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

Stoploss Coordinator

Cary, NC · Remote

$50K - $80K/yr

Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (Marpai) is an AI-powered

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

New

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential.

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential.

Contract Management Professional

Raleigh, NC · On-site

$86K - $115K/yr

Location: Raleigh, North Carolina, United States Job ID: R0110944 Date Posted: 2025-11-07 Company Name: HITACHI ENERGY USA INC Profession (Job Category): Legal, Compliance & Audit Job Schedule: Full

Contract Management Professional

Raleigh, NC · On-site +1

$86K - $115K/yr

Location: Raleigh, North Carolina, United States Job ID: R0110944 Date Posted: 2025-11-07 Company Name: HITACHI ENERGY USA INC Profession (Job Category): Legal, Compliance & Audit Job Schedule: Full

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Remote Claims Processing information

See Raleigh, NC salary details

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How much do remote claims processing jobs pay per hour?

As of Jun 24, 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 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:
Senior Epidemiologist, Oncology (FSP Sponsor Dedicated)

Senior Epidemiologist, Oncology (FSP Sponsor Dedicated)

IQVIA

Durham, NC • Remote

Full-time

Posted 10 days ago


IQVIA rating

8.2

Company rating: 8.2 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

45th of 204 rated it services


Job description

Location: Remote, candidates must be US-based

Join IQVIA's Sponsor-Dedicated FSP team and help advance healthcare through real-world evidence. We bring together scientific expertise and real-world data to help sponsors make decisions and accelerate evidence generation to improve patient outcomes. In this role, you'll work closely with one sponsor, gaining deep knowledge of their therapies while leveraging IQVIA's global expertise.

Core Function Description:

Design and conduct epidemiological studies to generate real-world evidence within time, budget, and quality standards, including but not limited to natural history of disease, population characterization, assessment of treatment patterns and unmet need, development of external comparators, benchmarking of clinical outcomes, comparative safety and effectiveness research, and post-authorization studies. Skill sets of the Epidemiologist role are similarly required, with the expectation of more experience, able to operate strategically under limited supervision, well versed in current Epidemiology research methods, deep understanding of how RWE fits within drug development, regulatory, medical, safety and other functions.

Required Experience

  • Lead development of study protocols, analysis plans, and study reports to answer research questions of priority to RWE.

  • Lead, design, and manage epidemiological, biomarker and/or data science projects.

  • Lead, plan, design, and conduct analyses for internal and external decision making (e.g., responses to regulatory authorities, rapid analyses of safety queries).

  • Lead the identification of fit-for-purpose data for the timely execution of the RWE strategy.

  • Constructed cohorts using RWD sources (e.g., claims, EHR) and evaluate key variables, including diagnosis and procedures codes, and plan validation studies as needed.

  • Contribute to the communication of observational research results and methods, including development of pertinent sections of regulatory documents, reports, publications, white papers.

  • Support the effective communication of study/analysis results to support internal and external decisions.

  • Coauthor abstracts and manuscripts for external dissemination of methodologic study results.

  • Contribute to the development of processes and training aimed at increasing the efficiency, quality, and impact of functional activities.

Technical Expertise:

  • Observational research methods (both Primary and Secondary), deep knowledge of biostatistics and analysis methods, understanding of regulatory processes.

  • Ability to design studies independently, (i.e., ability to translate research questions to create study design).

Subject Matter Expertise:

  • Extensive experience conducting cancer epidemiology studies (solid tumor experience a plus), experience with commercial Oncology EMR databases.

  • Leverage RWE expertise to identify evidence gaps and develop options to address the evidence gaps in support of Clinical Development Programs in early phase (ph1/2).

  • Provide subject matter expertise and conduct analyses for descriptive and comparative research using RWD (examples include claims, EHR, registry data) for methodologic research questions.

  • Expert knowledge and extensive experience with cancer epi (solid tumor experience a plus), extensive experience with oncology EMR databases, extensive experience with conducting cancer epi studies.

  • Experience with Clinico-genomic multi-modal data (e.g., Tempus AI) or population biobank data (UK biobank) is a plus

Minimum Qualifications

  • PhD in Epidemiology, Biostatistics, Psychometrics, or related field with a minimum of four (4) years of relevant post-doctoral experience, preferably in pharmaceutical industry, biotechnology, or consulting environment. Master's degree in epidemiology, biostatistics, bioinformatics, or relevant scientific field, plus 7-9 years of experience in lieu of PhD may be acceptable.

  • Deep understanding of observational research methods and experience to support the design and conduct of observational research, including protocol, statistical analysis plan, and study report development.

  • Extensive knowledge of secondary data sources and experience with secondary data analysis, including electronic medical record and/or medical claims databases.

  • A record of scientific publications demonstrating expertise in observational study design, analysis, and interpretation is preferred.

  • Demonstrated ability to function with an increasing level of autonomy and to develop productive cross- functional collaborations in a matrix environment.

  • Ability to manage priorities and performance targets.

  • Experience in leading drug development project for 2+ years for therapeutic area of assignment preferred.

What's in it for you?

  • Be part of a forward-thinking team that helps shape the next generation of evidence-based healthcare.

  • Work hand-in-hand with one leading sponsor, gaining deep expertise in their therapies.

  • Access IQVIA's global network who supports your growth.

This is your chance to make an impact, while building a career that matters.

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.iqvia.com

IQVIA is proud to be 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, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role, when annualized, is $110,500.00 - $276,100.00. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

What IQVIA employees say

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US