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Remote Claims Resolution Specialist Jobs in Raleigh, NC

While this position allows remote work, the individual must reside within the state of North ... Support resolution of clinical and claims-related issues affecting provider participation.

Claims Major Case Director

Raleigh, NC ยท On-site +1

$92K - $130K/yr

  • Medical

  • Retirement

  • PTO

... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ... All Time Limit Demands to be escalated to management. * Assist Sr. Claim specialists with analysis ...

Benefits Administrator

Raleigh, NC ยท Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Explain coverage details, assist with complex claims resolution, and guide employees through the ... Professional HR or Benefits certification, such as CEBS (Certified Employee Benefit Specialist ...

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...

Regulatory Affairs Specialist

Durham, NC ยท Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...

Regulatory Affairs Specialist

Durham, NC ยท Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...

Regulatory Affairs Specialist

Cary, NC ยท Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...

Regulatory Affairs Specialist

Cary, NC ยท Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...

Revenue Cycle Representative

Chapel Hill, NC ยท On-site +1

$18.12 - $25.51/hr

  • Medical

... resolution through write-offs, reversals, adjustments, refunds or other methods. Verify claims ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

Revenue Cycle Representative

Chapel Hill, NC ยท On-site +1

$18.12 - $25.51/hr

  • Medical

... resolution through write-offs, reversals, adjustments, refunds or other methods. Verify claims ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

Epic Denials Management Operator

Raleigh, NC ยท 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 ...

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Remote Claims Resolution Specialist information

See Raleigh, NC salary details

$12

$22

$41

How much do remote claims resolution specialist jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote claims resolution specialist in Raleigh, NC is $22.85, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $25.00 per hour, depending on experience, location, and employer.

What is a remote claims resolution specialist?

A Remote Claims Resolution Specialist is responsible for reviewing, analyzing, and resolving insurance claims from a remote location. They work with policyholders, providers, and internal teams to investigate claim issues, ensure accuracy, and facilitate timely payments or denials. This role requires strong attention to detail, problem-solving skills, and knowledge of insurance policies and regulations. Effective communication and the ability to work independently are essential for success in this position.

What are the key skills and qualifications needed to thrive in the remote claims resolution specialist position, and why are they important?

To succeed as a Remote Claims Resolution Specialist, you should have strong analytical and problem-solving abilities, knowledge of insurance policies, and relevant experience in claims processing or customer service. Familiarity with claims management software, CRM systems, and proficiency in digital communication tools are typically required, and some employers may prefer certification such as AIC (Associate in Claims). Excellent written communication, attention to detail, and the ability to manage time effectively set outstanding candidates apart. These skills are essential to ensure accurate, timely resolutions, maintain customer satisfaction, and uphold the integrity of the claims process in a remote setting.

What are the typical daily responsibilities of a remote claims resolution specialist?

As a Remote Claims Resolution Specialist, your daily tasks typically include reviewing and processing insurance claims, analyzing documentation, communicating with policyholders and adjusters, and investigating discrepancies or additional information needs. You'll spend much of your time resolving issues via phone, email, or chat, ensuring claims are handled efficiently and in compliance with company policies. Collaboration with other team members and departments is common, especially when complex or escalated cases arise. Staying organized and proactive is key to managing multiple cases and meeting deadlines in a remote work environment.

What are popular job titles related to Remote Claims Resolution Specialist jobs in Raleigh, NC? For Remote Claims Resolution Specialist jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Claims Resolution Specialist jobs in Raleigh, NC look for? The top searched job categories for Remote Claims Resolution Specialist jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Claims Resolution Specialist jobs? Cities near Raleigh, NC with the most Remote Claims Resolution Specialist job openings:
Infographic showing various Remote Claims Resolution Specialist job openings in Raleigh, NC as of July 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% Remote job distribution, with an average salary of $47,520 per year, or $22.8 per hour.

Management Liability Claims Specialist

Iatinsurancegroup

Raleigh, NC โ€ข On-site, Remote

$60K - $95K/yr

Full-time

Medical, Retirement, PTO

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


Job description

IAT Insurance Group has an immediate opening for a Management Liability Claims Specialist that can be located in any of our IAT locations.

This role works a hybrid schedule that requires working from the office Monday through Wednesday, with the option of working Thursday and Friday remotely.

While we prefer candidates to work from one of our IAT office locations, we are open to considering fully remote arrangements for the ideal candidate.

Responsibilities:

  • Responsible for handling Management Liability Claims (EPL, D&O, Fiduciary and Crime) for Private and Non-Profit businesses based on Claim Guidelines
  • Within authority limit, thoroughly analyze, investigate, negotiate and resolve all levels of severity claims
  • Selects, directs and manages defense counsel including approval of budgets
  • Develops litigation/file disposition strategy. Attends mediations, settlement conferences and trials
  • Verifies/analyzes applicable coverage for the reported claims
  • Follow operational policies and procedures, including compliance, regulatory and performance and customer service standards
  • Prepare reports, including Large Loss Reports, to management which accurately reflects loss development, potential/actual financial exposure, coverage issues, claim and recovery strategies
  • Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file
  • Identifies and addresses recovery/contribution/SIU opportunities
  • Sets accurate/timely loss/expense reserves in compliance with Claim Guidelines.
  • Drafts correspondence, including but not limited to, coverage letters to stakeholders as required
  • Support business partners on an as needed basis on various claim and underwriting related issues and marketing meetings
  • Maintains resident/nonresident adjuster licenses as required
  • Performs other duties as assigned

Qualifications:

Must Have:

  • Bachelor's Degree with 5+ years of management liability claims experience (including handling employment liability practices, directors & officers' liability and fiduciary liability coverages)
    • In Lieu of a Bachelor's Degree with 5+ years of management liability claims, a high school diploma/GED with 9+ years of relevant litigation claims experience will be considered
  • Excellent coverage analysis skills with experience in drafting coverage position correspondence
  • Experience handling litigated files and direction of defense counsel
  • Excellent negotiation skills
  • Must be willing to travel, average 1 day a month
  • Claims Licensure as required by respective state(s)
  • Excellent oral and written communication skills
  • Ability to organize, multi-task and prioritize work
  • Excellent customer service and interpersonal skills
  • Ability to analyze data, utilize sound judgment to draw conclusion and make supported decisions
  • To qualify, applicants must be authorized to work in the United States and must not require, now or in the future, VISA sponsorship for employment purposes

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. We maintain a drug-free workplace and participate in E-Verify.

Compensation:

Please note, that the annual gross salary range associated with this posting is $60,600 - $95,700. Actual salaries will vary based on factors such as a candidate's qualifications, skills, competencies, and geographical location related to this specific role. The total compensation will include a base salary, performance-based bonus opportunities, 401(K) match, profit-sharing opportunities, and more.

To view details of our full benefits, please visit https://www.iatinsurancegroup.com/careers/benefits

ย 

IAT Insurance Group is the largest private, family-owned property and casualty insurer in the U.S. Insurance Answers Together is how we define IAT, in letter and in spirit. We work together to provide solutions for people and businesses. We collaborate internally and with our partners to provide the best possible insurance and surety options for our customers.

At IAT, we're committed to driving and building an open and supportive culture for all. Our employees propel IAT forward - driving innovation, stable partnerships and growth. That's why we continue to build an engaging workplace culture to attract and retain the best talent.

We offer comprehensive benefits like:

  • 26 PTO Days (Entry Level) + 12 Company Holidays = 38 Paid Days Off
  • 7% 401(k) Company Match and additional Profit Sharing
  • Hybrid work environment
  • Numerous training and development opportunities to assist you in furthering your career
  • Healthcare and Wellness Programs
  • Opportunity to earn performance-based bonuses
  • College Loan Assistance Support Plan
  • Educational Assistance Program
  • Mentorship Program
  • Dress for Your Day Policy

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. We maintain a drug-free workplace and participate in E-Verify.