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

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

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

TEKsystems

Email Customer Service Reps

Raleigh, NC · Remote

$16/hr

... remote position. Application Deadline This position is anticipated to close on Aug 19, 2026. About TEKsystems We're partners in transformation. We help clients activate ideas and solutions to take ...

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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

$28

$44

How much do remote claims examiner jobs pay per hour?

As of Aug 7, 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 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.

Remote Customer Service Representative

Afni, Inc.

Raleigh, NC • Remote

$15.50 - $21.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 24 days ago

Afni rating

7.1

Company rating: 7.1 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

17th of 71 rated call and contact centers

Job description

Career paths start between $14.50 and $15/hr plus bonus.


Why start building your career at Afni?


We believe in you and invest in your success! From the very beginning, our coaches and trainers work with you to achieve the goals you set. We've been in business since 1936, so you can be sure the career you start today will still be here tomorrow.


What do we offer?


A training program and leadership team that believes in you. After training, we offer paid personal time off, paid sick time, health/vision/dental benefits, 401k with matching contributions, and a tuition reimbursement program.


What can you expect from your work at Afni?

This position is for wireless customer service, so you will be handling mainly inbound calls from people looking for assistance with their wireless accounts. You can also expect stability, encouragement, a cooperative environment where you can learn, grow, and advance.

What do we expect from you as part of this team?


You will deliver world-class customer service to inbound callers as well as utilize product knowledge to troubleshoot and solve customer concerns with both empathy and efficiency. Those calls will require processing of orders, updating accounts, updating records, effective multitasking, and strong attention to detail.


How can you join the Afnimazing team?


You can apply online here!

Key Qualifications

  • Exceptional communication and active listening skills, with the ability to build rapport and handle difficult situations professionally; navigating multiple systems and maintaining a positive attitude under pressure; quick-thinking problem solver; and self-motivated with a strong work ethic and effective time management in a home office setting.
  • Customer service experience: Minimum 1 year in a customer service or sales role, with a minimum of 6 months in a call center virtual setting.
  • Available for 12 weeks of paid training, with consistent 8-hour shifts scheduled between Sunday and Saturday, 07:00AM - 01:00AM CST.
  • Available to work 8-hour shifts any day of the week, including weekends and holidays, between 07:00AM - 01:00AM CST.
  • Must pass a background screening, be at least 18 years old, have a GED or High School Diploma, and be legally permitted to work in the United States.

Afni is currently hiring in the following states. You must live in one of these states:

  • Alabama
  • Georgia
  • North Carolina
  • South Carolina
  • Texas
  • Wisconsin
  • 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
  • A private workspace with desk/chair where surrounding noise (children, pets, people, electronics, etc.) cannot be heard or present during working hours.
  • Ability to be on webcam during working hours

What Afni employees say

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