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State Fund Insurance Jobs in Raleigh, NC (NOW HIRING)

Health, Dental, Vision and Company-Paid Life Insurance * Paid Time Off Available * Flexible ... Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and ...

Health, Dental, Vision and Company-Paid Life Insurance * Paid Time Off Available * Flexible ... Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and ...

Health, Dental, Vision and Company-Paid Life Insurance * Paid Time Off Available * Flexible ... Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and ...

Health, Dental, Vision and Company-Paid Life Insurance * Paid Time Off Available * Flexible ... Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and ...

Health, Dental, Vision and Company-Paid Life Insurance * Paid Time Off Available * Flexible ... Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and ...

Health, Dental, Vision and Company-Paid Life Insurance * Paid Time Off Available * Flexible ... Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and ...

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Showing results 1-20

State Fund Insurance information

See Raleigh, NC salary details

$58.3K

$87.3K

$157K

How much do state fund insurance jobs pay per year?

As of Jul 13, 2026, the average yearly pay for state fund insurance in Raleigh, NC is $87,263.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,100.00 and $91,900.00 per year, depending on experience, location, and employer.

What is State Fund Insurance?

State Fund Insurance typically refers to a government-operated insurance provider that offers workers' compensation insurance to employers. In many states, such as California, the State Compensation Insurance Fund (State Fund) is a non-profit, public entity that provides coverage for workplace injuries and illnesses. It serves as a safety net, ensuring that businesses—especially those unable to obtain private insurance—can comply with state laws requiring workers' compensation coverage. State Fund Insurance helps protect both employers and employees by providing financial assistance for medical care and lost wages due to work-related incidents.

What are the key skills and qualifications needed to thrive as a State Fund Insurance Agent, and why are they important?

To thrive as a State Fund Insurance Agent, you need a solid understanding of insurance products, risk assessment, and state regulatory requirements, often supported by a relevant license. Familiarity with customer relationship management (CRM) software, underwriting systems, and digital sales platforms is typically required. Strong interpersonal skills, attention to detail, and effective communication help agents build trust with clients and accurately assess their needs. These skills are vital for ensuring compliance, delivering excellent customer service, and achieving sales goals in a regulated insurance environment.

What is the difference between State Fund Insurance vs Claims Adjuster?

AspectState Fund InsuranceClaims Adjuster
Primary RoleProvides insurance coverage and manages claims for policyholdersInvestigates, evaluates, and settles insurance claims
Required CredentialsInsurance license, knowledge of insurance policiesInsurance license, claims handling certification often preferred
Work EnvironmentOffice-based, insurance company settingField and office-based, insurance companies or third-party administrators
Industry UsageInsurance providers, including state fundsInsurance companies, adjusting firms, government agencies

While both roles operate within the insurance industry, State Fund Insurance professionals focus on providing coverage and managing claims for policyholders, whereas Claims Adjusters investigate and settle individual claims. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the main challenges faced by professionals working in State Fund Insurance, and how can new hires prepare to address them?

Professionals working in State Fund Insurance often encounter challenges such as navigating complex regulatory requirements, managing high caseloads, and ensuring timely claim processing. New hires can prepare by developing strong organizational and communication skills, staying updated on state-specific regulations, and being proactive in learning company processes and software systems. Collaboration with experienced colleagues and participating in ongoing training programs can also help new team members quickly adapt and excel in this fast-paced environment.
What cities near Raleigh, NC are hiring for State Fund Insurance jobs? Cities near Raleigh, NC with the most State Fund Insurance job openings:

$48K - $55K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago


Job description

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned
Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.
TCS Employee Benefits Summary:
• Discretionary Annual Incentive.
• Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
• Family Support: Maternal & Parental Leaves.
• Insurance Options: Auto & Home Insurance, Identity Theft Protection.
• Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.
• Time Off: Vacation, Time Off, Sick Leave & Holidays.
• Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
Salary Ran ge: $48,000 - $55,000 per year