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Remote Health Claims Examiner Jobs in Raleigh, NC

Varsity Tutors

Insurance License Tutor

Durham, NC · Remote

$28 - $40/hr

Deep knowledge of insurance licensing examination content covering life insurance, health insurance ... claims processes, and applying state insurance regulations. Emphasizes distinguishing between ...

Varsity Tutors

Insurance License Tutor

Raleigh, NC · Remote

$28 - $40/hr

Deep knowledge of insurance licensing examination content covering life insurance, health insurance ... claims processes, and applying state insurance regulations. Emphasizes distinguishing between ...

Varsity Tutors

Insurance License Tutor

Chapel Hill, NC · Remote

$28 - $40/hr

Deep knowledge of insurance licensing examination content covering life insurance, health insurance ... claims processes, and applying state insurance regulations. Emphasizes distinguishing between ...

Atlantic Medical Management

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 ...

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All JobsHealth Claims Examiner JobsRemote Health Claims Examiner JobsRemote Health Claims Examiner Jobs in Raleigh, NC

Remote Health Claims Examiner information

See Raleigh, NC salary details

$14

$28

$44

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

As of Sep 4, 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:

What job categories do people searching Remote Health Claims Examiner jobs in Raleigh, NC look for?

The top searched job categories for Remote Health Claims Examiner jobs in Raleigh, NC are:

Remote Health Claims Examiner jobs near you
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, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $59,449 per year, or $28.6 per hour.

Member Services Rep | Remote CSR - No Experience Required

Globe Life American Income Division

Durham, NC • On-site, Remote

$15.50 - $21/hr

Full-time

Medical, Life

Posted 7 days ago

Job description

Member Services Representative / Remote CSR Agent - No Experience Required
Company: AO | Globe Life
Location: 100% Remote - United States
Schedule: Full-Time | Flexible Schedule
Experience: Entry-Level | No Insurance Experience Required
Compensation: Commission-Based | Weekly Pay | Performance Bonuses100% Work From Home | Flexible Schedule | Training & Mentorship Provided
Are you looking for a remote customer service career where you can help people, build meaningful relationships, and create long-term professional growth-all from home?
AO is seeking motivated, dependable, and people-focused individuals to join our growing team as Remote Member Services Representatives. In this role, you'll connect with members and their families through scheduled virtual appointments, answer questions about available benefits, provide enrollment assistance, and deliver exceptional ongoing service.
No previous insurance experience is required. We provide comprehensive training, licensing guidance, mentorship, and continued professional development to help you build the skills needed for success.
• 100% Remote / Work From Home
• Flexible Scheduling
• Qualified Leads Provided - No Cold Calling
• Weekly Commission Pay + Performance Bonuses
• Full Training & Mentorship
• Leadership & Advancement OpportunitiesWhat You'll Do
As a Member Services Representative, you'll serve as a trusted resource for members seeking information and assistance with their available benefits.Member Support & Customer Service
  • Meet with members through scheduled Zoom and phone appointments
  • Answer questions regarding available benefits and coverage options
  • Explain life, accident, and supplemental health insurance benefits clearly and professionally
  • Help members understand options based on their individual and family needs
  • Guide eligible members through applications and enrollment
  • Provide ongoing customer service following enrollment
Build Long-Term Member Relationships
  • Develop trust through professionalism, communication, and exceptional service
  • Follow up with members regarding benefit questions and service needs
  • Conduct policy reviews and assist with beneficiary updates when appropriate
  • Help members navigate policy changes and claims-related questions
  • Maintain consistent communication and long-term client relationships
Maintain Records & Professional Standards
  • Maintain accurate digital client records and documentation
  • Manage appointments and follow-up activities
  • Follow company procedures and applicable state requirements
  • Protect confidential client information
  • Deliver a professional experience during every interaction
Why Join AO?
🏠 100% Remote Work
Work from home while building a career in a fully virtual environment.
  • No daily commute
  • Virtual client appointments
  • Remote training and mentorship
  • Modern digital systems and technology
  • Collaborative team environment
⏰ Flexible Schedule
Build a schedule around your professional and personal goals while maintaining the consistency and accountability needed to succeed.
📞 Qualified Leads Provided
Focus on helping members who have requested information regarding available benefits.
No traditional cold calling and no purchasing leads.
💰 Weekly Pay + Performance Bonuses
This opportunity offers:
  • Weekly commission-based pay
  • Performance bonus opportunities
  • Uncapped earning potential
  • Renewal and residual income opportunities
  • Leadership compensation opportunities
  • Performance-based recognition and incentives

This is a performance-based, commission opportunity rather than an hourly or salaried customer service position. Individual earnings vary based on production and performance.No Experience? We'll Train You.
You do not need previous insurance experience to be considered.
Our training and development program includes:
  • Comprehensive virtual onboarding
  • Insurance licensing guidance
  • Benefits and product education
  • Customer service training
  • Virtual appointment and enrollment training
  • Weekly coaching and professional development
  • One-on-one mentorship
  • Leadership development opportunities

We're looking for people who are coachable, dependable, motivated, and willing to learn.Benefits & Professional Support
Qualifying representatives may have access to:
  • Health insurance reimbursement program
  • Company-supported life insurance
  • Accidental death benefit coverage
  • Renewal and residual income opportunities
  • Leadership development programs
  • Professional conferences and recognition events
  • Performance-based incentive travel
  • Long-term career advancement opportunities
Who We're Looking For
You may be a great fit if you:
  • Enjoy helping people and solving problems
  • Have strong communication and active-listening skills
  • Provide friendly, professional customer service
  • Are dependable and accountable
  • Have strong organization and time-management skills
  • Are comfortable learning new technology
  • Can work independently from home
  • Have a positive, growth-oriented attitude
  • Are coachable and willing to continuously improve
  • Want an opportunity to advance based on performance

Previous experience in customer service, member services, call centers, hospitality, retail, healthcare, education, banking, administrative support, military service, client relations, or sales can transfer well to this role-but is not required.Minimum Requirements
Applicants must:
  • Be at least 18 years old
  • Be physically located within the United States
  • Be legally authorized to work in the United States
  • Have a computer or laptop with webcam and microphone
  • Have reliable high-speed internet
  • Maintain a quiet, professional workspace
  • Be willing and able to obtain the required state Life & Health Insurance License

Licensing guidance and support are provided.Career Growth & Leadership Opportunities
This position can be the starting point for a long-term career.
Representatives who demonstrate strong performance, consistency, and leadership potential may have opportunities to advance into:
Member Services → Senior Representative → Benefits Specialist → Trainer/Mentor → Team Leadership → Management
Advancement is based on performance and leadership development-not seniority.Interview Process
Our hiring process is completely virtual.
Qualified candidates will complete a brief career overview explaining the opportunity, compensation structure, licensing requirements, training, and advancement potential.
Candidates interested in continuing can then schedule a live Zoom interview with our hiring team.Ready to Start Your Remote Career?
If you're looking for a 100% work-from-home customer service opportunity where you can help members, receive comprehensive training, build valuable professional skills, and create long-term career growth, we'd love to hear from you.
Apply today to be considered for our Remote Member Services Representative opportunity.Serve Members. Help Families. Grow Your Career From Home. 🚀

Apply