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Rn Insurance Claims Remote Jobs in Raleigh, NC (NOW HIRING)

Claims Major Case Director

Raleigh, NC ยท On-site +1

$92K - $130K/yr

IAT Insurance Group has an immediate need for a Major Case Unit Director that can report to one of ... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ...

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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Rn Insurance Claims Remote information

See Raleigh, NC salary details

$12

$22

$41

How much do rn insurance claims remote jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for rn insurance claims remote 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 an RN Insurance Claims Remote?

RN Insurance Claims Remote jobs are positions where registered nurses (RNs) work from home or another remote location to evaluate, process, and review insurance claims related to medical care. These nurses use their clinical expertise to assess the validity of claims, ensure proper documentation, and determine the necessity and appropriateness of medical treatments. They may also communicate with healthcare providers, patients, and insurance companies to gather information and clarify medical details. This role typically requires an active RN license, strong analytical skills, and experience in case management or utilization review.

What are the key skills and qualifications needed to thrive as an RN Insurance Claims Remote?

To thrive as an RN Insurance Claims Remote, you need a current RN license, strong clinical knowledge, and experience in medical case review or utilization management. Familiarity with claims management software, ICD-10/CPT coding, and electronic health records (EHRs) is typically required, along with certifications like CCM (Certified Case Manager) being a plus. Exceptional attention to detail, analytical thinking, and effective written communication skills help you excel in evaluating claims and collaborating with stakeholders. These skills ensure accurate claims assessment, regulatory compliance, and efficient processing in a remote insurance environment.

What are some common challenges RNs face when working remotely in insurance claims, and how can they be addressed?

RNs working remotely in insurance claims often encounter challenges such as navigating complex medical records without in-person context, managing high caseloads, and ensuring clear communication with both internal teams and external providers. Staying organized, utilizing standardized documentation practices, and leveraging secure digital communication tools can help address these difficulties. Regular virtual check-ins with colleagues and ongoing training also support effective collaboration and professional growth in a remote environment.

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

AspectRn Insurance Claims RemoteRn Insurance Adjuster
CredentialsRN license, insurance knowledgeRN license, insurance certification (e.g., AIC, CPCU)
Work EnvironmentRemote, home-basedField or office-based, sometimes remote
Industry UsageInsurance claims processing, customer serviceClaims assessment, damage evaluation
Common Search IntentRemote claims jobs, insurance claims rolesInsurance adjusting, claims evaluation

While both roles involve insurance and require RN licensure, Rn Insurance Claims Remote focuses on processing claims remotely, often involving customer communication. Rn Insurance Adjuster typically involves evaluating damages in the field or office, with a stronger emphasis on damage assessment and adjusting claims.

What are popular job titles related to Rn Insurance Claims Remote jobs in Raleigh, NC?

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

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

The top searched job categories for Rn Insurance Claims Remote jobs in Raleigh, NC are:

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

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

Infographic showing various Rn Insurance Claims Remote job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $47,520 per year, or $22.8 per hour.

Management Liability Claims Counsel

Iatinsurancegroup

Raleigh, NC โ€ข On-site, Remote

$82K - $150K/yr

Full-time

Medical, Retirement, PTO

Re-posted 3 days ago


Job description

IAT has an immediate need for a Claims Counsel in our Management Liability Claims Unit that can be located in any of the IAT locations. This role is a true complex claims handling role that is tasked with managing all lines of Management Liability Claims under our Management liability policies. The ideal candidate for this role will have 3-7 years of experience as a claim professional with experience handling Management liability claims including, Employment Practices liability, Directors and Officers Liability, Fiduciary Liability, as well as Crime claims on a national basis.

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

  • Perform other duties as needed

Qualifications:

Must-Have:

  • Juris Doctorate required

  • Properly licensed, registered or authorized, and in good standing, to practice law in the jurisdiction in which you will be working

  • 3-7 years management liability claim experience, including handling employment liability practices, directors & officers' liability and fiduciary liability coverages

  • Excellent coverage analysis skills with experience in drafting coverage position correspondence

  • Experience handling litigated files and direction of defense counsel a plus

  • Excellent negotiation skills

  • Must be willing to travel, average 1 day a month.

  • Claims Licensure as required by respective state(s)

  • CPCU and other insurance related studies are beneficial

  • 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 note 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, the annual gross salary range associated with this posting is $82,960 - $150,000. 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 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.