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Remote Claims Processor From Home Jobs in Raleigh, NC

EmergeOrtho

Accounts Receivable Specialist

Durham, NC · Remote

$19.50 - $25.75/hr

... processes that expedite medical services' billing and collection. This includes creating claims ... Remote Work Environment - Work comfortably from home while staying connected to a dedicated and ...

HMG Careers

Work From Home Sales Specialist

Oxford, NC · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Sims, NC · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Wendell, NC · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Zebulon, NC · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Clayton, NC · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Moncure, NC · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

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All JobsClaims Processor JobsRemote Claims Processor From Home JobsRemote Claims Processor From Home Jobs in Raleigh, NC

Remote Claims Processor From Home information

See Raleigh, NC salary details

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How much do remote claims processor from home jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for remote claims processor from home 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 the key skills and qualifications needed to thrive as a Remote Claims Processor From Home, and why are they important?

To thrive as a Remote Claims Processor From Home, you need strong attention to detail, analytical abilities, and knowledge of insurance policies, typically supported by a high school diploma or equivalent and relevant work experience. Familiarity with claims management software, document management systems, and secure communication tools is essential. Excellent time management, self-motivation, and clear written communication are standout soft skills for working independently. These competencies ensure accurate, efficient claim handling and maintain customer satisfaction in a remote environment.

What are some common challenges faced by remote claims processors, and how can they be managed effectively?

Remote claims processors often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Staying organized with digital tools, setting a structured daily routine, and actively participating in virtual team meetings can help address these issues. Additionally, leveraging secure company-approved platforms for document sharing and adhering to privacy protocols are essential for protecting sensitive client information.

What does a Remote Claims Processor from home do?

A Remote Claims Processor from home is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They work from their home office, handling documentation, verifying information, and ensuring claims are accurate and comply with company policies. The role often involves data entry, communication with clients and insurance agents, and using specialized software. Working remotely, claims processors must be detail-oriented and able to manage their workload independently. This job is common in the health, auto, and property insurance industries.

What is the difference between Remote Claims Processor From Home vs Remote Claims Processor From Office?

AspectRemote Claims Processor From HomeRemote Claims Processor From Office
Work EnvironmentHome-based, flexible scheduleOffice-based, fixed hours
CredentialsSimilar certifications, such as claims processing or insurance licensesSame credentials required
Employer & IndustryInsurance companies, healthcare providersSame industry, different setting
Search & ComparisonCommonly compared for remote work optionsLess frequently searched as a comparison

The main difference between Remote Claims Processor From Home and Remote Claims Processor From Office is the work environment. The remote role offers flexibility and a home-based setting, while the office-based position requires working on-site. Credentials and industry usage are similar, making the choice primarily about work location preferences.

What are the most commonly searched types of Remote Claims Processor jobs in Raleigh, NC? The most popular types of Remote Claims Processor jobs in Raleigh, NC are:
Remote Claims Processor From Home jobs near you
Infographic showing various Remote Claims Processor From Home job openings in Raleigh, NC as of July 2026, with employment types broken down into 85% Full Time, 11% Part Time, 1% Temporary, and 3% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $38,750 per year, or $18.6 per hour.

Claims Processor Self-Funded

Marpai Administrators LLC

Cary, NC • Remote

$24 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Job description

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 national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes. 
ABOUT THE POSITION:
The Claims Processor will be responsible to for reviewing claims for accuracy, completeness, and eligibility. The Claims Processor is responsible to adjudicate claims, complete work assignments and meet established departmental metrics.  
WHAT YOU WILL BE DOING: 
  • Data entry of claims into system. 
  • Review, analyze adjudicate claims 
  • Validate the information on all claims to ensure there is no missing or incomplete information
  • Ability to understand and apply benefits as outlined in plan document
  • Maintain/manage all claim inventories in accordance with health plan and regulatory policies
  • Display maturity, composure and ability to operate under stressful conditions.
  • Complete daily assignments and update required spreadsheet
  • Complete end of day summary
  • Flexibility to change work direction as determined by management
  • Meet departmental standards for quality, production and attendance. 
  • Analyst is flexible and able to commit to overtime based on business needs 
  • Other duties as required
 
WHAT DO YOU NEED 
  • Associates degree preferred
  • 2+ yrs claims processing self-funded claims
  • Strong analytical, research, and communication skills.
  • Expansive knowledge of medical terminology.
  • Excellent verbal and written communication skills as well as exemplary organizational skills.
  • Work closely with leadership to assist in mitigating trends as necessary.
  • Independent judgment in decision-making and problem solving.
  • Computer skills in MS Word, Excel, PowerPoint, & Outlook at the intermediate or higher level.
  • Ability to multi-task & anticipate potential needs/problems.
  • Strong attention to detail.
  • Ability to understand and apply on-line documentation policies and procedures.
  • Excellent customer services skills including an ability to follow through, take ownership and drive all assigned tasks to completion.
  • Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.
  • HIPAA Compliance
 
WORK REQUIREMENTS:
  • Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible
  • Travel minimal
 
WHY WORK AT MARPAI?  
We have great benefits: 
  • Generous PTO
  • Medical and Prescription 
  • EAP 
  • FSA / HSA / Dependent Care
  • Dental 
  • Vision 
  • Life and Disability 
  • STD/LTD
  • Voluntary Benefits: Critical Illness, Accident, Hospital
  • 401k with Employer Match
  • LegalShield
  • Identity Theft Protection
 
Marpai is an equal opportunity workplace.  We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

This is a remote position.