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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

Integrityfex

Client Services Representative

Raleigh, NC · Remote

$15.50 - $21.25/hr

Remote Opportunity** Integrity FEX is growing and seeking Client Services Representatives to help individuals and families explore life insurance options that meet their financial goals. We provide ...

New

Guidebook

Customer Support Representative

Raleigh, NC · On-site +1

$50K - $55K/yr

Skilled at collaborating with a remote team working across multiple time zones * Experience with the following tools is a plus, but not required: Zendesk, Fin (Intercom), Claude, Slack, Jira ...

Guidebook

Customer Support Representative

Raleigh, NC · Remote

$50K - $55K/yr

Skilled at collaborating with a remote team working across multiple time zones * Experience with the following tools is a plus, but not required: Zendesk, Fin (Intercom), Claude, Slack, Jira ...

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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 Sep 3, 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.
More about Remote Claims Examiner jobs

What are the most commonly searched types of Claims Examiner jobs in Raleigh, NC?

The most popular types of Claims Examiner jobs in Raleigh, NC are:

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 91% Full Time, and 9% Contract. Highlights an 100% Remote job distribution, with an average salary of $59,445 per year, or $28.6 per hour.

Work from Home: Customer Service Representative (Healthcare)

Sagility

Raleigh, NC • Remote

$15/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

63rd of 72 rated call and contact centers

Job description

Job title Work from Home: Customer Service Representative (Healthcare) About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

Work from Home: Customer Service Representative (Healthcare)

Job Description:

Elevate Your Career with Sagility
Sagility, a global leader in business process management, is dedicated to enhancing the member and patient experience. By combining cutting-edge technology with decades of healthcare expertise, we deliver exceptional results for our clients.

Become Part of a Team That S.O.A.R,s!

  • S Spark Curiosity
  • O One Team, One Direction
  • A Action for Results
  • R Right by Right Purpose

We are passionate about shaping careers and are hiring Remote Customer Service Representatives for our call center team. Be the compassionate

human connection that makes our service exceptional.

Benefits You Will Enjoy:

  • Competitive pay: $11.00 to $14.00/hour (bilingual representatives: $15.00/hour).
  • Performance-based incentives.
  • Paid training in a cutting-edge virtual training environment.
  • Comprehensive health coverage (available after 90 days).
  • Employee wellness and engagement programs.
  • Career advancement opportunities: 90% of our leaders started as Customer Service Representatives.

Your Role:

  • Handle incoming calls promptly and professionally.
  • Research and provide effective resolutions to customer inquiries.
  • Accurately document call details.
  • Communicate empathetically and diplomatically with clear, professional articulation.
  • Meet team goals for quality and customer satisfaction daily.

What You Bring to the Table:

  • Commitment to excellence and a positive attitude.
  • Strong communication and interpersonal skills.
  • Comfort in a fast-paced, team-oriented environment.
  • Proficiency in navigating computer applications.
  • Desire to exceed customer expectations and grow professionally.
  • Previous healthcare experience is a plus.
  • At least 1 year of experience in a call center environment is required.

Job Requirements:

  • Must be 18 years or older.
  • High School Diploma or equivalent.
  • Minimum of 1 year at a single job, preferably in customer service.
  • Reliable attendance, with no absences in the first 90 days.
  • Typing at least 25 WPM.
  • Hardwired internet connection with minimum speeds of 10 Mbps upload and 25 Mbps download.
  • Secure, private work area at home.
  • Flexible availability, including weekends.

Additional Perks:

  • Daily Pay.
  • Medical, Dental, and Vision coverage.
  • Life Insurance.
  • Short-Term and Long-Term Disability options.
  • Flexible Spending Account (FSA).
  • Employee Assistance Program.
  • 401(k) with employer contribution.
  • Paid Time Off (PTO).
  • Tuition Reimbursement.

Sagility is an Equal Opportunity Employer/Vet/Disability.

Location:

Texas (CST)United States of America

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