevant certifications. Experience with computer software, attention to detail, and strong organizational skills are important, and familiarity with insurance policies and claims processing systems can improve job prospects.

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 rate similar to the average for all occupations, with opportunities increasing as insurance companies seek skilled workers familiar with claims processing software and regulations.

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 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, 76% Full Time, 17% Part Time, and 6% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $45,162 per year, or $21.7 per hour.

Claims Processor I

Builders Mutual Insurance

Raleigh, NC • On-site

$16.50 - $21/hr

Other

PTO

Posted 11 days ago

Job description

Claims Processor I

At Builders Mutual, we believe in the power of teamwork to get the job done right. Every day, our team delivers comprehensive commercial insurance and trusted safety solutions to protect and advance the unique needs of the contractor community. Rooted in teamwork, inclusion, expertise, and community, we work together to serve better, achieve more, and build lasting impact.

The opportunity

Leverage your claims experience and join our team as a Claims Processor I! This role will receive cross-functional training in various claims support tasks such as cataloguing incoming electronic documents for the entire claims department, preparing and sending daily, weekly, monthly claims reports. This role will respond to inbound calls with the goal of providing an exceptional customer experience. Because the success of our company is rooted in teamwork, the way we care about the people we work with and serve, this hybrid role will work in our Raleigh office two days a week with the flexibility to work from home the remaining three days.

Your work as a Claims Processor will make a difference as you:

  • Adhere to the Claims Support schedule to ensure call service levels are met and customer satisfaction remains high.
  • Index documents accurately and consistently attain monthly goal.
  • Prepare reports and letters, completing and submitting them on time based on jurisdictional requirements.
  • Initiate offsite check printing and prepare EOB's daily.
  • Respond to inbound calls from both internal and external customers and handle appropriately in a timely manner.
  • Process unidentified mail, agent mailings and underwriting return envelopes to proper resolution.
  • Investigate provider inquiries regarding bills and payments, providing EOBs as requested.
  • Report any challenges, defects with workflows to Claims Support Supervisor.
  • Demonstrate proficiency with systems (ImageRight, Advanced Claims, phone system).
  • Issues payments for claims file expenses as directed.
  • Process Entity Entry (I-9) to ensure compliance.
  • Assist in training team members.
  • Photocopying claim files, cataloguing medical records and electronic claim file data including EDI and other similar items.
  • Performs data entry functions as directed by Adjusters and Claim Services Manager.

Skills and experience to get the job done right:

  • High school diploma or equivalent.
  • At least 2 years of customer service/support experience and/or two years of commercial 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 CRM systems is a plus.
  • Excellent customer relationship management skills required.
  • Ability to learn quickly and adapt to changing environment.
  • Solid customer focus and soft skills.

Your employee experience at Builders Mutual: At Builders Mutual, we're intentional about creating a workplace where people can do meaningful work, feel supported by leaders who care, and grow their careers with confidence. Great workplaces don't just happen — they're built with intention. You'll also be part of a team where people show up as themselves, support one another, and take pride in what we're building together. We support you with:

  • Competitive compensation and a performance bonus program.
  • 3 weeks of PTO to start, plus your birthday off.
  • A 37.5-hour workweek, with Fridays ending at 2:30 PM.
  • Professional development through Builders University.
  • Everyday Wins recognition with swag and extra time off.
  • 8 paid Volunteer Time Off (VTO) hours to give back.
  • Comprehensive benefits that support your wellbeing today and your future tomorrow.

Builders Mutual is an Equal Opportunity Employer.

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