Claims Legal Specialist - Conditional Demands Sentry InsuranceClaims Legal Specialist - Conditional DemandsGoldsboro, NC$31.25–$37.50Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. Act as a subject matter expert, provide technical advice, direction, and guidance to other claims associates as need arises including instruction and authority on all complex conditional settlement demands received by enterprise.
Claims Representative Senior - Commercial Liability Sentry InsuranceClaims Representative Senior - Commercial LiabilityGoldsboro, NC$74,900–$112,300 / yearAs a Senior Claims Representative on our Commercial Lines - Liability teams, you'll provide superior service by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages. Evaluate physical damages and bodily injury claims, working closely with repair shops, medical providers, automobile appraisers, and/or contractors to facilitate necessary and related services or repair work.
NewProperty Adjuster Specialist - Field USAAProperty Adjuster Specialist - FieldJacksonville, NC$69,920–$133,620 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
NewMedical Claims Analyst CVS Health CorpMedical Claims AnalystNC$18.50–$35.29 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNC$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
AVP Applied AI, Claims The Hartford Insurance Group IncAVP Applied AI, ClaimsCharlotte, NC$182,400–$273,600 / yearEstablish and enforce evaluation, monitoring, and production readiness across solution types (classification, regression, retrieval/RAG/chat, forecasting), including metric taxonomies, thresholds, validation evidence, gold/synthetic test sets, A/B testing, drift detection, failure mode analysis, and incident response expectations. Be the senior business partner for Claims leaders: proactively understand short- and long-term goals, shape the problem statements, define success measures, and ensure solutions are adopted and embedded into core claim processes and colleague experiences.
Team Support Specialist/Insurance Processor Jones Insurance AgencyTeam Support Specialist/Insurance ProcessorGarner, North CarolinaAbility to use personal computer, calculator, agency automation system, and proficiency in various software programs, including but not limited to Microsoft Office (Word, Excel, and Outlook). While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.
Sr Epic Resolute (Billing & Claims) Certified Analyst UNC HealthSr Epic Resolute (Billing & Claims) Certified AnalystMorrisville, NC$41.45–$59.58 / hourThis position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. This role supports external partner clinics using UNC Health's Epic platform, with a focus on professional billing (PB), claims management, and end-to-end revenue cycle workflows, with strong alignment to ambulatory operations.
NewLong Term Care Claims Representative - Payment Servicing Genworth Financial IncLong Term Care Claims Representative - Payment ServicingNC$45,500–$66,000 / yearYou will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
NewOperations Claims Specialist Pacific LifeOperations Claims SpecialistCharlotte, North CarolinaAs part of the Claims processing team, you’ll move Pacific Life, and your career, forward by ensuring accurate, timely, and compliant processing of insurance claims while delivering exceptional service to customers and internal partners. We’re actively seeking a talented Operations Claims professional to join our Operations Claims processing team within the Consumer Markets Division (CMD) in Omaha, NE or Charlotte, NC.
Claims Technical Assistant - Charlotte. NC (Hybrid) Selective Insurance Company of AmericaClaims Technical Assistant - Charlotte. NC (Hybrid)Charlotte, North Carolina$46,000–$59,000 / yearFull timeSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Provides support to the technical staff by executing financial transactions, entering data into the Claims System for accurate state and regulatory reporting, and uploading information to the Claims Content Management (CCM) system to ensure proper mail delivery to claims personnel.
Claims Representative I Elevance Health IncClaims Representative IDurham, NC$16.23–$24.36 / hourPreferred Skills, Capabilities and Experiences: Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Claims Attorney / Associate Attorney (Plaintiff Personal Injury) Bryant Staffing SolutionsClaims Attorney / Associate Attorney (Plaintiff Personal Injury)Charlotte, NCCharlotte offers a strong legal and business community, diverse dining and entertainment options, professional sports, museums, nearby parks and outdoor recreation, and convenient access to the Blue Ridge Mountains and Atlantic coast. The city also provides an attractive quality of life with a growing economy and a relatively moderate cost of living compared to many major metropolitan areas.
Claims Senior Team Manager MaerskClaims Senior Team ManagerCharlotte, North CarolinaThe Senior Team Manager leads a team of Claims Handlers and Adjusters within Maersk’s Heavy Bulky Delivery product, which supports embedded B2C delivery solutions for large and bulky items. Success in this role requires strong critical‑thinking abilities, the capacity to navigate complex claim scenarios, and a solid background in general liability claims, particularly those involving property damage.
Senior Property Claims Specialist - Commercial (Inside Desk) Utica Mutual Insurance CompanySenior Property Claims Specialist - Commercial (Inside Desk)Charlotte, NC$77,000–$105,000 / yearPart timeWe believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations in NYC, Dallas and Charlotte.
Remote Professional Claims Writer -581888 Metro Public AdjustmentRemote Professional Claims Writer -581888Charlotte, NCRemoteMetro Public Adjustment is looking for customer-oriented individuals to join our team of claims representatives. Once reviewed, If you want a face-to-face interview, we typically conduct them on Zoom: For Interview time and location, use the link below:
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerCharlotte, NCRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Senior Claims Specialist, Insurance Risk Management (Workers' Comp) VF CorporationSenior Claims Specialist, Insurance Risk Management (Workers' Comp)Greensboro, North CarolinaIn support of VF’s mission to deliver best-in-class, data-driven solutions, this role plays a key part in driving effective claim outcomes, enhancing the employee claims experience, and managing Total Cost of Risk (TCOR). The role partners closely with VF business stakeholders, brokers, and third-party claim administrators to ensure claims are managed efficiently, consistently, and in alignment with company objectives.
Senior Claims Specialist, Insurance Risk Management VF CorpSenior Claims Specialist, Insurance Risk ManagementGreensboro, NC$64,000–$80,000 / yearIn support of VF's mission to deliver best-in-class, data-driven solutions, this role plays a key part in driving effective claim outcomes, enhancing the employee claims experience, and managing Total Cost of Risk (TCOR). Claims Management Related Responsibilities: Coordinate day-to-day management of workers' compensation, general liability, and automobile liability claims, with emphasis on workers' compensation in California.
Medical Only Claims Specialist CorVel Enterprise Claims, Inc.Medical Only Claims SpecialistCharlotte, NCRemote$16.74–$26.92 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
Field Claims Representative - Asheville, NC Auto-Owners Insurance GroupField Claims Representative - Asheville, NCAsheville, NCAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Claims Specialist Project Resources GroupClaims SpecialistCharlotte, North CarolinaResolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters. Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately.
Senior Liability Claims Specialist Floater CorVel Enterprise Claims, Inc.Senior Liability Claims Specialist FloaterCharlotte, NCRemote$61,053–$98,334 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
Commercial Property Claims Supervisor Utica Mutual Insurance CompanyCommercial Property Claims SupervisorNC$93,100–$136,400 / yearPart timeWe believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations including NYC, Dallas and Charlotte.
NewWC Claims Supervisor - Charlotte Selective Insurance Company of AmericaWC Claims Supervisor - CharlotteCharlotte, North Carolina$106,000–$137,000 / yearFull timeSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Total Rewards: Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life.
Claims Technical Assistant - Charlotte. NC (Hybrid) Selective Insurance Group IncClaims Technical Assistant - Charlotte. NC (Hybrid)Charlotte, NC$46,000–$59,000 / yearSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Provides support to the technical staff by executing financial transactions, entering data into the Claims System for accurate state and regulatory reporting, and uploading information to the Claims Content Management (CCM) system to ensure proper mail delivery to claims personnel.
Commercial Lines Claims Specialist - Commercial General Liability (Southern venues; hybrid) Utica Mutual Insurance CompanyCommercial Lines Claims Specialist - Commercial General Liability (Southern venues; hybrid)Charlotte, NC$77,000–$110,000 / yearPart timeWe believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations including NYC, Dallas and Charlotte.
Forward Deployed AI Lead - Claims (Hybrid) Selective Insurance Company of AmericaForward Deployed AI Lead - Claims (Hybrid)Charlotte, North Carolina$163,000–$220,000 / yearFull timeProactively identifies, shapes, and documents AI use cases in partnership with business unit stakeholders, ensuring proposed opportunities are grounded in business need, aligned to the business unit's strategy, mapped to executive sponsorship, and evaluated against intake criteria before advancing to solution design or development. Owns the business unit's AI portfolio view and adoption outcomes, proactively shapes use cases, pushes for innovation, delivers small-scale AI solutions, and escalates misalignment, stalled progress, or resource issues to the AI COE Leader and business unit leadership.
Life Insurance Claims Specialist Synergistic Systems IncLife Insurance Claims SpecialistCharlotte, NCRemoteLife Insurance Claims Specialist responsibilities include the following: Contestable claims review will require an evaluation of the cause of death and validating that there was no material misrepresentation with the original health history that was used at the time of the policy issue, or that was provided during a reinstatement that required medical underwriting. Policy reinstatement requests will include evaluating client responses to medical questions, medical examinations, lab work, or review of physician’s records to complete the underwriting risk evaluation to determine whether a lapsed policy should be placed back in force.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTERaleigh, NCRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
NewClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTERaleigh, NCRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminCharlotte, NCRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystCharlotte, NCRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Field Property Claims Adjuster Liberty Mutual Holding Company IncField Property Claims AdjusterHigh Point, NCThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support.
Workers'' Comp Claims Specialist Zenith Insurance CompanyWorkers'' Comp Claims SpecialistCharlotte, NC$74,485.58–$93,106.98 / yearZenith is a team of Workers'' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zeniths timeframes and guidelines.
Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone Sedgwick Claims Management Services, Inc.Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time ZoneCharlotte, NCRemote$42,000–$55,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Examiner- Voluntary Benefits Accenture PlcClaims Examiner- Voluntary BenefitsRaleigh, NCAble to utilize strong organizational skills to manage multiple priorities while working under tight time constraints, possess the ability to work through ambiguity, and work effectively with various vendors with strong interpersonal skills. The Voluntary Benefits Claims Examiner will support a large Group Insurance Business contract is responsible for the calculation of Voluntary Benefits across limited products according to Plan Provisions.
Senior Property Claims Specialist - Commercial (Inside Desk) Utica National Insurance GroupSenior Property Claims Specialist - Commercial (Inside Desk)Charlotte, NC$77,000–$105,000 / yearWe believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations in NYC, Dallas and Charlotte.
Claims Consultant Tata Consultancy Services LtdClaims ConsultantNC$48,000–$55,000 / yearResponsibilities: 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. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Claims Attorney / Associate Attorney Fox Point Recruitment LLCClaims Attorney / Associate AttorneyCharlotte, NCCharlotte offers a strong legal and business community, diverse dining and entertainment options, professional sports, museums, nearby parks and outdoor recreation, and convenient access to the Blue Ridge Mountains and Atlantic coast. The city also provides an attractive quality of life with a growing economy and a relatively moderate cost of living compared to many major metropolitan areas.
VP, Claims Technical Lead, Workers Comp Sompo International Holdings LimitedVP, Claims Technical Lead, Workers CompCharlotte, NC$170,000–$225,000 / yearThe successful candidate will supervise the internal Sompo TPA oversight claims team, manage TPAs who handle claims on Sompo's behalf, and work closely with internal and external business partners. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
Fiber Infrastructure & Outside Plant Operations - Claims Recovery Manager MCNCFiber Infrastructure & Outside Plant Operations - Claims Recovery ManagerDURHAM, NCFull timeThis role is responsible for managing outside plant damage investigations, coordinating recovery documentation, and supporting claims resolution efforts with contractors, utilities, insurance carriers, and legal representatives. Assist with identifying potential risks including exposed facilities, encroachments, erosion, accessibility concerns, and third-party activity near network assets.
Claims Representative LancesoftClaims RepresentativeCharlotte, NC$23.81Processes low level general liability claims by gathering information to determine liability exposure;assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. Develops and coordinates low level general liability claims'action plans to resolution, return-to-work efforts, and approves claim payments.
Claims Facilitator Erie Indemnity CoClaims FacilitatorCary, NC$40,121–$64,090 / yearAdditional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIEs geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.
AVP, US Healthcare Claims Sompo International Holdings LimitedAVP, US Healthcare ClaimsCharlotte, NC$145,000–$195,000 / yearThe successful candidate will be able to provide insight and analysis on US Healthcare claims across various product lines, including primary medical liability, excess and surplus lines, and allied healthcare. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
Senior Technical Specialist, General Liability Claims Sompo International Holdings LimitedSenior Technical Specialist, General Liability ClaimsCharlotte, NCEffectively represent the companys interests in meetings and negotiations; maintain a high level of claim and industry related expertise in order to assure technical competency and communicate to team members regarding significant issues and relevant changes. What youll bring: Minimum 5 plus years experience required in general liability claims handling with a career history of increasing responsibility with at least 3-5+ years handling excess claims, including large limit and high exposure claims.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerCharlotte, NCRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Commercial Property Claims Supervisor Utica National Insurance GroupCommercial Property Claims SupervisorNC$93,100–$136,400 / yearWe believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations including NYC, Dallas and Charlotte.
AVP, Claims Account Manager Sompo International Holdings LimitedAVP, Claims Account ManagerCharlotte, NC$130,000–$190,000 / yearOur business, your impact, our opportunity: What you'll be doing: Build and manage relationships between claim operations, clients, brokers, and business partners to support strong service delivery and collaboration. This position will also support Sompo's Broker Claims Advocacy Council initiative, working with brokers, clients, and internal stakeholders to enhance claims servicing and strengthen broker relationships.
NewClaims Consultant, Life Sciences CNA Financial CorpClaims Consultant, Life SciencesCharlotte, NC$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.