... 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
This Insurance Specialist position offers both dental and medical insurance services for the UNC ... medical-dental cross-coding, electronic claims processing, and the policies and contracts of ...
Insurance Specialist
Chapel Hill, NC · On-site
This Insurance Specialist position offers both dental and medical insurance services for the UNC ... medical-dental cross-coding, electronic claims processing, and the policies and contracts of ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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
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
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
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 ...
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 ...
Claims Coordinator
Durham, NC · Hybrid
You will work closely with insurance carriers, members, and healthcare providers to ensure that ... Serve as a liaison between DAN Medical Services, DAN Claims, and third-party assistance companies ...
Claims Coordinator
Durham, NC · Hybrid
You will work closely with insurance carriers, members, and healthcare providers to ensure that ... Serve as a liaison between DAN Medical Services, DAN Claims, and third-party assistance companies ...
Claims Coordinator
Durham, NC · On-site
You will work closely with insurance carriers, members, and healthcare providers to ensure that ... Serve as a liaison between DAN Medical Services, DAN Claims, and third-party assistance companies ...
Quick apply
Claims Coordinator
Durham, NC · On-site
You will work closely with insurance carriers, members, and healthcare providers to ensure that ... Serve as a liaison between DAN Medical Services, DAN Claims, and third-party assistance companies ...
Claims Coordinator
Durham, NC · On-site
$50K - $55K/yr
You will work closely with insurance carriers, members, and healthcare providers to ensure that ... Medical Services, DAN Claims, and third-party assistance companies for emergent cases and ...
Claims Coordinator
Durham, NC · On-site
$50K - $55K/yr
You will work closely with insurance carriers, members, and healthcare providers to ensure that ... Medical Services, DAN Claims, and third-party assistance companies for emergent cases and ...
Claims Representative , Auto
Raleigh, NC · On-site
$50K/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/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 ...
Manager, Claims
Chapel Hill, NC · On-site
$107K - $172K/yr
Medical, dental, and vision coverage along with numerous health and wellness programs * Parental ... Health Insurance, Insurance Claim Handling, Insurance Claims Processing, Insurance Industry ...
Manager, Claims
Chapel Hill, NC · On-site
$107K - $172K/yr
Medical, dental, and vision coverage along with numerous health and wellness programs * Parental ... Health Insurance, Insurance Claim Handling, Insurance Claims Processing, Insurance Industry ...
Claims Advisor, Professional Liability | E&O, D&O
Raleigh, NC · On-site
$115K - $130K/yr
In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of ... Claims expertise in errors and omissions, directors and officers * Excellent oral and written ...
Claims Advisor, Professional Liability | E&O, D&O
Raleigh, NC · On-site
$115K - $130K/yr
In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of ... Claims expertise in errors and omissions, directors and officers * Excellent oral and written ...
Construction Claims Analyst/Lead Construction Claims Analyst (Full-Time)
Raleigh, NC · On-site
$82K - $115K/yr
Construction Claims Analyst/Lead Construction Claims Analyst (Full-Time) Job Locations US-NC ... Generous Paid Time Off and holiday schedules * 100% Employer paid medical, dental, vision, life, AD ...
Construction Claims Analyst/Lead Construction Claims Analyst (Full-Time)
Raleigh, NC · On-site
$82K - $115K/yr
Construction Claims Analyst/Lead Construction Claims Analyst (Full-Time) Job Locations US-NC ... Generous Paid Time Off and holiday schedules * 100% Employer paid medical, dental, vision, life, AD ...
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.
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.
Property & Casualty Insurance Claims Operations Consultant, Manager
Raleigh, NC · On-site
$99K - $232K/yr
... 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 ...
Property & Casualty Insurance Claims Operations Consultant, Manager
Raleigh, NC · On-site
$99K - $232K/yr
... 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 ...
Attendance and completion of designated claims professional training program. * Adjusting various ... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee ...
Attendance and completion of designated claims professional training program. * Adjusting various ... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee ...
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 Sep 1, 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.
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 are the key skills and qualifications needed to thrive in the medical insurance claims position?
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.
How to become a medical insurance claims adjuster?
To become a medical insurance claims adjuster, you typically need a high school diploma or equivalent, with some roles preferring postsecondary education or relevant coursework in insurance or healthcare. Gaining experience in insurance claims processing or healthcare settings is beneficial, and obtaining a state license may be required depending on the jurisdiction. Strong attention to detail, communication skills, and familiarity with claims processing software are important for success in this role.
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:
- Remote Claims Specialist
- Remote Health Claims Examiner
- Remote No Experience Medical Claims Processor
- Remote Unemployment Claims Adjudication
- Evening Medical Claims Processor
- Remote Mortgage Claims Specialist
- Full Time Medicare Claims Processing
- Remote Subrogation Analyst
- Senior Claims Analyst
- Claims Representative Trainee
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:
Other
Medical, Dental
This job post has expired today. Applications are no longer accepted.
Job description
Insurance Specialist
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 Capleo Global
Sourced by ZipRecruiter
Capleo Global, based in Edison, NJ, USA, operates in the field of financial management and consultancy. The company, as reflected on its official website capleoglobal.com, specializes in providing expert guidance and services in portfolio management, risk management, and business growth strategies. Since its foundation, Capleo Global has progressively expanded its services and consolidated its expertise, making it a reliable partner for businesses aiming to optimize their finances and risk factors. Their distinguished mission is to empower their clients by offering innovative financial solutions and strategic advice that drives growth and success.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
2019