2

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

Remote- Customer Experience Service

Raleigh, NC · Remote

$15.50 - $21.25/hr

... processes, timelines, and requirements. • Coordinate and confirm service details and client ... Benefits • Remote position with flexible scheduling options. • Structured onboarding and ...

As Manager of Strategic Analytics Services, supporting the Claims Analytics group, you will lead end-to-end delivery of complex data pipelines that put analytics at the center of business processes.

As Manager of Strategic Analytics Services, supporting the Claims Analytics group, you will lead end-to-end delivery of complex data pipelines that put analytics at the center of business processes.

Contract Management Professional

Raleigh, NC · On-site +1

$86K - $115K/yr

Legal, Compliance & Audit Job Schedule: Full time Remote: No The Opportunity At Hitachi Energy, we ... Ensure timely execution of claims, variation orders, and warranties. * Maintain accurate ...

next page

Showing results 1-20

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.

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:
Senior Epidemiologist, Oncology (FSP Sponsor Dedicated)

Senior Epidemiologist, Oncology (FSP Sponsor Dedicated)

IQVIA

Durham, NC • Remote

Full-time

Posted 17 days ago


IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

53rd of 207 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

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


IQVIA logo

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