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Medical 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 ...

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 ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

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 ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

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 ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

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 ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

Deloitte

Epic Denials Management Operator

Raleigh, NC · Remote

$17.50 - $23.25/hr

Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed. Provide additional documentation to payers as needed to resolve denial issues.

Alchemy Financial Group

Insurance Broker

Apex, NC · On-site

$75K - $105K/yr

Review insurance claims to ensure fair dealing and satisfaction * Prepare regular reviews of ... property, medical and so on * Good knowledge of computers and statistics methods * Strong ...

Alchemy Financial Group

Insurance Broker

Apex, NC · On-site

$75K - $105K/yr

Review insurance claims to ensure fair dealing and satisfaction * Prepare regular reviews of ... property, medical and so on * Good knowledge of computers and statistics methods * Strong ...

AVE Staffing

Medical Malpractice Attorney

Raleigh, NC · On-site

$120K - $140K/yr

Medical Malpractice Defense Attorney | Elite Defense Firm Location: Raleigh, NC Job Type ... Provide clear, concise reporting to insurance claims professionals and hospital risk managers.

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Medical Insurance Claims information

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How much do medical insurance claims jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for medical insurance claims in Raleigh, NC is $20.39, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $22.45 per hour, depending on experience, location, and employer.

How do I become a medical claims adjuster?

To become a medical claims adjuster, you typically need a high school diploma or equivalent, and some states require a license which involves passing a state exam. Relevant skills include attention to detail, knowledge of insurance policies, and familiarity with medical terminology; obtaining a certification such as the Certified Professional Coder (CPC) can enhance job prospects.

What is the highest paid insurance adjuster?

Senior medical insurance claims adjusters or those with extensive experience and specialized certifications can earn salaries exceeding $80,000 annually, with top earners reaching over $100,000. Factors influencing pay include location, employer size, and individual expertise in complex claims processing and negotiation.

What are the key skills and qualifications needed to thrive in the Medical Insurance Claims position, and why are they important?

To thrive in Medical Insurance Claims, a strong understanding of healthcare billing, insurance policies, and claims processing procedures is essential, typically supported by a diploma or relevant experience in medical administration. Familiarity with claims management software, medical coding systems (such as ICD-10 and CPT), and knowledge of HIPAA regulations is commonly required. Attention to detail, problem-solving skills, and effective written and verbal communication help individuals excel in this role. These competencies ensure timely, accurate claims processing and positive working relationships with providers, insurers, and patients.

What is a Medical Insurance Claims job?

A Medical Insurance Claims job involves processing and reviewing insurance claims submitted by healthcare providers or patients. Professionals in this role assess claims for accuracy, verify patient coverage, and determine the amount payable by the insurance company. They may also communicate with healthcare providers, policyholders, and adjusters to resolve discrepancies and ensure proper claim adjudication. Strong attention to detail and knowledge of medical billing codes and insurance policies are essential for success in this field.

What are the typical daily responsibilities of someone working in Medical Insurance Claims?

Professionals in Medical Insurance Claims are responsible for reviewing and processing insurance claims submitted by healthcare providers or patients, verifying the accuracy of billing information, and ensuring compliance with policy guidelines. They regularly communicate with insurance companies, medical offices, and occasionally patients to resolve discrepancies or request additional information. The role involves considerable attention to documentation, data entry, and adhering to deadlines to expedite claim decisions. Teamwork is often essential, as collaboration with billing specialists and other administrative staff helps streamline claim resolution and maintain efficient workflow.

What health insurance company pays the most claims?

Medical insurance claims professionals work with various insurance providers, but the amount of claims paid depends on the company's size, policy coverage, and claim volume. Larger insurers like UnitedHealthcare, Anthem, and Cigna process the highest total claims due to their extensive customer bases. The role requires knowledge of claims processing systems and industry regulations.

How to start a career in insurance claims?

To start a career in medical insurance claims, obtain a high school diploma or equivalent, and consider pursuing relevant certifications such as the Certified Professional Coder (CPC) or claims processing courses. Entry-level roles often require strong attention to detail, knowledge of insurance policies, and proficiency with claims processing software, with opportunities for advancement through experience and additional training.
What are popular job titles related to Medical Insurance Claims jobs in Raleigh, NC? For Medical Insurance Claims jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Medical Insurance Claims jobs in Raleigh, NC look for? The top searched job categories for Medical Insurance Claims jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Medical Insurance Claims jobs? Cities near Raleigh, NC with the most Medical Insurance Claims job openings:
Medical Insurance Claims jobs near you
Infographic showing various Medical 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 $42,404 per year, or $20.4 per hour.

Medical Insurance Claims Specialist

Robert Half

Durham, NC • On-site

$20 - $23/hr

Temporary

Posted 11 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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