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

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate ...

Innovative Emergency Management

SME - Arborist

Raleigh, NC · On-site +1

$48 - $59.42/hr

... claim processes. The SME will collaborate with claims adjusters, insurance teams, and property ... Essential Functions: * Conduct on-site and remote assessments of wildfire-related tree and ...

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

Field Auto Appraiser

Raleigh, NC · On-site +1

$35.82 - $50.24/hr

This is a remote, field-based role that manages auto claims both virtually and on-site. The ideal ... By proceeding with the application process, applicants acknowledge and accept these licensing ...

Deloitte

Hospital Billing Operator

Raleigh, NC · Remote

$17.75 - $22.75/hr

As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...

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 ...

ExtensisHR

Coding Denial Specialist

Durham, NC · Remote

$26 - $28/hr

Our reputation for submitting clean claims that get reimbursed 95% of the time speaks for itself ... This full-time remote position is responsible for accurately correcting coding-related denials for ...

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

Remote Claims Processor information

See Raleigh, NC salary details

$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Jul 1, 2026, the average hourly pay for remote claims processor 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 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 Raleigh, NC? For Remote Claims Processor jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Raleigh, NC look for? The top searched job categories for Remote Claims Processor jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Claims Processor jobs? Cities near Raleigh, NC with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Remote Medical Support Assistant (Medical Receptionist)

Remote Medical Support Assistant (Medical Receptionist)

Ansible Government Solutions

Durham, NC • Remote

$17 - $20.75/hr

Full-time

Posted 9 days ago

Job description

Overview
Ansible Government Solutions, LLC (Ansible) is currently recruiting Remote Medical Support Assistants (MSA) to support the Durham VA Medical Center located at 508 Fulton St. Durham, NC 27705. Working hours are Mon-Fri, 8:00am-4:30pm. Weekend coverage may be required on a rotational basis. Competitive packages are available for qualified candidates. 
Ansible Government Solutions, LLC (Ansible) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of national security, health care, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own.
Responsibilities
  • Schedule, cancel, and re-schedule patient appointments and/or consults; enter no-show information; prepare for clinic visits; and monitor appointments and consults.
  • Provide general reception support in the Release of Information (ROI) offices at various medical centers.
  • Scan insurance cards, protect secure information, and complete all insurance buffer (ICB) encounters required by ICB.
  • Scanning of records and documents into an Electronic Medical Record (EMR) to support HIM functions at medical centers.
  • Make outgoing and receive incoming phone calls.
  • Review requests for reimbursement of travel costs and reconcile claims/vouchers for payments using electronic systems.
  • Review ambulance claims for eligibility and payment.
  • Assist in arranging transportation for eligible patients and work with clinical teams to request appropriate mode of transportation.
Qualifications
  • Citizen of the United States of America.
  • Ability to speak clearly, hear and write English.
  • Utilize computer programs appropriately, usually involving spreadsheets, word processing, etc.; log in; type 40-50 wpm with minimum errors.
  • Heavy phone and computer usage, often simultaneously.
  • Familiarity with medical terminology, hospital terminology and/or clinics.
  • Technically proficient in the skills necessary to fulfill the government's requirements; will be provided training by the SFVAHS on appointment management, VA policy and procedures.
  • Have the following experience or education (or combination of both) to meet minimum qualifications for employment:
    • Six months experience of clerical, office, customer service, or other administrative work that indicates the ability to acquire the knowledge and skills needed to perform the duties of the position. Applicants can substitute one year of education above high school to qualify.
    • One year of education above high school or one to two years of related job experience.
    • Experience/Education combination: Equivalent combination of experience and education qualify for an entry level position for which both education and experience are acceptable.
  • Ability to pass a required level of security clearance (NACI-level background check).
  • No sponsorship available 

 

All candidates must be able to:

  • Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift
  • Lift up to 50 lbs from floor to waist
  • Lift up to 20 lbs
  • Carry up to 40 lbs a reasonable distance
  • Push/pull with 30 lbs of force

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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