Top 96 Claims representative Jobs in Charlotte, Nc

Operations Claims Specialist
Pacific Life Insurance Company —Charlotte, NC
- $24 - $43 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Quick Apply
14d
Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone
Sedgwick —Charlotte, NC
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Health savings account
- Disability insurance
Billing Follow Up Representative I
Atrium Health —Charlotte, NC
- $20.80 - $31.20 an hour
- Full-time
- English
- Mid-level
- High school diploma or GED
- Paid parental leave
- Disability insurance
2d
Claim Operations Specialist
The Travelers Companies, Inc. —Charlotte, NC
- $45,400 - $74,900 a year
- Hybrid work
- Computer literacy
- Mid-level
- High school diploma or GED
- Wellness program
- Paid holidays
4d
Claims Examiner II, PDMU 1
Lincoln Financial —Charlotte, NC
- $23.13 - $31.93 an hour
- Online Application
- Remote
- Basic math
- Mid-level
- High school diploma or GED
- Tuition reimbursement
- Paid time off
2d
Lead Denial Management Specialist
Piedmont Plastic Surgery & Dermatology —Gastonia, NC
- From $25 an hour
- Full-time
- Background check
- Ability to walk for extended periods
- Microsoft Office
- Dental insurance
- 401(k)
Quick Apply
Insurance Commercial Lines Account Executive - Team Leader
SolomonEdwards —Charlotte, NC
- $175,000 - $200,000 a year
- Email
- Remote
- Bachelor's degree
- Team management
- Travel
- Health insurance
- Dental insurance
Quick Apply
Licensed Inside Sales Representative
Corey Hinson - Allstate Agency —Fort Mill, SC
- $50,000 - $80,000 a year
- Full-time
- Computer skills
- In-person
- Communication skills
- Health insurance
- 401(k)
Quick Apply
Insurance Follow-up Representative
REACH Fertility PLLC —Charlotte, NC
- Weekends as needed
- Microsoft Word
- Microsoft Excel
- Research
- Paid parental leave
- Paid holidays
Quick Apply
Accounts Receivable Representative
OrthoCarolina —Charlotte, NC
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Tuition reimbursement
Quick Apply
Customer Service Representative - REMOTE
ServiceMac, LLC —Fort Mill, SC
- $16.07 - $21.41 an hour
- Full-time
- Remote
- Background check
- Mid-level
- High school diploma or GED
- Employee stock purchase plan
- Health insurance
Quick Apply
8d
WC Complex Med Only Adjuster -Charlotte, NC (Hybrid)
Selective Insurance Company of America —Charlotte, NC
- $55,000 - $68,000 a year
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Office
- Employee stock purchase plan
- Health insurance
Customer Service Representative - REMOTE
First American Financial Corporation —Fort Mill, SC
- Remote
- Background check
- Mid-level
- Microsoft Office
- Employee stock purchase plan
- Health insurance
7d
Customer Service Representative - State Farm Agent Team Member
Mary-Beth Burgess - State Farm Agent —Charlotte, NC
- $21 - $25 an hour
- Full-time
- Office
- Communication skills
- Entry level
Quick Apply
Health Plan Provider Relations Representative
Molina Healthcare —Rock Hill, SC
- $18.85 - $38.69 an hour
- Full-time
- Medical office experience
- Mid-level
- Training & development
- Health insurance
11d
Remote Customer Service | Insurance Agent
The Gainey Agency —Charlotte, NC
- Full-time
- Remote
- Residential
- Communication skills
- Entry level
- Opportunities for advancement
Quick Apply
Banking Technical Support Representative
Jack Henry —Charlotte, NC
- $42,000 - $53,000 a year
- Full-time
- Research
- In-person
- 1 year
8d
Customer Service Representative - State Farm Agent Team Member
Aprille Shaffer - State Farm Agent —Charlotte, NC
- $40,000 - $46,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- 401(k)
- Paid time off
Quick Apply
Patient Representative
Cabarrus Rowan Community Health Centers —Concord, NC
- Weekends as needed
- Computer literacy
- HIPAA
- High school diploma or GED
Quick Apply
Healthcare Customer Service Representative (NC)
Healthcare Business Services Inc. —Charlotte, NC
- On call
- Remote
- Computer literacy
- Writing skills
- Medical office experience
- Work from home
2d

I want to receive the latest job alert for claims representative in charlotte, nc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims representative jobs near charlotte, nc

Operations Claims Specialist

Pacific Life Insurance Company -
Charlotte, NC

Quick Apply

Job Details

Full-time
$24 - $43 an hour
14 days ago

Benefits

Paid parental leave
Paid holidays
Health insurance
Dental insurance
Paid time off
Adoption assistance
Parental leave
Vision insurance
401(k) matching
Benefits from day one
Life insurance

Qualifications

Insurance claims inquiry response
Contract documentation review
Insurance products customer support
Contract review
Email customer support
Phone communication
Payment processing
Coaching
Regulatory compliance in claims processing
Research
Mid-level
Incident Escalation
Accurate transaction records management
Life insurance knowledge
Analysis skills
Bachelor's degree
Internal employee customer service
Operational risk mitigation
Continuous improvement
Task prioritization
Team training
Quality issues
Quality improvement
Mentoring
Operational excellence initiatives
Insurance claims auditing
Claims documentation management
Cross-functional collaboration
Legal compliance
Escalation handling

Full Job Description

Job Description:

Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better.

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. This role follows a hybrid schedule of one day a week in office.

As 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. You will review and process contestable and non-contestable death and living claims on both annuity contracts and life insurance policies.

This position may be filled at the Operations Claims Associate, Operations Claims Specialist, Sr. Operations Claims Specialist, or Sr. Operations Claims Analyst level based on experience and business needs, and we are open to hiring across all levels.

How you’ll help move us forward:

Claims Processing & Adjudication

Review claims against contract and policy provisions to ensure accuracy and appropriate resolution
Process transactions accurately with complete documentation and payment validation
Identify and document outstanding requirements and required next steps
Maintain clear and detailed claim notes for continuity of service
Ensure adherence to regulatory, compliance, and procedural standards

Customer & Partner Communication

Respond to customer and internal partner inquiries via phone and email
Communicate clearly, professionally, and with empathy, especially in sensitive claim situations
Research and resolve claim-related inquiries within service level expectations
Escalate complex or high-risk issues appropriately

Operational Excellence & Risk Management

Balance accuracy, efficiency, and risk mitigation in claims decisions
Identify and report errors, process gaps, and improvement opportunities
Follow established procedures, job aids, and knowledge resources
Support workload balancing and queue management priorities

Collaboration & Team Support

Partner with peers, leadership, and cross-functional teams to resolve issues
Support team workflow needs and participates in functional rotations
Contribute to a professional, collaborative team environment

Leadership, Training & Continuous Improvement (Sr. Operations Claims Specialist)

Provide mentoring, coaching, and peer training
Conduct quality reviews and identify trends
Support process improvements, documentation updates, and project initiatives
Serve as a subject matter expert for complex or escalated claims

The experience you bring:

Operations Claims Associate: 0–2 years of operations or insurance-related experience
Operations Claims Specialist: 2–3+ years of claims processing experience with demonstrated proficiency
Sr. Operations Claims Specialist: 3+ years of advanced claims experience, including complex or contestable claims
Sr. Operations Claims Analyst: 5+ years of experience with expertise in complex or contestable claims
Strong analytical, critical thinking, and problem-solving skills
High attention to detail with ability to manage multiple priorities
Ability to balance accuracy and efficiency in a fast-paced environment
Strong written and verbal communication skills, including handling sensitive situations with empathy
Ability to work both independently and collaboratively

What makes you stand out:

Experience with life insurance and/or annuity claims
Experience handling contestable claims or investigations
Experience with training, mentoring, or coaching

Education Requirements:

Bachelor’s degree or equivalent combination of education and experience

Level Differentiation & Compensation:

Compensation will vary depending on level, experience, and qualifications, and location.

Operations Claims Associate

Entry-level role focused on developing foundational claims knowledge and skills
Omaha Compensation: $24 - $26/hr.
Charlotte Compensation: $25 - $27/hr.

Operations Claims Specialist

Independently performs advanced claims transactions and meets performance expectations
Omaha Compensation: $26 - $28/hr.
Charlotte Compensation: $27 - $29/hr.

Sr. Operations Claims Specialist

Handles complex or contestable claims and contributes to training, quality, and process improvement efforts
Omaha Compensation: $32 - $34
Charlotte Compensation: $33 - $36

Sr. Operations Claims Analyst

Serves as subject matter expert and leads complex investigations and cross-functional initiatives
Omaha Compensation: $39 - $41
Charlotte Compensation: $41 - $43

#LI-RB1

Base Pay Range:

The base pay range noted represents the company’s good faith minimum and maximum range for this role at the time of posting. The actual compensation offered to a candidate will be dependent upon several factors, including but not limited to experience, qualifications and geographic location. Also, most employees are eligible for additional incentive pay.

Your Benefits Start Day 1

Your wellbeing is important to Pacific Life, and we’re committed to providing you with flexible benefits that you can tailor to meet your needs. Whether you are focusing on your physical, financial, emotional, or social wellbeing, we’ve got you covered.

Prioritization of your health and well-being including Medical, Dental, Vision, and Wellbeing Reimbursement Account that can be used on yourself or your eligible dependents
Generous paid time off options including: Paid Time Off, Holiday Schedules, and Financial Planning Time Off
Paid Parental Leave as well as an Adoption Assistance Program
Competitive 401k savings plan with company match and an additional contribution regardless of participation

You Can Be Who You Are

We are committed to a culture of diversity and inclusion that embraces the authenticity of all employees, partners and communities. We support all employees to thrive and achieve their fullest potential.

What’s life like at Pacific Life? Visit Instagram.com/lifeatpacificlife

EEO Statement:

Pacific Life Insurance Company is an Equal Opportunity /Affirmative Action Employer, M/F/D/V. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Pacific Life Insurance Company.

Quick Apply

Refine Your Search

claims representative jobs in charlotte, nc

Operations Claims Specialist

Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone

Billing Follow Up Representative I

Claim Operations Specialist

Claims Examiner II, PDMU 1

Lead Denial Management Specialist

Insurance Commercial Lines Account Executive - Team Leader

Licensed Inside Sales Representative

Insurance Follow-up Representative

Accounts Receivable Representative

Customer Service Representative - REMOTE

WC Complex Med Only Adjuster -Charlotte, NC (Hybrid)

Customer Service Representative - REMOTE

Customer Service Representative - State Farm Agent Team Member

Health Plan Provider Relations Representative

Remote Customer Service | Insurance Agent

Banking Technical Support Representative

Customer Service Representative - State Farm Agent Team Member

Patient Representative

Healthcare Customer Service Representative (NC)

I want to receive the latest job alert for claims representative in charlotte, nc

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected