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

Deloitte

Epic Denials Management Operator

Raleigh, NC · 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 ...

Senture

Medical Director

Raleigh, NC · Remote

... 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 ...

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 ...

micro1 AI

Medical Billing Specialist

Raleigh, NC · 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 ...

micro1 AI

Medical Billing Specialist

Cary, NC · 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 ...

micro1 AI

Medical Billing Specialist

Durham, NC · 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 ...

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

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

Remote Claims Examiner information

See Raleigh, NC salary details

$14

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$44

How much do remote claims examiner jobs pay per hour?

As of Aug 16, 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 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 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 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.
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For Remote Claims Examiner jobs in Raleigh, NC, the most frequently searched job titles are:

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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 August 2026, with employment types broken down into 65% Full Time, 14% Part Time, 14% Temporary, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $59,449 per year, or $28.6 per hour.

Commercial General Liability Claims Representative

KING'S INSURANCE STAFFING LLC

Raleigh, NC • On-site, Remote

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Job description

Our client, an A-rated Insurance Carrier, is seeking to add a Commercial General Liability Claims Representative to their Phoenix, AZ team. This person would be responsible for directly handling moderate non-litigated Commercial General Liability claims including Slip and Falls, Premise Liability, Bodily Injury, Garagekeepers, and Inland Marine losses throughout the country. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation, and settlement of assigned claims. This person would have the ability to work remotely.
  • Handle a pending of 90 – 110 Commercial General Liability files.
  • Analyze coverage as it relates to the facts and allegations of the claim.
  • Prepare Reservation of Rights and Declination of Coverage letters.
  • Possess strong litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company.
  • Perform coverage, liability, and damage analysis on all claim’s assignments
  • Investigate allegations and determine facts based on evidence and interviews
  • Maintain a high level of communication internally with Claims Management team and externally with Insureds, claimants, attorneys, and brokers.
  • Identify and pursue appropriate cost containment, loss mitigation and subrogation recovery opportunities.
Requirements:
  • 1 - 4+ years of Commercial General Liability and/or Commercial Auto Bodily Injury claims experience.
  • Must have experience working directly for an Insurance Carrier.
  • Must be experienced in reviewing and analyzing coverage.
  • Must hold an active adjuster’s license.
  • Strong verbal and written communication skills, including the capability to write routine reports and correspondence, speak effectively before groups of customers or employees and handle litigations and negotiations.
  • Bachelor's Degree strongly desired but not required.
Salary/Benefits:
  • $80,000 - $95,000+ annual base salary plus 10-20% bonus
  • Ability to work remotely
  • Extremely competitive Medical, Dental, Vision and Life plans
  • Employer matching 401(k) plan
  • Lucrative PTO plan
  • Promotional opportunities very likely