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Remote Claims Examiner Jobs in Raleigh, NC (NOW HIRING)

Epic Denials Management Operator

Raleigh, NC ยท Remote

$17.50 - $23.25/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

... and claims-related matters. This position will support as a consulting Medical Director role ... While this position allows remote work, the individual must reside within the state of North ...

New

Auto Field Adjuster I, II, or Sr.

Raleigh, NC ยท On-site +1

$37.98 - $52.84/hr

This role primarily handles collision-related claims and requires someone who can work independently while maintaining strong organizational and documentation skills. This is a field-based position ...

Remote- Customer Experience Service

Raleigh, NC ยท Remote

$15.50 - $21.25/hr

Customer Experience Service (Remote) We are seeking a detail-oriented Customer Experience Service to support clients throughout their journey. In this role, you will assist with coordinating client ...

Medical Billing Specialist

Raleigh, NC ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

Medical Billing Specialist

Durham, NC ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

Medical Billing Specialist

Cary, NC ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

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Remote Claims Examiner information

See Raleigh, NC salary details

$14

$28

$44

How much do remote claims examiner jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote claims examiner in Raleigh, NC is $28.58, according to ZipRecruiter salary data. Most workers in this role earn between $21.73 and $34.13 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote claims examiner, and why are they important?

To thrive as a Remote Claims Examiner, you need a solid understanding of insurance policies, analytical skills, and attention to detail, typically supported by a degree in business or a related field and relevant claims experience. Familiarity with claims management software, document management systems, and sometimes certifications like AIC (Associate in Claims) are often required. Strong communication, time management, and problem-solving abilities help you effectively assess claims and collaborate remotely. These skills are crucial for accurate, efficient claims processing and maintaining trust with clients and insurers in a remote environment.

What are some common challenges remote claims examiners face, and how can they overcome them?

Remote Claims Examiners often encounter challenges such as maintaining clear communication with team members and accessing required documentation efficiently. Since the role is remote, staying organized and disciplined is essential to meet deadlines and manage caseloads effectively. Utilizing secure digital platforms, setting regular check-in meetings, and proactively seeking clarification on complex claims can help overcome these challenges. Additionally, embracing ongoing training on claims software and staying updated with industry regulations ensures accurate and timely claim processing.

What does a remote claims examiner do?

Remote claims examiners review insurance claims to ensure they are accurate and completed properly. Instead of working in the office, remote claims examiners work from home or another location outside of the office. As a remote claims examiner, your job duties include researching the claim and gathering supportive documentation, such as medical records, invoices with services rendered, and policy guidelines. Once you have all the necessary information, you may make adjustments to the claim and determine payments or denial of service. You may also be responsible for contacting all parties involved. Complicated claims may require collaboration with a claims adjuster or investigator. Claims examiners work in healthcare, real estate, automotive, government agencies, and other insurance-related industries.

What is a remote claims examiner?

A Remote Claims Examiner is a professional who reviews insurance claims from home or another remote location. Their primary job is to investigate, evaluate, and process claims to determine their validity and the amount that should be paid out. They work for insurance companies, healthcare providers, or third-party administrators, handling documentation, communicating with claimants, and ensuring compliance with regulations. By working remotely, they use digital tools to manage claims and collaborate with other team members online.
What cities near Raleigh, NC are hiring for Remote Claims Examiner jobs? Cities near Raleigh, NC with the most Remote Claims Examiner job openings:
Infographic showing various Remote Claims Examiner job openings in Raleigh, NC as of August 2026, with employment types broken down into 60% Full Time, 20% Part Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $59,449 per year, or $28.6 per hour.

Management Liability Claims Specialist

Iatinsurancegroup

Raleigh, NC โ€ข On-site, Remote

$60K - $95K/yr

Full-time

Medical, Retirement, PTO

Re-posted 24 days ago


Job description

IAT Insurance Group has an immediate opening for a Management Liability Claims Specialist that can be located in any of our IAT locations.

This role works a hybrid schedule that requires working from the office Monday through Wednesday, with the option of working Thursday and Friday remotely.

While we prefer candidates to work from one of our IAT office locations, we are open to considering fully remote arrangements for the ideal candidate.

Responsibilities:

  • Responsible for handling Management Liability Claims (EPL, D&O, Fiduciary and Crime) for Private and Non-Profit businesses based on Claim Guidelines
  • Within authority limit, thoroughly analyze, investigate, negotiate and resolve all levels of severity claims
  • Selects, directs and manages defense counsel including approval of budgets
  • Develops litigation/file disposition strategy. Attends mediations, settlement conferences and trials
  • Verifies/analyzes applicable coverage for the reported claims
  • Follow operational policies and procedures, including compliance, regulatory and performance and customer service standards
  • Prepare reports, including Large Loss Reports, to management which accurately reflects loss development, potential/actual financial exposure, coverage issues, claim and recovery strategies
  • Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file
  • Identifies and addresses recovery/contribution/SIU opportunities
  • Sets accurate/timely loss/expense reserves in compliance with Claim Guidelines.
  • Drafts correspondence, including but not limited to, coverage letters to stakeholders as required
  • Support business partners on an as needed basis on various claim and underwriting related issues and marketing meetings
  • Maintains resident/nonresident adjuster licenses as required
  • Performs other duties as assigned

Qualifications:

Must Have:

  • Bachelor's Degree with 5+ years of management liability claims experience (including handling employment liability practices, directors & officers' liability and fiduciary liability coverages)
    • In Lieu of a Bachelor's Degree with 5+ years of management liability claims, a high school diploma/GED with 9+ years of relevant litigation claims experience will be considered
  • Excellent coverage analysis skills with experience in drafting coverage position correspondence
  • Experience handling litigated files and direction of defense counsel
  • Excellent negotiation skills
  • Must be willing to travel, average 1 day a month
  • Claims Licensure as required by respective state(s)
  • Excellent oral and written communication skills
  • Ability to organize, multi-task and prioritize work
  • Excellent customer service and interpersonal skills
  • Ability to analyze data, utilize sound judgment to draw conclusion and make supported decisions
  • To qualify, applicants must be authorized to work in the United States and must not require, now or in the future, VISA sponsorship for employment purposes

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.

Compensation:

Please note, that the annual gross salary range associated with this posting is $60,600 - $95,700. Actual salaries will vary based on factors such as a candidate's qualifications, skills, competencies, and geographical location related to this specific role. The total compensation will include a base salary, performance-based bonus opportunities, 401(K) match, profit-sharing opportunities, and more.

To view details of our full benefits, please visit https://www.iatinsurancegroup.com/careers/benefits

ย 

IAT Insurance Group is the largest private, family-owned property and casualty insurer in the U.S. Insurance Answers Together is how we define IAT, in letter and in spirit. We work together to provide solutions for people and businesses. We collaborate internally and with our partners to provide the best possible insurance and surety options for our customers.

At IAT, we're committed to driving and building an open and supportive culture for all. Our employees propel IAT forward - driving innovation, stable partnerships and growth. That's why we continue to build an engaging workplace culture to attract and retain the best talent.

We offer comprehensive benefits like:

  • 26 PTO Days (Entry Level) + 12 Company Holidays = 38 Paid Days Off
  • 7% 401(k) Company Match and additional Profit Sharing
  • Hybrid work environment
  • Numerous training and development opportunities to assist you in furthering your career
  • Healthcare and Wellness Programs
  • Opportunity to earn performance-based bonuses
  • College Loan Assistance Support Plan
  • Educational Assistance Program
  • Mentorship Program
  • Dress for Your Day Policy

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.