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Remote Claims Jobs in Raleigh, NC (NOW HIRING)

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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 ...

... and claims-related matters. This position will support as a consulting Medical Director role ... While this position allows remote work, the individual must reside within the state of North ...

Senior Cost Manager

Raleigh, NC · On-site +1

$108K - $145K/yr

Support the settlement of construction disputes/loss and expense claims with transparency * Foster ... This opportunity is primarily a remote opportunity with the ideal individual residing in the posted ...

AI Training Specialist - Physics

Cary, NC · On-site +1

$80 - $150/hr

Remote (US, Canada, UK focused) micro1 is engaging Physics Experts (Postdoc / Junior professor) to ... scientific claims as appropriate. * Deliver structured feedback designed to support iterative ...

Showing results 21-40

Remote Claims information

See Raleigh, NC salary details

$29.6K

$62.8K

$87.5K

How much do remote claims jobs pay per year?

As of Aug 16, 2026, the average yearly pay for remote claims in Raleigh, NC is $62,805.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,600.00 and $73,400.00 per year, depending on experience, location, and employer.

What is a remote claims job?

Remote claims jobs involve evaluating, processing, and managing insurance claims from a remote location, typically from home. Professionals in these roles review claims submitted by clients, investigate the details, and determine the coverage or payment amounts according to company policies and regulations. These positions require strong analytical, communication, and organizational skills, along with a good understanding of insurance processes. Many insurance companies now offer remote claims roles, providing flexibility and work-from-home opportunities.

What skills and qualifications are needed to thrive as a remote claims specialist?

To thrive as a Remote Claims Specialist, you need a solid background in insurance processes, claims assessment, and a relevant educational qualification such as a degree in business or insurance. Familiarity with claims management software, CRM systems, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong attention to detail, effective communication, and self-motivation are crucial soft skills for managing cases independently and supporting clients remotely. These abilities ensure accurate, timely processing of claims and high levels of customer satisfaction in a virtual work environment.

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

Remote claims professionals often encounter challenges such as maintaining effective communication with team members and clients, managing time independently, and ensuring data security while handling sensitive information from home. To address these, it’s important to utilize collaboration tools, set structured work hours, and follow strict company protocols for cybersecurity. Regular virtual meetings and clear documentation can help maintain workflow efficiency and keep everyone aligned.

What is the difference between Remote Claims vs Remote Claims Adjuster?

AspectRemote ClaimsRemote Claims Adjuster
Required CredentialsVaries by role, often includes insurance knowledgeLicenses often required, such as state-specific adjuster licenses
Work EnvironmentRemote, office, or hybridPrimarily remote, with some fieldwork possible
Industry UsageInsurance companies, third-party administratorsInsurance companies, claims management firms
Common Search IntentGeneral claims roles, customer service, claims processingClaims evaluation, damage assessment, settlement

Remote Claims roles encompass a broad range of insurance-related positions, including claims processing and customer service, often without requiring specific licenses. Remote Claims Adjusters focus on evaluating claims, assessing damages, and may need state licenses. Both roles are remote-friendly and serve the insurance industry, but adjusters typically have more specialized credentials and responsibilities.

What are the most commonly searched types of Claims jobs in Raleigh, NC?

The most popular types of Claims jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Claims jobs?

Cities near Raleigh, NC with the most Remote Claims job openings:

Infographic showing various Remote Claims job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% Internship, 84% Full Time, 12% Part Time, and 3% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $62,805 per year, or $30.2 per hour.

$17.25 - $23.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 24 days ago


Job description

Summary:

Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina.

Essential Functions 

  • Post medical charges intoNextGensoftware in a timely manner to meet daily and monthly goals. 
  • Reviews and verifies documentation supports diagnoses, procedures, and treatment results. 
  • Identifies diagnostic and procedural information and assigns codes for reimbursements 
  • Ability to navigate around CPT, ICD-10, and HCPCS.
  • Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. 
  • Identify coding or billing problems from EOBs and work to correct the errors in a timely manner 
  • Maintain in depth knowledge ofall payers. 
  • Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close. 
  • Update patient demographic and insurance 
  • Transfer open balances to correct insurance
  • Work with patients and guarantors to secure payment 
  • Resolves disputed claims by gathering, verifying, and providing additional information 
  • Identify problem accounts and escalate as appropriate. 
  • Write appeals and include supportingdocumentation 
  • Run appropriate reports and contact insurance companies to resolve unpaid claims  
  • Meet set department metrics and threshold set forth by manager. 
  • Assist with special projects and other job-related duties as needed. 

Minimum Qualifications 

  • High School Diploma.
  • 2 years of Professional coding/billing experience
  • AAPC certification preferred 
  • Experience Medicare, Medicaid and other commercial and private payers.
  • Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people.
  • Excellentcustomer serviceand professionalism.
  • Maintains patient confidentiality.
  • Proficient computer skills.
  • Organized and efficient.
  • Self-motivated to meet objectives

Benefits:  

  • 401(k)  
  • Health, Dental and Vision insurance  
  • Employee assistance program  
  • AFLAC
  • Paid time off