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Insurance Claims Jobs in Raleigh, NC (NOW HIRING)

Robert Half

Medical Insurance Claims Specialist

Durham, NC · On-site

$20 - $23/hr

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 ...

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Erie Insurance

Claims Facilitator

Cary, NC · On-site

$40K - $64K/yr

Casualty Claims Division Department of Position: Zones Dept Work from: Branch Office Salary Range ... At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ...

Erie Insurance

Claims Facilitator

Cary, NC

$40K - $64K/yr

Casualty Claims Division Department of Position: Zones Dept Work from: Branch Office Salary Range ... At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ...

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All JobsInsurance Claims JobsInsurance Claims Jobs in Raleigh, NC

Insurance Claims information

See Raleigh, NC salary details

$12

$22

$41

How much do insurance claims jobs pay per hour?

As of Jul 24, 2026, the average hourly pay for insurance claims in Raleigh, NC is $22.84, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $25.00 per hour, depending on experience, location, and employer.

Is a claims job a good career?

A claims job in insurance involves evaluating and processing claims to determine coverage and payouts, often requiring strong attention to detail and communication skills. It can offer stable employment, opportunities for advancement, and the potential for specialized certifications, making it a viable career choice for those interested in the insurance industry.

What are the key skills and qualifications needed to thrive as an Insurance Claims Specialist, and why are they important?

To thrive as an Insurance Claims Specialist, you need a strong understanding of insurance policies, claims processing, and investigative techniques, typically supported by a relevant degree or industry certification such as AIC. Familiarity with claims management software, document management systems, and regulatory compliance tools is essential. Exceptional attention to detail, strong communication skills, and empathy help you effectively assess claims and interact with policyholders. These skills ensure accurate claim evaluation, efficient processing, and high customer satisfaction in a regulated industry.

What is the difference between Insurance Claims vs Insurance Adjuster?

AspectInsurance ClaimsInsurance Adjuster
Primary RoleSubmitting and managing insurance claimsInvestigating and evaluating insurance claims
Required CredentialsBasic knowledge of insurance policies, often no formal certification neededAdjuster license, certifications like AIC or CPCU often required
Work EnvironmentOffice, remote, or on-site at claim locationsFieldwork, on-site inspections, office work
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms

While both roles are integral to the insurance industry, Insurance Claims professionals focus on submitting and managing claims, whereas Insurance Adjusters investigate and evaluate claims to determine coverage and settlement amounts. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are some common challenges encountered in an insurance claims role, and how can they be managed effectively?

Professionals in insurance claims often face challenges such as managing high caseloads, handling complex or disputed claims, and meeting strict regulatory requirements. Effective time management and strong organizational skills can help balance multiple cases, while clear communication and empathy are essential when working with clients during stressful situations. Staying up to date with industry regulations and seeking support from more experienced team members can also help address difficult cases and ensure compliant, fair outcomes.

What are insurance claims?

Insurance claims are formal requests made by policyholders to their insurance company for coverage or compensation for a covered loss or policy event. After an incident like an accident, damage, or theft, the policyholder submits a claim, and the insurer reviews it to determine whether the event is covered under the policy. If approved, the insurance company will pay out the agreed-upon amount to the policyholder or a third party. The process may involve submitting documentation, working with adjusters, and sometimes negotiating settlements. Timely and accurate filing is important to ensure claims are processed efficiently.

What's the highest paying job in insurance?

In insurance, executive roles such as Chief Underwriting Officer or Chief Risk Officer tend to be the highest paying, often earning six-figure salaries plus bonuses. These positions require extensive experience, leadership skills, and advanced industry knowledge, often supported by professional certifications like CPCU or ARM.

Which claims adjusters make the most money?

Senior claims adjusters, especially those working in specialized areas like catastrophe or large-loss claims, tend to earn the highest salaries in the claims adjusting field. Adjusters with extensive experience, advanced certifications, or working for large insurance companies generally have higher earning potential.

Can I get a claims adjuster job with no experience?

Entry-level claims adjuster positions often do not require prior experience, but candidates typically need strong communication skills, attention to detail, and sometimes a relevant license or certification. Employers may provide on-the-job training to new hires, especially for those with a background in customer service or insurance-related fields.
What are the most commonly searched types of Insurance Claims jobs in Raleigh, NC? The most popular types of Insurance Claims jobs in Raleigh, NC are:
What are popular job titles related to Insurance Claims jobs in Raleigh, NC? For Insurance Claims jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Insurance Claims jobs in Raleigh, NC look for? The top searched job categories for Insurance Claims jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Insurance Claims jobs? Cities near Raleigh, NC with the most Insurance Claims job openings:
Insurance Claims jobs near you
Infographic showing various Insurance Claims job openings in Raleigh, NC as of July 2026, with employment types broken down into 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $47,517 per year, or $22.8 per hour.
Medical Insurance Claims Specialist

Medical Insurance Claims Specialist

Robert Half

Durham, NC • On-site

$20 - $23/hr

Temporary

Posted yesterday

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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