... medical-dental cross-coding, electronic claims processing and of insurance policies and contracts ... for multiple insurance vendors. The duties of this position include filing dental insurance claims ...
... medical-dental cross-coding, electronic claims processing and of insurance policies and contracts ... for multiple insurance vendors. The duties of this position include filing dental insurance claims ...
Insurance Specialist
Chapel Hill, NC · On-site
... medical-dental cross-coding, electronic claims processing, and of insurance policies and contracts ... for multiple insurance vendors. The duties of this position include filing dental insurance claims ...
Insurance Specialist
Chapel Hill, NC · On-site
... medical-dental cross-coding, electronic claims processing, and of insurance policies and contracts ... for multiple insurance vendors. The duties of this position include filing dental insurance claims ...
Claims Consultant
Knightdale, NC · On-site
$48K - $55K/yr
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines Analyzes ... Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans. • Family ...
New
Claims Consultant
Knightdale, NC · On-site
$48K - $55K/yr
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines Analyzes ... Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans. • Family ...
New
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 ...
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 ...
Claims Facilitator
$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 ...
Claims Facilitator
$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 ...
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 ...
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 ...
Claims Advisor, Professional Liability | Medical Malpractice
Raleigh, NC · On-site
$100K - $125K/yr
Extensive knowledge and comprehension of insurance coverage * Claims expertise in medical ... malpractice, errors and omissions, directors and officers, life sciences, and/or cyber liability
New
Claims Advisor, Professional Liability | Medical Malpractice
Raleigh, NC · On-site
$100K - $125K/yr
Extensive knowledge and comprehension of insurance coverage * Claims expertise in medical ... malpractice, errors and omissions, directors and officers, life sciences, and/or cyber liability
New
Insurance Follow-Up Specialist
Durham, NC · On-site
... third-party insurance claims, medical billing/follow-up, BCBS experience is a plus * An ... understanding of various forms, codes (CPT & ICD), insurance terminology and insurance company ...
Quick apply
Insurance Follow-Up Specialist
Durham, NC · On-site
... third-party insurance claims, medical billing/follow-up, BCBS experience is a plus * An ... understanding of various forms, codes (CPT & ICD), insurance terminology and insurance company ...
Claims Representative , Auto
Raleigh, NC · On-site
$50K - $55K/yr
... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee ... Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive ...
Claims Representative , Auto
Raleigh, NC · On-site
$50K - $55K/yr
... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee ... Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive ...
Claims Representative, Auto
Raleigh, NC · On-site
$50K - $55K/yr
... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee ... Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive ...
Claims Representative, Auto
Raleigh, NC · On-site
$50K - $55K/yr
... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee ... Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive ...
Claims Representative, Auto | Property Damage
Raleigh, NC · On-site
$50K - $55K/yr
... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee ... Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive ...
Claims Representative, Auto | Property Damage
Raleigh, NC · On-site
$50K - $55K/yr
... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee ... Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive ...
Revenue Cycle Representative
Chapel Hill, NC · On-site
$18.12 - $25.51/hr
Submits requested medical information to insurance carrier as requested. • Responsible for the ... May maintain data tables for systems that support PB Claims operations. Evaluate carrier and ...
Revenue Cycle Representative
Chapel Hill, NC · On-site
$18.12 - $25.51/hr
Submits requested medical information to insurance carrier as requested. • Responsible for the ... May maintain data tables for systems that support PB Claims operations. Evaluate carrier and ...
Property & Casualty Insurance Claims Operations Consultant, Sr. Associate
Raleigh, NC · On-site
$77K - $202K/yr
... Insurance Claims Operations Consultant, Sr. Associate, you will engage with clients to optimize ... PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation ...
Property & Casualty Insurance Claims Operations Consultant, Sr. Associate
Raleigh, NC · On-site
$77K - $202K/yr
... Insurance Claims Operations Consultant, Sr. Associate, you will engage with clients to optimize ... PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation ...
Referral bonuses Requirements: * 2 years of previous experience working with commercial or other third-party insurance claims, medical billing/follow-up * An understanding of various forms, codes ...
Quick apply
Referral bonuses Requirements: * 2 years of previous experience working with commercial or other third-party insurance claims, medical billing/follow-up * An understanding of various forms, codes ...
... Insurance Claims Operations Consultant, Manager, you will play a pivotal role in helping clients ... PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation ...
... Insurance Claims Operations Consultant, Manager, you will play a pivotal role in helping clients ... PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation ...
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 ...
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 ...
Insurance Broker
$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 ...
Insurance Broker
$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 ...
Insurance Coordinator
Raleigh, NC · On-site
Maintain accurate records of authorizations, claims status, and patient communications in the ... medical insurance verification, prior authorization, or medical billing (plastic surgery ...
Quick apply
Insurance Coordinator
Raleigh, NC · On-site
Maintain accurate records of authorizations, claims status, and patient communications in the ... medical insurance verification, prior authorization, or medical billing (plastic surgery ...
Claims Facilitator
Cary, NC · Hybrid
$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 ...
Claims Facilitator
Cary, NC · Hybrid
$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 ...
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.
Quick apply
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.
Medical Insurance Claims information
See Raleigh, NC salary details
$14.02 - $15.34
3% of jobs
$15.34 - $16.65
12% of jobs
$17.28 is the 25th percentile. Wages below this are outliers.
$16.65 - $17.97
21% of jobs
The median wage is $18.87 / hr.
$17.97 - $19.29
20% of jobs
$19.29 - $20.61
13% of jobs
$20.61 - $21.92
4% of jobs
$22.10 is the 75th percentile. Wages above this are outliers.
$21.92 - $23.24
12% of jobs
$23.24 - $24.56
5% of jobs
$24.56 - $25.87
4% of jobs
$25.87 - $27.19
3% of jobs
$27.19 - $28.51
2% of jobs
$14
$20
$28
How much do medical insurance claims jobs pay per hour?
As of Jul 14, 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:
- Medical Claims
- Allstate Insurance Claims Adjuster
- Remote Pet Insurance Claims Adjuster
- Work From Home Workers Compensation Claims Assistant
- Remote Liberty Mutual Claims Adjuster
- Short Term Disability Claims Analyst
- Remote Insurance Claims Specialist
- Medical Claims Coordinator
- Temporary 1099 Claims Adjuster
- Insurance Claims Associate Remote
What cities near Raleigh, NC are hiring for Medical Insurance Claims jobs? Cities near Raleigh, NC with the most Medical Insurance Claims job openings:
Other
Medical, Dental
This job post has expired today. Applications are no longer accepted.
Job description
Job Title: Insurance Specialist
Location: 140 Dental Cir Chapel Hill, NC 27514
Duration: 11 Months
Shift: M-F 8:30 - 5, or 4 days/week for 10 hour days
Job Description:
This Insurance Specialist position performs both dental and medical insurance services for the Client.
The Insurance Specialist position works in all areas of billing and reimbursement from private dental insurance companies as well as Managed Care companies.
This position requires specialized knowledge of the insurance industry standards relating to billing and reimbursement in order to perform position duties and a strong understanding of accounts receivable.
This position works closely with private insurance carriers, particularly those contracting with the clinics. The position also requires an extensive and detailed understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic 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 insured patients; obtaining and providing the clinical documentation necessary for claims processing, i.e. x-rays, chart notes and letters of necessity; investigating certain denied claims, following-up on those investigations and submitting claims appeals for those denied claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient records for accuracy and completion of billing, coding, and clinical documentation.
This position answers questions from patients and providers regarding dental insurance benefits, claim status and account summary, as well as assisting patients with in-house payment arrangements under the policies of the school advising patient of their options. This position requires HIPAA compliance.
Location: 140 Dental Cir Chapel Hill, NC 27514
Duration: 11 Months
Shift: M-F 8:30 - 5, or 4 days/week for 10 hour days
Job Description:
This Insurance Specialist position performs both dental and medical insurance services for the Client.
The Insurance Specialist position works in all areas of billing and reimbursement from private dental insurance companies as well as Managed Care companies.
This position requires specialized knowledge of the insurance industry standards relating to billing and reimbursement in order to perform position duties and a strong understanding of accounts receivable.
This position works closely with private insurance carriers, particularly those contracting with the clinics. The position also requires an extensive and detailed understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic 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 insured patients; obtaining and providing the clinical documentation necessary for claims processing, i.e. x-rays, chart notes and letters of necessity; investigating certain denied claims, following-up on those investigations and submitting claims appeals for those denied claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient records for accuracy and completion of billing, coding, and clinical documentation.
This position answers questions from patients and providers regarding dental insurance benefits, claim status and account summary, as well as assisting patients with in-house payment arrangements under the policies of the school advising patient of their options. This position requires HIPAA compliance.
About Global Pharmatek
Sourced by ZipRecruiter
Global Pharmatek is a leading Contract Research Organization (CRO) and integrated drug discovery solutions provider in the pharmaceutical industry. The company is located in Edison, New Jersey, USA. Their comprehensive range of services includes Drug Discovery, Clinical Trials, Regulatory Affairs, and Biometrics, designed with the goal of swiftly translating scientific innovation into a novel product. Founded with an unwavering commitment to enhance health and well-being worldwide, this leading-edge company lays emphasis on the highest quality standards, efficient delivery, and transparency.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
2011