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

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 ...

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 ...

Cost Manager

Raleigh, NC · Remote

$84K - $112K/yr

Support the settlement of construction disputes/loss and expense claims with transparency * Resolve ... Actively participate in the tender/bid process--from initial tender/bid documentation through ...

RWD Engagement Manager

Raleigh, NC · Remote

$160K - $185K/yr

Remote, United States Date Posted: May 20, 2026 Employment Type: Full Time Job ID: R-1751 ... Claims, EMR data), and team coordination, and who is motivated by improving processes, scaling ...

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Remote Claims Processor information

See Raleigh, NC salary details

$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:
Remote North Carolina P&C Insurance Sales Producer

Remote North Carolina P&C Insurance Sales Producer

Brightway Insurance

Raleigh, NC • Remote

$65K - $75K/yr

Full-time

Medical, Retirement, PTO

Posted 12 days ago


Brightway Insurance rating

8.3

Company rating: 8.3 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

112th of 259 rated insurance


Job description

Job Summary
Brightway Insurance is seeking a Remote North Carolina Property and Casualty Insurance Sales Producer for a position that requires the candidate to currently reside in North Carolina. The Insurance Sales Producer will be responsible for lead generation, delivering excellent customer service, analyzing insurance needs, and recommending appropriate insurance policies to clients.
Responsibilities
- Quote and sell insurance products to potential clients
- Build and maintain strong relationships with clients to ensure satisfaction
- Analyze clients' insurance needs and make suitable recommendations
- Explain policy details, coverage limits, and exclusions to clients
- Assist clients in completing insurance applications and paperwork
- Process policy changes, endorsements, and claims accurately
- Stay informed about industry trends, regulations, and policy changes
- Collaborate with underwriters to negotiate policy terms and conditions
Minimum Qualifications
- Must hold a valid NC Property and Casualty resident insurance license at the time of application
- Current Residency in the state of North Carolina
- 1+ years outside Insurance Sales Experience
- Excellent interpersonal and communication skills
- Strong analytical skills for data analysis and decision-making


Preferred Qualifications
- 3+ yrs Outside Insurance Sales Experience
- Extensive experience with community networking, building referral partnerships, and lead generation
Compensation
- Garaunteed Base Pay: $35,000 annually, PLUS commission
- Average 1st year TOTAL earnings ranging from $65,000-$75,000+ through a combination of base pay and commission
Benefits and Perks
- Health Insurance and 401K benefits provided
- Comprehensive training program offered
- Three weeks Paid Time Off (PTO)
If you are a motivated individual with sales acumen and a dedication to helping others, we invite you to apply. Join Brightway today and advance your career in insurance sales!