ZipRecruiter

Log In

2

Remote Claims Representative Jobs in Raleigh, NC

Deloitte

Epic Denials Management Operator

Raleigh, NC · Remote

$17.50 - $23.25/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

TEKsystems

CSR - Remote

Raleigh, NC · Remote

$16.50/hr

The CSR demonstrates detailed knowledge of the clients' plan provisions and Health and Welfare ... remote position. Application Deadline This position is anticipated to close on Aug 5, 2026. About ...

New

Afni, Inc.

Remote Customer Service Representative

Raleigh, NC · Remote

$15.50 - $21.25/hr

Iowa What You Need to Thrive in Our Remote Environment: * Cable or Fiber Internet Service only (no dial-up, DSL, satellite or cellular) * 25Mbps Download/10Mbps Upload * Ping Rate - Less than 100 ms

Afni, Inc.

Remote Customer Service Representative

Raleigh, NC · On-site +1

$15.50 - $21.25/hr

Iowa What You Need to Thrive in Our Remote Environment: * Cable or Fiber Internet Service only (no dial-up, DSL, satellite or cellular) * 25Mbps Download/10Mbps Upload * Ping Rate - Less than 100 ms

next page

Showing results 1-20

All JobsClaims Representative JobsRemote Claims Representative JobsRemote Claims Representative Jobs in Raleigh, NC

Remote Claims Representative information

See Raleigh, NC salary details

$11

$23

$40

How much do remote claims representative jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote claims representative in Raleigh, NC is $23.45, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $26.63 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote claims representative?

To thrive as a Remote Claims Representative, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies and claim processes, often supported by a relevant associate's or bachelor's degree. Familiarity with claims management software, CRM systems, and occasionally industry certifications like AIC (Associate in Claims) is highly beneficial. Excellent communication, problem-solving skills, and the ability to work independently are important soft skills for success in this remote role. These competencies ensure accurate evaluation and efficient resolution of claims while maintaining high customer satisfaction and adherence to regulatory standards.

What is a remote claims representative?

A Remote Claims Representative is responsible for reviewing, processing, and resolving insurance claims while working from a remote location. They assess claim details, verify coverage, and communicate with policyholders, medical providers, or other relevant parties to ensure accurate and timely claim settlements. Strong analytical skills, attention to detail, and knowledge of insurance policies are essential for this role. The job often involves using digital tools to document claims and provide customer support.

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

Remote Claims Representatives often encounter challenges such as managing high caseloads, communicating complex decisions effectively with clients, and staying organized without direct in-person supervision. Successfully navigating these challenges typically involves developing strong time management, self-motivation, and clear digital communication skills. Many companies provide robust training, digital collaboration tools, and regular virtual meetings to support remote staff and maintain team cohesion. Proactively seeking feedback and utilizing available resources can help you stay on track and excel in this dynamic remote environment.

What are the most commonly searched types of Claims Representative jobs in Raleigh, NC? The most popular types of Claims Representative jobs in Raleigh, NC are:
What are popular job titles related to Remote Claims Representative jobs in Raleigh, NC? For Remote Claims Representative jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Claims Representative jobs in Raleigh, NC look for? The top searched job categories for Remote Claims Representative jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Claims Representative jobs? Cities near Raleigh, NC with the most Remote Claims Representative job openings:
Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in Raleigh, NC as of July 2026, with employment types broken down into 57% Full Time, 14% Part Time, and 29% Contract. Highlights an 100% Remote job distribution, with an average salary of $48,779 per year, or $23.5 per hour.

Commercial General Liability Claims Representative

KING'S INSURANCE STAFFING LLC

Raleigh, NC • On-site, Remote

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago

Job description

Our client, an A-rated Insurance Carrier, is seeking to add a Commercial General Liability Claims Representative to their Phoenix, AZ team. This person would be responsible for directly handling moderate non-litigated Commercial General Liability claims including Slip and Falls, Premise Liability, Bodily Injury, Garagekeepers, and Inland Marine losses throughout the country. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation, and settlement of assigned claims. This person would have the ability to work remotely.
  • Handle a pending of 90 – 110 Commercial General Liability files.
  • Analyze coverage as it relates to the facts and allegations of the claim.
  • Prepare Reservation of Rights and Declination of Coverage letters.
  • Possess strong litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company.
  • Perform coverage, liability, and damage analysis on all claim’s assignments
  • Investigate allegations and determine facts based on evidence and interviews
  • Maintain a high level of communication internally with Claims Management team and externally with Insureds, claimants, attorneys, and brokers.
  • Identify and pursue appropriate cost containment, loss mitigation and subrogation recovery opportunities.
Requirements:
  • 1 - 4+ years of Commercial General Liability and/or Commercial Auto Bodily Injury claims experience.
  • Must have experience working directly for an Insurance Carrier.
  • Must be experienced in reviewing and analyzing coverage.
  • Must hold an active adjuster’s license.
  • Strong verbal and written communication skills, including the capability to write routine reports and correspondence, speak effectively before groups of customers or employees and handle litigations and negotiations.
  • Bachelor's Degree strongly desired but not required.
Salary/Benefits:
  • $80,000 - $95,000+ annual base salary plus 10-20% bonus
  • Ability to work remotely
  • Extremely competitive Medical, Dental, Vision and Life plans
  • Employer matching 401(k) plan
  • Lucrative PTO plan
  • Promotional opportunities very likely