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Remote Claims Processor Jobs in Cary, NC (NOW HIRING)

Atlantic Medical Management

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Resolves disputed claims by gathering, verifying, and providing additional information * Identify ...

AMM Healthcare

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Resolves disputed claims by gathering, verifying, and providing additional information * Identify ...

Allstate

Auto Field Adjuster I, II, or Sr.

Raleigh, NC · On-site +1

$37.98 - $52.84/hr

This role primarily handles collision-related claims and requires someone who can work independently while maintaining strong organizational and documentation skills. This is a field-based position ...

Hitachi

Project Controller

Raleigh, NC · Remote

Project/Program Management Job Schedule: Full time Remote: No Project Controller The Opportunity As ... claims management activities, and partnering with project teams on commercial matters. You will ...

Oshi Health

Patient Financial Services Specialist

Raleigh, NC · On-site +1

$17.50 - $23.25/hr

... financial processes. This role also helps identify trends, improve workflows, and enhance the ... Serve as the primary point of contact for patients regarding billing, statements, claims, balances ...

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Showing results 21-40

All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Cary, NC

Remote Claims Processor information

See Cary, NC salary details

$11

$17

$24

How much do remote claims processor jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote claims processor in Cary, NC is $17.75, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $19.13 per hour, depending on experience, location, and employer.

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

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

What does a remote claims processor do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a remote claims processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

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 strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

What is the difference between Remote Claims Processor vs Remote Claims Examiner?

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs
What are popular job titles related to Remote Claims Processor jobs in Cary, NC? For Remote Claims Processor jobs in Cary, NC, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Cary, NC look for? The top searched job categories for Remote Claims Processor jobs in Cary, NC are:
What cities near Cary, NC are hiring for Remote Claims Processor jobs? Cities near Cary, NC with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Cary, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $36,930 per year, or $17.8 per hour.

AVP, AI (Data Science/Engineer) Remote - EST

Archgroup

Raleigh, NC • Remote

$185K - $235K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Job description

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. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility.

Strategic Analytics is a dynamic and growing team at Arch that drives innovation and transforms how the business operates. We build AI-first, agent-driven products that change how Arch underwrites, services, and learns from its book, combining frontier LLMs, multi-agent systems, retrieval-augmented generation (RAG), evaluation frameworks, and traditional machine learning.Our mission spans agentic automation, decision intelligence, AI-driven insights, and the responsible deployment of AI at scale. With a proven track record of productionizing dozens of high-quality GenAI products over the past three years, we are continuing to scale our impact and are seeking an AVP, AI Engineering to lead the design and application of advanced AI systems within Strategic Analytics.

Reporting to the SVP of AI & Automation, you will lead the development of multi-agent AI solutions that automate complex business decisions across underwriting and claims. This role is focused on applying AI, machine learning, and data science to solve high-value business problems, establish decision frameworks, and ensure AI systems deliver measurable outcomes with high levels of accuracy and trustworthiness.

Key Responsibilities

Lead the design of multi-agent AI systems that coordinate specialized models and agents to solve complex business problems.

Drive the end-to-end delivery of AI-powered underwriting and claims solutions from experimentation through production deployment.

Develop and evaluate decision frameworks that combine LLMs, retrieval systems, machine learning models, business rules, and human review.

Establish methodologies for measuring model performance, calibration, confidence, accuracy, and business impact to determine when automation is appropriate.

Define the conditions under which AI-driven decisions should be trusted, reviewed, or escalated.

Partner with cross-functional teams to integrate AI capabilities into business workflows and operational processes.

Mentor data scientists, AI engineers, and analysts on agentic AI, model evaluation, prompt engineering, and responsible AI practices.

Establish standards for AI evaluation, monitoring, governance, and continuous improvement within the AI & Automation Center of Excellence.

Translate business opportunities into scalable AI solutions that deliver measurable business value.

Required Skills and Experience

7+ years of experience in AI, machine learning, data science, analytics, or related disciplines.

3+ years of people leadership experience.

Demonstrated experience building and deploying production-grade AI, machine learning, or agentic systems beyond proof-of-concept work.

Strong track record of developing supervised learning models (ML and/or GLMs) that have delivered measurable financial impact.

Deep understanding of model evaluation, experimentation, statistical analysis, and decision science.

Strong experience evaluating AI technologies, platforms, and vendors.

Strong Python experience for data science, machine learning, and AI development.

Exceptional problem-solving skills with the ability to frame ambiguous business challenges as analytical and AI opportunities.

Strong communication skills with the ability to influence technical and non-technical stakeholders.

Hands-on experience with modern AI technologies, including LLMs, RAG, agentic systems, evaluation frameworks, and emerging AI tooling.

Desired Skills and Experience

Familiarity with P&C insurance, including underwriting, claims, or the submission lifecycle.

Experience with retrieval-augmented generation (RAG), evaluation frameworks, and structured-output techniques.

Experience applying AI and machine learning within enterprise environments.

Experience leading multidisciplinary teams across data science, AI, analytics, and technology functions.

Demonstrated commitment to staying current with advancements in AI through research, experimentation, publications, conference participation, or contributions to the AI community.

Education

Bachelor's degree in Data Science, Computer Science, Statistics, Mathematics, Engineering, Analytics, or equivalent practical experience.

#LI-LH1

#LI-REMOTE

For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

$185,000 - $235,000/year

  • Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

  • Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you.If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.

10200 Arch Capital Services LLC

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