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

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Remote Claims Processor information

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$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of May 31, 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 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 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 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 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.

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:
Bereavement Fraud Case Manager (Remote)

Bereavement Fraud Case Manager (Remote)

Aston Carter

Clayton, NC โ€ข On-site, Remote

$23/hr

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

This job post hasย expired today.ย Applications are no longer accepted.


Job description

This role focuses on reviewing, validating, and managing bereavement claims with accuracy, professionalism, and empathy. You will work closely with mortuary and funeral service providers, internal partners, and associates to ensure claims are processed with integrity and within established service-level agreements. This position operates Monday through Friday during standard business hours aligned to the candidate's time zone, typically between 7:00-9:00 AM start and 4:00-6:00 PM end times.
Key Responsibilities
Case Management & Investigation
โ€ข Conduct deep-dive investigations into bereavement claims to ensure accuracy and compliance.
โ€ข Conduct seek-to-understand conversations with employees that take place as part of the investigations.
โ€ข Manage a caseload of approximately 25 cases per week (5 per day) once fully ramped.
โ€ข Own each case end-to-end, ensuring timely follow-up and resolution.
โ€ข Meet the team's current SLA of 10 business days to close a case.
โ€ข Engage professionally with mortuary and funeral sites to verify information.
โ€ข Take inbound and make outbound calls to employees, providers, and other stakeholders using established communication systems.
Training & Ramp Expectations
โ€ข Participate in a structured 5 week training, nesting, and ramp period (timing may vary slightly).
โ€ข Achieve 75% of case expectations by the end of the ramp period.
โ€ข Reach full productivity and SLA compliance after training.
Required Skills & Experience
โ€ข Ability to conduct interviews with employees with professionalism and tact, ensuring interactions are respectful, objective, and conducive to gathering accurate information.
โ€ข Bereavement claims experience
โ€ข Ability to own and manage all aspects of a case independently.
โ€ข Professional communication skills, both verbal and written.
โ€ข Comfort with difficult or sensitive conversations.
โ€ข Curiosity and a "seek to understand" mindset.
โ€ข Experience in Human Resources, investigations, loss prevention, or similar analytical roles.
โ€ข Strong reading comprehension, writing, and analytical abilities.
โ€ข Critical thinking and deep dive problem solving skills.
โ€ข Ability to navigate multiple systems and tools simultaneously.
โ€ข Proficiency with Microsoft Office, including Excel and Microsoft 365.
Job Type & Location
This is a Contract position based out of Clayton, NC.
Pay and Benefits
The pay range for this position is $23.00 - $23.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
โ€ข Medical, dental & vision
โ€ข Critical Illness, Accident, and Hospital
โ€ข 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
โ€ข Life Insurance (Voluntary Life & AD&D for the employee and dependents)
โ€ข Short and long-term disability
โ€ข Health Spending Account (HSA)
โ€ข Transportation benefits
โ€ข Employee Assistance Program
โ€ข Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on May 29, 2026.
About Aston Carter
Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffingยฎ double diamond winner for both client and talent service.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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About Aston Carter

Sourced by ZipRecruiter

At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless. Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Hanover, MA, US