ZipRecruiter

Log In

2

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

Deloitte

Hospital Billing Operator

Raleigh, NC · Remote

$17.75 - $22.75/hr

As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...

Allstate

Auto Field Adjuster I, II, or Sr.

Raleigh, NC · 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 ...

Nexora Talent

Remote- Customer Experience Service

Raleigh, NC · 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 ...

Afni, Inc.

Remote Customer Service Representative

Raleigh, NC · On-site +1

$15.50 - $21.25/hr

Iowa What You Need to Thrive in Our Remote Environment: * Cable or Fiber Internet Service only (no dial-up, DSL, satellite or cellular) * 25Mbps Download/10Mbps Upload * Ping Rate - Less than 100 ms

Afni, Inc.

Remote Customer Service Representative

Raleigh, NC · Remote

$15.50 - $21.25/hr

Iowa What You Need to Thrive in Our Remote Environment: * Cable or Fiber Internet Service only (no dial-up, DSL, satellite or cellular) * 25Mbps Download/10Mbps Upload * Ping Rate - Less than 100 ms

next page

Showing results 1-20

All JobsClaims Examiner JobsRemote Claims Examiner JobsRemote Claims Examiner Jobs in Raleigh, NC

Remote Claims Examiner information

See Raleigh, NC salary details

$14

$28

$44

How much do remote claims examiner jobs pay per hour?

As of Jul 29, 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.
More about Remote Claims Examiner jobs
What are popular job titles related to Remote Claims Examiner jobs in Raleigh, NC? For Remote Claims Examiner jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Claims Examiner jobs in Raleigh, NC look for? The top searched job categories for Remote Claims Examiner jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Claims Examiner jobs? Cities near Raleigh, NC with the most Remote Claims Examiner job openings:
Remote Claims Examiner jobs near you
Infographic showing various Remote Claims Examiner job openings in Raleigh, NC as of July 2026, with employment types broken down into 74% Full Time, 13% Part Time, and 13% Contract. Highlights an 100% Remote job distribution, with an average salary of $59,449 per year, or $28.6 per hour.

Claims Processor Self-Funded

Marpai Administrators LLC

Cary, NC • Remote

$24 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

Job description

Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes. 
ABOUT THE POSITION:
The Claims Processor will be responsible to for reviewing claims for accuracy, completeness, and eligibility. The Claims Processor is responsible to adjudicate claims, complete work assignments and meet established departmental metrics.  
WHAT YOU WILL BE DOING: 
  • Data entry of claims into system. 
  • Review, analyze adjudicate claims 
  • Validate the information on all claims to ensure there is no missing or incomplete information
  • Ability to understand and apply benefits as outlined in plan document
  • Maintain/manage all claim inventories in accordance with health plan and regulatory policies
  • Display maturity, composure and ability to operate under stressful conditions.
  • Complete daily assignments and update required spreadsheet
  • Complete end of day summary
  • Flexibility to change work direction as determined by management
  • Meet departmental standards for quality, production and attendance. 
  • Analyst is flexible and able to commit to overtime based on business needs 
  • Other duties as required
 
WHAT DO YOU NEED 
  • Associates degree preferred
  • 2+ yrs claims processing self-funded claims
  • Strong analytical, research, and communication skills.
  • Expansive knowledge of medical terminology.
  • Excellent verbal and written communication skills as well as exemplary organizational skills.
  • Work closely with leadership to assist in mitigating trends as necessary.
  • Independent judgment in decision-making and problem solving.
  • Computer skills in MS Word, Excel, PowerPoint, & Outlook at the intermediate or higher level.
  • Ability to multi-task & anticipate potential needs/problems.
  • Strong attention to detail.
  • Ability to understand and apply on-line documentation policies and procedures.
  • Excellent customer services skills including an ability to follow through, take ownership and drive all assigned tasks to completion.
  • Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.
  • HIPAA Compliance
 
WORK REQUIREMENTS:
  • Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible
  • Travel minimal
 
WHY WORK AT MARPAI?  
We have great benefits: 
  • Generous PTO
  • Medical and Prescription 
  • EAP 
  • FSA / HSA / Dependent Care
  • Dental 
  • Vision 
  • Life and Disability 
  • STD/LTD
  • Voluntary Benefits: Critical Illness, Accident, Hospital
  • 401k with Employer Match
  • LegalShield
  • Identity Theft Protection
 
Marpai is an equal opportunity workplace.  We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

This is a remote position.