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

Erie Insurance Group

Claims Facilitator

Cary, NC · On-site

Processes first party automobile, third party clear liability automobile and low severity property ... Handles inquiries from Policyholders, Agents, insurance carriers, claimants and others. * Enters ...

Datavant

CPC Processor Customer Support

Raleigh, NC · On-site

Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents * Ability to stay organized while working quickly. Strong attention to detail is also ...

Oshi Health

Accounts Receivable Specialist

Raleigh, NC · Remote

$19.75 - $26/hr

Knowledge of medical billing, insurance claims processing, and payer reimbursement. * Experience resolving claim denials, underpayments, and payment discrepancies. * Experience posting payments and ...

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site +1

$44K - $71K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Documents claim files and facilitates processing of claims in collaboration with other departments.

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site

$44K - $71K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Documents claim files and facilitates processing of claims in collaboration with other departments.

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site

$44K - $71K/yr

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ... Documents claim files and facilitates processing of claims in collaboration with other departments.

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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 Jul 17, 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?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role requires attention to detail, communication skills, and sometimes working under pressure, especially during busy periods or complex cases.

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.

How to become an insurance processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, along with strong organizational and communication skills. Some employers prefer candidates with experience in insurance or claims processing, and familiarity with claims management software can be beneficial. Certification is not always required but can improve job prospects and advancement opportunities.

What is the highest paid position in insurance?

In the insurance industry, executive roles such as Chief Executive Officer (CEO), Chief Underwriting Officer, and Chief Risk Officer tend to be the highest paid. These positions require extensive experience, leadership skills, and often advanced certifications, and they oversee company strategy and risk management at the highest level.

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 July 2026, with employment types broken down into 85% Full Time, 11% Part Time, 1% Temporary, and 3% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $45,162 per year, or $21.7 per hour.
Insurance Coordinator

Insurance Coordinator

Lightwave Dental Management LLC

Wake Forest, NC • On-site

$21 - $26/hr

Full-time

Posted 12 days ago

Lightwave Dental rating

7.8

Company rating: 7.8 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

At Gladwell Orthodontics, we will do everything we can to make our patients feel comfortable and at home! Our office offers the latest in orthodontic technology, all designed to provide our patients with the best orthodontic treatment and experience possible. Our team consists of caring, highly trained professionals who are ready to provide exceptional service for each patient.
Responsibilities:
  • Candidate must be a friendly, caring, goal and, team oriented individual that is self-motivated
  • We work hard as a team and we are looking for someone to come in and help us go to the next level
  • Study insurance plans used most frequently with patients to understand the various nuances to communicate more effectively
  • Document basic insurance information in the patient's file for quick reference
  • Process and submit insurance claims daily
  • Monitor and follow-up on outstanding claims
  • Provide the appointment coordinator with patient names and amounts due, so effective collection over the counter can take place during the day
  • Identify patients in the daily schedule who are a financial concern, note payment problems on the patient's chart, and arranges a conference with them either before or at the time of the appointment
  • Record all financial discussions with patients in their file
  • Prepare and process patients' statements each month on a regular billing cycle
  • Make collection calls
  • Solidify the financial agreement with the patient, such as payment amount and schedule
  • Follow through with correspondence regarding collection when unable to contact the patient on the telephone
  • Prepare and send uncollected accounts to collections with managers approval and follow through as needed
  • Monitor patients whom collection agencies have contacted
  • Send information as requested by insurance companies such as x-rays, charting, narratives, and other documentation for processing the claim when applicable
  • Provide insurance predetermination documentation to patients, contacts the patient to make financial arrangements, and schedules treatment
  • Correspond with insurance companies to resolve payment delays, requests for additional information, or to discuss denied treatment coverage
  • Handle all inquiries concerning insurance daily
  • Willing to help in other areas as needed

Qualifications:
  • Minimum of 1-2 years experience and knowledge of dental insurance
  • Experience with Eaglesoft is a plus
  • Knowledge of English composition, grammar, spelling, and punctuation
  • Skilled in the use of standard office equipment, including telephones, calculators, copiers, fax, computers, and computer software (MS Excel, Word, Practice Management software)

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