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

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

Erie Insurance

Inside Claims Representative I

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

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

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

Erie Insurance

Inside Claims Representative I

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

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All JobsMedical Insurance Claims JobsMedical Insurance Claims Jobs in Raleigh, NC

Medical Insurance Claims information

See Raleigh, NC salary details

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How much do medical insurance claims jobs pay per hour?

As of Sep 6, 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:

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 August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $42,404 per year, or $20.4 per hour.

Inside Claims Representative I

Erie Insurance

Raleigh, NC • On-site

$44K - $71K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Erie Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

58th of 315 rated insurance

Job description

Division or Field Office:
Casualty Claims Division
Department of Position:Zones Dept
Work from:
RemoteSalary Range:
$44,936.00 - $71,781.00 *
salary range is for this level and may vary based on actual level of role hired for
*This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.
At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.
Benefits That Go Beyond The Basics
We strive to be Above all in Service® to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including:
  • Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work.
  • Low contributions to medical and prescription premiums. We currently pay up to 97% of employees' monthly premium costs.
  • Pension. We are among the 2% of Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of services.
  • 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension.
  • Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave.
  • Career development. Including a tuition reimbursement program for higher education and industry designations.

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.
Position Summary
Under close supervision, handles liability and property claims within designated authority. Resolves coverage and/or liability issues in accordance with applicable state insurance laws, regulations, and procedures.
• Candidates in proximity to Raleigh Branch office are preferred and will work from home.
• Weekday evening shifts and/or Saturday shifts will be required based on business and service level needs.
• The selected candidate will be required to obtain appropriate licensing within 45 days.
• All Employees that work remotely must have access to internet service bandwidth speeds that meet ERIE's requirement of 50 mbps download and 10 mbps upload.
Duties and Responsibilities
  • Investigates and adjudicates claims within designated authority, ensuring compliance with appropriate statutory laws. Verifies coverage, establishes and maintains reserves, secures recorded statements, drafts and processes correspondence, reports and records. Obtains additional information as required to determine liability. Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential recovery.
  • Establishes contact with all parties involved in the claim in accordance with ERIE's expectations.
  • Evaluates and negotiates claims, recognizes subrogation opportunities, and initiates action. Sets up and/or issues payment using ERIE's approved payment methods for settlement; or declines payment within designated authority.
  • Responds to inquiries from Policyholders, Agents, insurance carriers, claimants, assigned experts and others.
  • Learns and maintains knowledge of liability laws for each state. Learns and maintains knowledge of motor vehicle codes.
  • Learns and maintains knowledge of no fault/medical management/FPB laws for each state, including recognition of bodily injury claims.
  • With supervisor guidance, responds to intercompany arbitration applications. Files contentions and supporting documents on behalf of the insured/driver.
  • Conducts research, attends industry-related training programs and other training sessions to stay current on policy changes, interpretation, or new legislation.
  • Provides support for property claims during periods of heavy volume.

The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.
This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become clear.
Capabilities
  • Self-Development
  • Collaborates
  • Cultivates Innovation
  • Instills Trust
  • Decision Quality
  • Values Diversity
  • Nimble Learning
  • Customer Focus
  • Optimizes Work Processes (IC)
  • Ensures Accountability
  • Detail Orientation
  • Information Management Skills
  • Job-Specific Knowledge

Qualifications
Minimum Educational and Experience Requirements
  • High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required.
  • Bachelor's or Associate's degree preferred.

Designations and/or Licenses
  • Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred.
  • Obtain appropriate licenses as required by state within 45 days of employment in the role for external applicants and 90 days of employment in the role for internal applicants.

Physical Requirements
  • Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%)
  • Climbing/accessing heights; Rarely
  • Ability to move over 50 lbs using lifting aide equipment; Rarely
  • Driving; Never
  • Lifting/Moving 0-20 lbs; Rarely
  • Lifting/Moving 20-50 lbs; Rarely
  • Pushing/Pulling/moving objects, equipment with wheels; Rarely

What Erie Insurance Group employees say

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