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

Erie Insurance

Inside Claims Representative I

Cary, NC · On-site +1

$44K - $71K/yr

This is a remote, work-from-home position. Candidates located within proximity to ERIE's Raleigh ... Documents claim files and facilitates processing of claims in collaboration with other departments.

Erie Insurance

Inside Claims Representative I

Cary, NC · On-site +1

$44K - $71K/yr

This is a remote, work-from-home position. Candidates located within proximity to ERIE's Raleigh ... Documents claim files and facilitates processing of claims in collaboration with other departments.

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.

City of Durham, NC

Liability Claims Analyst

Durham, NC · On-site +1

$68K - $105K/yr

... Remote Employment: Flexible/Hybrid Job Number: 26-06129 Department: Finance Opening Date: 09/11 ... Process, investigate, analyze, and determine liability for City accidents and incidents involving ...

New

Deloitte

Epic Denials Manager

Raleigh, NC · Remote

... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

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Remote Claims Processing information

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How much do remote claims processing jobs pay per hour?

As of Sep 13, 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 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 are the key skills and qualifications needed to thrive as a remote claims processor?

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 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 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
Infographic showing various Remote Claims Processing job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $38,750 per year, or $18.6 per hour.

Sr Epic Resolute (Billing & Claims) Certified Analyst

Morrisville, NC • On-site, Remote

UNC HEALTH
Health Care and Social Assistance • 10K+ employees
Learn more about UNC HEALTHexternal

$41.45 - $59.58/hr

Full-time

Re-posted 21 days ago

UNC Health rating

7.0

Company rating: 7.0 out of 10

Based on 321 frontline employees who took The Breakroom Quiz

Job description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
UNC Health is seeking an experienced Epic Resolute Certified Analyst to support our Community Connect program. This role supports external partner clinics using UNC Health's Epic platform, with a focus on professional billing (PB), claims management, and end-to-end revenue cycle workflows, with strong alignment to ambulatory operations.
Location: Morrisville, NC (Hybrid: Remote & Onsite)
Team: Community Connect | UNC Health ISD
Responsibilities:
  • Design, build, and support Epic Resolute (Professional Billing & Claims) functionality
  • Maintain billing rules, including charge routing, claim edits, payer setup, and workqueues
  • Support charge capture, claim submission, payment posting, denials, and A/R workflows
  • Troubleshoot billing and claims issues, including rejections, denials, and workflow gaps
  • Partner with revenue cycle, coding, and operational teams to optimize workflows and reduce revenue leakage
  • Support requirements gathering, testing, go-lives, and system enhancements
  • Provide onsite clinic support, including workflow analysis and optimization
  • Ensure data integrity, compliance, and reporting support for revenue cycle performance

Preferred Qualifications:
  • Epic Resolute Certification (Professional Billing) (active)
  • 3+ years of Epic Resolute experience in a healthcare environment
  • Strong knowledge of billing, claims processing, and revenue cycle operations
  • Experience with claim edits, denials management, and A/R follow-up workflows
  • Ability to travel to clinics for onsite support
  • Experience with Community Connect or multi-site environments
  • Experience with workqueues, claim scrubbing, and payer/plan build
  • Understanding of ambulatory (PB) workflows and integrations with Cadence/Prelude
  • Experience supporting go-lives, testing (UAT), and workflow optimization initiatives

Other Information
Education Requirements:
• Bachelor's degree in Computer Science, Information Systems Management or related field (or equivalent combination of education, training and experience).
Licensure/Certification Requirements:
• No licensure or certification required.
Professional Experience Requirements:
• If a Bachelor's degree: Four (4) years of experience with IT systems and/or related operational experience.
• If an Associate's degree: Six (6) years of IT systems and/or related operational experience.
• If a High School diploma or GED: Eight (8) years of IT systems and/or related operational experience.
Knowledge/Skills/and Abilities Requirements:
  • Epic Resolute Certification (Professional Billing) (active)
  • 3+ years of Epic Resolute experience in a healthcare environment
  • Strong knowledge of billing, claims processing, and revenue cycle operations
  • Experience with claim edits, denials management, and A/R follow-up workflows
  • Ability to travel to clinics for onsite support
  • Excellent analytical and communication skills. Ability to work well in a team environment. Demonstrated ability to successfully manage multiple tasks simultaneously. Highly responsive to internal customers.

Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: ISD Ambulatory Services
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $41.45 - $59.58 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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