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

DAN

Claims Director

Durham, NC · On-site

$130K/yr

Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations ... The Director of Claims leads claims staff, develops departmental processes and performance ...

DAN

Claims Director

Durham, NC · Hybrid

Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations ... The Director of Claims leads claims staff, develops departmental processes and performance ...

Divers Alert Network

Claims Director

Durham, NC · On-site

Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONAL ... The Director of Claims leads claims staff, develops departmental processes and performance ...

Divers Alert Network

Claims Director

Durham, NC · On-site

Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations ... The Director of Claims leads claims staff, develops departmental processes and performance ...

Alchemy Financial Group

Insurance Agent

Apex, NC

$75K - $105K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Apex, NC · On-site

$75K - $105K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Raleigh, NC · On-site

$75K - $95K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Raleigh, NC · On-site

$75K - $108K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Raleigh, NC

$75K - $95K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Clayton, NC · On-site

$86K - $105K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Raleigh, NC

$75K - $108K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Durham, NC

$75K - $105K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Cary, NC

$75K - $95K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Durham, NC · On-site

$75K - $105K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Clayton, NC

$86K - $105K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Alchemy Financial Group

Insurance Agent

Cary, NC · On-site

$75K - $95K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

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Showing results 21-40

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

Insurance Claims Processor information

See Raleigh, NC salary details

$11

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$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.

Claims Director

DAN

Durham, NC • On-site

$130K/yr

Full-time

Posted 22 days ago

Job description

TITLE: Director, Claims
FLSA: Exempt, Full Time
DEPARTMENT: Claims
WORKSITE: 6 West Colony Place, Durham, NC
REPORTS TO: EVP, Insurance Operations
OCCUPATIONALSUMMARY:
Responsible for the strategic leadership, operational management, and oversight of the organization's claims department. This role ensures timely, accurate, and compliant claims handling while promoting exceptional customer service, effective risk management, and continuous operational improvement. The Director of Claims leads claims staff, develops departmental processes and performance standards, manages complex and escalated claims matters, and collaborates with internal and external stakeholders to support organizational objectives.
DUTIES/RESPONSIBILITIES:
  • Lead and inspire a service-focused team.
  • Oversee the intake, investigation, evaluation, reserving, and resolution of claims.
  • Ensure claims are handled in accordance with policy provisions, company guidelines, regulatory requirements, and industry standards.
  • Manage complex, high exposure, litigated, or escalated claims
  • Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable.
  • Develop and implement claims handling strategies, workflows, and best practices.
  • Establish department goals, KPIs, and performance standards.
  • Oversee quality assurance and audit processes for claims handling activities.
  • Identify operational, legal, and financial risks within the claims process and implement corrective actions.
  • Assist in the development and implementation of reservation of rights letters, coverage position letters, and claims procedures.
  • Monitor claim reserves, loss trends, and financial exposure.
  • Assist with budgeting and forecasting related to claims operations.
  • Ensure appropriate expense management and vendor performance standards.
  • Maintain positive relationships with insureds, brokers, members, partners, and external stakeholders.
  • Collaborate cross-functionally with underwriting, operations, finance, and customer service teams.
  • Provide claims reporting and operational updates to executive leadership.
  • Other duties as assigned.

EDUCATION
  • Bachelor's degree or equivalent experience required
  • 10+ years of relevant claims experience
  • 2+ years leadership within a claims management role
  • Valid adjusters license or ability to obtain such

REQUIRED KNOWLEDGE, SKILLS & ABILITIES
  • Knowledge of the scuba diving industry
  • Deep knowledge and experience with captive insurance companies, risk retention groups, accident and health and trip/travel programs
  • Knowledge of Trip/Travel Insurance
  • Excellent interpersonal communication, organization, and management skills
  • Superior project management skills with proven ability to plan, lead and track projects from concept through implementation
  • Ability to manage timelines and milestones to ensure timely reporting and closures
  • Self-motivated with strong attention to details and problem-solving skills
  • Proficient with Microsoft Office Suite and experienced or adaptable to claims management platforms

Hybrid work arrangement is available with this role, 2 days remote and 3 days in office, post the 90-day probationary period.

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