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Senior Claims Representative Jobs in Raleigh, NC

Piedmont Health

Patient Services Representative

Carrboro, NC · On-site

$16.43 - $19.05/hr

... Senior Care facilities, and 2 Mobile Health Units, PHS extends its services to residents across ... The PSR will coordinate with Center Managers to correct denied claims to minimize our error rate ...

Marsh LLC

Senior Account Manager EHB

Durham, NC · Hybrid

... representatives to clarify coverage details, resolve issues, and stay informed about carrier ... They gather claims data and employee feedback to support renewals, request updated proposals from ...

New

Marsh LLC

Senior Account Manager EHB

Durham, NC · Hybrid

... representatives to clarify coverage details, resolve issues, and stay informed about carrier ... They gather claims data and employee feedback to support renewals, request updated proposals from ...

New

Stantec

Senior Project Manager

Raleigh, NC · On-site

$85 - $110/hr

Stantec is seeking an individual to act as an Owner's Representative, Senior Project Manager for ... Evaluate, advise on and assist in resolving disputes and claims. * Responsible for conducting post ...

Stantec

Senior Project Manager

Raleigh, NC · On-site

Your Opportunity Stantec is seeking an individual to act as an Owner's Representative, Senior ... Evaluate, advise on and assist in resolving disputes and claims. * Responsible for conducting post ...

Stantec

Senior Project Manager

Raleigh, NC · On-site

Your Opportunity Stantec is seeking an individual to act as an Owner's Representative, Senior ... Evaluate, advise on and assist in resolving disputes and claims. * Responsible for conducting post ...

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All JobsClaims Representative JobsSenior Claims Representative JobsSenior Claims Representative Jobs in Raleigh, NC

Senior Claims Representative information

See Raleigh, NC salary details

$11

$23

$40

How much do senior claims representative jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for senior claims representative in Raleigh, NC is $23.45, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $26.63 per hour, depending on experience, location, and employer.

What does a senior claims representative do?

A Senior Claims Representative is responsible for handling complex insurance claims, investigating and evaluating them, and determining the extent of the insurance company’s liability. They review documentation, interview claimants and witnesses, and negotiate settlements in accordance with company and legal guidelines. In addition, they may mentor junior staff and ensure that claims are processed efficiently and in compliance with policies. Their role is critical in ensuring fair outcomes for both the insurer and the insured.

What are the key skills and qualifications needed to thrive as a senior claims representative, and why are they important?

To thrive as a Senior Claims Representative, you need in-depth knowledge of insurance policies, claims adjudication, and investigative techniques, usually backed by relevant experience or a related degree. Familiarity with claims management systems, regulatory compliance tools, and sometimes industry certifications like AIC or CPCU is typically expected. Excellent negotiation, analytical thinking, and customer service skills help build trust and resolve complex claims efficiently. These abilities ensure accurate, fair, and timely claims processing, maintaining customer satisfaction and minimizing organizational risk.

What are some common challenges faced by senior claims representatives, and how can they effectively manage complex claims?

Senior Claims Representatives often handle high-value or intricate claims that require thorough investigation, negotiation, and adherence to regulatory guidelines. Challenges can include managing multiple cases simultaneously, working with difficult claimants, and balancing the interests of clients, policyholders, and the company. Effective management involves strong organizational skills, continuous communication with stakeholders, and staying current with industry best practices. Collaboration with legal teams, adjusters, and underwriters is also crucial to ensure fair and timely resolutions.

What is the difference between Senior Claims Representative vs Claims Adjuster?

AspectSenior Claims RepresentativeClaims Adjuster
Required CredentialsHigh school diploma or equivalent; often some insurance certificationsHigh school diploma or equivalent; insurance licenses often required
Work EnvironmentOffice setting, claims departmentField or office-based, investigating claims
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, third-party administrators
Common Search & ComparisonSenior Claims Representative vs Claims Adjuster

The main difference is that Senior Claims Representatives often handle more complex claims and may have additional responsibilities, while Claims Adjusters focus on investigating and settling claims, sometimes in the field. Both roles require similar credentials and work within insurance companies, but Senior Claims Representatives typically have more experience and authority in decision-making.

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

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

What are popular job titles related to Senior Claims Representative jobs in Raleigh, NC?

For Senior Claims Representative jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Senior Claims Representative jobs in Raleigh, NC look for?

The top searched job categories for Senior Claims Representative jobs in Raleigh, NC are:

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

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

Senior Claims Representative jobs near you
Infographic showing various Senior Claims Representative job openings in Raleigh, NC as of August 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 63% Physical, 1% Hybrid, and 36% Remote job distribution, with an average salary of $48,779 per year, or $23.5 per hour.

Outside Sales Representative

True North Group LLC.

Knightdale, NC • On-site

Full-time

Re-posted 14 days ago

Job description

Join Our Team at True North Group

Position: Outside Sales Representative

Number of Openings: 1 Territory Role Available

About True North Group

At True North Group, we're more than an insurance agencywe're trusted partners to small and mid-sized businesses. Our mission is to protect what matters most: their people. We do this by delivering personalized supplemental insurance solutions and exceptional service. If you're someone who thrives on building relationships and helping others, this Outside Sales Representative role was made for you.

The Role

As an Outside Sales Representative, you'll be on the front lines of our business, visiting local companies in your assigned territory. You'll discover each client's unique needs, guide them through our range of insurance products, and become a trusted advisor they can rely on. With the freedom to set your own schedule, you'll balance in-person visits with strategic phone outreach, all supported by our intuitive Salesforce CRM.

What We're Looking For


Relationship-Builder: You're energized by meeting new people and earning their trust.

Self-Starter: You manage your own calendar, follow through on leads, and set ambitious goals.

Clear Communicator: You explain complex information simplywhether one-on-one or presenting to groups of up to 75.

Organized & Tech-Savvy: You keep detailed records in Salesforce and never let a follow-up slip through the cracks.

Service-Oriented: You genuinely care about clients' well-being, guiding them through claims and policy questions with empathy.

Licensed or Ready: You hold (or will obtain within 90 days) a Health & Life general lines licensewe reimburse the fees and support your preparation.

Position Overview

In this outside sales position, you will:

Prospect & Connect: Identify local businesses, connect with the community, and schedule discovery meetings.

Present Solutions: Lead tailored benefits presentations for business owners and employee groups.

Maintain Relationships: Respond promptly to calls and emails, manage renewals, and assist clients through claims.

Track Your Pipeline: Use Salesforce to log interactions, manage tasks, and measure your progress.

Collaborate with Your Team: Join weekly strategy sessions to share best practices and celebrate wins.

Set Your Own Hours: Build a schedule that fits the businesses you serveearly mornings, late afternoons, or midday visits.

We Offer

Comprehensive Training: Blend of virtual workshops and ride-along field sessions to get you client-ready.

Weekly Draw Pay: Steady income floor plus immediate eligibility for bonuses and commissions.

Incentive Rewards: Quarterly retreats, annual trips, cash bonuses, stock awards, and lifetime-vested renewal commissions.

Career Growth: Clear pathways to senior sales roles, field training positions, or agency leadership.

Supportive Culture: A team that shares resources, mentors new reps, and celebrates collective success.

Flexible Schedule: More autonomy over your hours as you build your client base.

Additional Qualifications

Bachelor's degree or a minimum of 4 years in a customer-facing rolerecent graduateswelcome.

Comfort with technologySalesforce experience is a plus.

Coachable attitude and a drive to exceed goals.

Your New Journey Starts Here

If you're ready to hit the ground running, forge meaningful client relationships, and grow a rewarding career in outside sales, True North Group is here to support you every step of the way.

Apply now and let's protect our community, together.

Learn more and apply at: https://www.thetruenorthgroupllc.com/