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

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site +1

$44K - $71K/yr

Remote Salary Range: $44,936.00 - $71,781.00 * salary range is for this level and may vary based on ... Documents claim files and facilitates processing of claims in collaboration with other departments.

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site

$44K - $71K/yr

Remote Salary Range: $44,936.00-$71,781.00* salary range is for thislevel and may vary based on ... Documents claim files and facilitates processing of claims in collaboration with other departments.

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All JobsRemote Claims Processing JobsRemote Claims Processing Jobs in Raleigh, NC

Remote Claims Processing information

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$25

How much do remote claims processing jobs pay per hour?

As of Jun 23, 2026, the average hourly pay for remote claims processing in Raleigh, NC is $18.63, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $20.10 per hour, depending on experience, location, and employer.

What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?

Remote claims processing professionals often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Effective time management and strong organizational skills are key to handling large workloads efficiently. Regular check-ins with supervisors and using secure, company-approved communication tools can help maintain collaboration and protect sensitive information. Many organizations also provide training and support to help remote processors stay up-to-date with changing regulations and best practices.

What are the key skills and qualifications needed to thrive as a Remote Claims Processor, and why are they important?

To thrive as a Remote Claims Processor, you need a strong understanding of insurance policies, attention to detail, and relevant experience or education in insurance or finance. Familiarity with claims management software, electronic document systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, time management, and problem-solving abilities help you stand out, especially when working independently. These skills ensure accurate, timely claims resolutions and effective collaboration with clients and colleagues in a remote environment.

What is remote claims processing?

Remote claims processing is the evaluation and handling of insurance claims by professionals who work from locations outside of a traditional office, often from home. These processors review claim submissions, verify information, assess coverage, and authorize payments or request additional information. Remote claims processors use secure online systems and communication tools to collaborate with colleagues and clients. This role requires strong attention to detail, confidentiality, and proficiency with digital platforms. Many insurance companies now offer remote claims processing positions to increase flexibility and efficiency.

What is the difference between Remote Claims Processing vs Remote Claims Adjuster?

AspectRemote Claims ProcessingRemote Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentHome-based, administrative settingHome-based or field, investigative and evaluative tasks
Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Job FocusProcessing claims, data entry, customer serviceInvestigating claims, assessing damages, settlement negotiations

Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

What are popular job titles related to Remote Claims Processing jobs in Raleigh, NC? For Remote Claims Processing jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processing jobs in Raleigh, NC look for? The top searched job categories for Remote Claims Processing jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Claims Processing jobs? Cities near Raleigh, NC with the most Remote Claims Processing job openings:
Remote Claims Processing jobs near you
Epic PB/PB Claims Analyst

Epic PB/PB Claims Analyst

The Select Group

Morrisville, NC • Remote

Full-time

Posted 13 days ago

Job description

EPIC PB/CLAIMS ANALYST | REMOTE (EST)
The Select Group is seeking an Epic PB/PB Claims Analyst to support a large Community Connect initiative with one of our top healthcare partners. This individual will play a key role in supporting Professional Billing (PB) and PB Claims workflows, revenue cycle optimization initiatives, and implementation efforts related to onboarding affiliated entities into the Epic environment. They will assist with workflow analysis, build support, testing, troubleshooting, and operational readiness efforts throughout the Community Connect project lifecycle.
WHAT YOU'LL CONTRIBUTE
  • Support the successful implementation and optimization of Epic Professional Billing (PB) and PB Claims workflows across affiliated organizations
  • Partner with revenue cycle, operational, and Epic application teams to align workflows and drive project objectives
  • Contribute to Community Connect onboarding efforts by analyzing current-state processes and supporting future-state workflow design
  • Help improve claims accuracy, reimbursement efficiency, and overall revenue cycle performance through workflow support and issue resolution
  • Participate in testing, validation, and go-live activities to support operational readiness and a smooth transition into the Epic environment
  • Provide documentation, troubleshooting support, and recommendations for ongoing system and workflow optimization throughout the project lifecycle

EPIC PB/CLAIMS ANALYST RESPONSIBILITIES
  • Support Epic PB and PB Claims implementation and optimization activities
  • Assist with Community Connect onboarding and revenue cycle workflow alignment
  • Collaborate with revenue cycle, operational, and Epic application teams
  • Support claims processing workflows, charge review activities, claim edits, and reimbursement processes
  • Participate in workflow analysis, testing, validation, and issue resolution activities
  • Assist with build review, configuration updates, and system optimization efforts
  • Support end-user operational readiness and go-live activities
  • Document workflows, decisions, and implementation updates
  • Participate in project meetings with operational and technical stakeholders

EPIC PB/CLAIMS REQUIREMENTS
  • Active Epic PB certification required
  • Strong experience supporting Epic PB and PB Claims workflows required
  • Experience supporting healthcare revenue cycle workflows in complex healthcare environments
  • Previous Community Connect or Epic implementation experience
  • Experience with claims management, reimbursement workflows, and charge review processes
  • Strong understanding of Professional Billing operations
  • Strong troubleshooting, communication, and documentation skills
  • Ability to work cross-functionally with operational and technical teams

Bonus Qualifications
  • Additional Epic revenue cycle certifications preferred
  • Experience supporting large health systems or academic medical centers
  • Revenue cycle optimization experience
  • Go-live or operational readiness support experience
  • Experience with workflow redesign or process improvement initiatives

TSG is an equal opportunity employer. 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.
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