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Remote Health Claims Examiner Jobs in Raleigh, NC

Senior Surety Claims Counsel

Raleigh, NC ยท On-site +1

$97K - $213K/yr

... remote arrangements for the ideal candidate. Responsibilities: * Interacts with attorneys for ... Numerous training and development opportunities to assist you in furthering your career * Heal ...

New

Inside Claims Representative I

Raleigh, NC ยท On-site +1

$44K - $71K/yr

Remote Salary Range: $44,936.00 - $71,781.00 * salary range is for this level and may vary based on ... Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage ...

... health care provider client. Recruiting for this role ends on 10/01/2026. Work you'll do Epic ... Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ...

New

... 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 ...

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 ...

While this position allows remote work, the individual must reside within the state of North ... claims resolution, or medical review functions within commercial and/or government-sponsored health ...

Facets Analyst

Raleigh, NC ยท Remote

$60 - $65/hr

Job Title: Facets Analyst Location: 100% Remote Duration: 12+ Months Mandatory Skills: Facets with claims knowledge is must Facets , US healthcare payer domain, claims processing, analytical skills ...

RCM Coder

Cary, NC ยท 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 ...

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Remote Health Claims Examiner information

See Raleigh, NC salary details

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How much do remote health claims examiner jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for remote health claims examiner in Raleigh, NC is $28.58, according to ZipRecruiter salary data. Most workers in this role earn between $21.73 and $34.13 per hour, depending on experience, location, and employer.

What does a remote health claims examiner do?

A Remote Health Claims Examiner reviews and processes insurance claims for healthcare services from a remote location, typically working from home. They analyze medical records, verify patient information, ensure that claims comply with policy requirements, and determine the appropriate amount to be paid. Their job also involves identifying fraudulent claims, communicating with healthcare providers, and ensuring accurate and timely claim resolution. Strong attention to detail, knowledge of medical terminology, and familiarity with insurance regulations are essential skills for this role.

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

To thrive as a Remote Health Claims Examiner, you need strong analytical skills, attention to detail, and a solid understanding of healthcare billing and insurance claims processes, often supported by a relevant associate degree or experience in medical coding. Familiarity with claims management software, ICD-10 and CPT coding, and possibly certification like Certified Professional Coder (CPC) is typically required. Excellent written communication, time management, and problem-solving abilities are crucial soft skills for success in a remote environment. These competencies ensure accurate claims processing, compliance with regulations, and efficient resolution of claims, which are vital for organizational effectiveness and customer satisfaction.

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

Remote Health Claims Examiners often encounter challenges such as interpreting complex medical documentation, staying updated on ever-changing insurance policies, and maintaining productivity while working independently. Effective time management, strong organizational skills, and clear communication with team members and providers are key to overcoming these hurdles. Utilizing training resources and actively participating in virtual meetings can also help remote examiners stay connected and informed about industry updates.

How much do remote health claims examiners make in the US?

Remote health claims examiners in the US typically earn between $40,000 and $60,000 annually, with some positions offering higher pay based on experience and certifications. The role often requires strong attention to detail, knowledge of insurance policies, and proficiency with claims processing software.

How to become a remote health claims examiner?

To become a remote health claims examiner, candidates typically need a high school diploma or equivalent, with some roles requiring an associate's or bachelor's degree in health administration, insurance, or related fields. Relevant skills include attention to detail, knowledge of medical terminology, and proficiency with claims processing software; certifications such as the Certified Professional Coder (CPC) can enhance prospects. Employers often provide training, and the role usually involves working independently in a home office environment with a standard work schedule.

What are popular job titles related to Remote Health Claims Examiner jobs in Raleigh, NC?

For Remote Health Claims Examiner jobs in Raleigh, NC, the most frequently searched job titles are:

Infographic showing various Remote Health Claims Examiner job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 13% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $59,449 per year, or $28.6 per hour.

Senior Surety Claims Counsel

Iatinsurancegroup

Raleigh, NC โ€ข On-site, Remote

$97K - $213K/yr

Full-time

Medical, Retirement, PTO

Posted 3 days ago

New


Job description

IAT Insurance Group has an immediate opening for a Senior Surety Claims Counsel that can report to any IAT office location. This role reports to the VP, Claims Counsel and works closely with the SVP, Chief Legal Officer as well. The Senior Surety Claims Counsel is responsible for reviewing, investigating, resolving, and negotiating performance bond defaults, payment bond claims, subdivision, and commercial bond claims.

This role works a hybrid schedule from any IAT 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:

  • Interacts with attorneys for claimants and owners, as well as field management staff to resolve complex claims issues and ensure cost effective solutions.
  • Drafts and negotiates the necessary documents for each situation, such as Surety Takeover and/or Completion Agreements, correspondence, reports and Exposure Analyses.
  • Collaborates closely with underwriters in assigned regions.
  • Reviews and analyzes work in progress schedules, costs to complete, accounts payable and receivable ledgers.
  • Supervises work of outside counsel and consultants' bills before submitting for approval
  • Recommends reserves.
  • Manages litigation and salvage recovery actions.
  • Analyzes payment bond claims and makes recommendations regarding payment.
  • Select, develop, motivate and train staff to achieve objectives.
  • Monitors and evaluates employee performance.
  • Other job-related duties as required.

Qualifications:

Must Have:

  • JD with 7+ years of relevant Surety Claims and/or Construction Law experience.
  • Licensed insurance adjuster or ability to obtain insurance adjuster license as needed in assigned regions or license with reciprocity to assigned regions.
  • Ability and willingness to travel as needed.
  • To qualify, all applicants must be authorized to work in the United States and must not require VISA sponsorship, now or in the future, for employment purposes.

Preferred to Have:

  • Supervisory experience

Compensation:

Please note, that the annual gross salary range associated with this posting is $97,880 - $213,030. The total compensation will include a base salary, performance-based bonus opportunities, 401(K) match, profit-sharing opportunities, and more. Actual salaries will vary based on factors such as a candidate's qualifications, skills, competencies, and geographical location related to this specific role.

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.