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Claim Analyst Jobs in Virginia (NOW HIRING)

Accounts Receivable Analyst

Mclean, VA · Remote

$24.25 - $30.75/hr

Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment. * Document claim status details and payer-provided information * Provide account ...

Accounts Receivable Analyst

Richmond, VA · Remote

$23.75 - $30.25/hr

Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment. * Document claim status details and payer-provided information * Provide account ...

Accounts Receivable Analyst

Rosslyn, VA · Remote

$27.25 - $34.75/hr

Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment. * Document claim status details and payer-provided information * Provide account ...

The BSI Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to optimize claim results.

E&S Claim Adjuster

Glen Allen, VA · On-site +1

$91K - $140K/yr

We are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and Surplus Lines claims that require expertise in areas such as coverage, analysis, jurisdictional and ...

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Claim Analyst information

See Virginia salary details

$14

$27

$51

How much do claim analyst jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for claim analyst in Virginia is $27.16, according to ZipRecruiter salary data. Most workers in this role earn between $20.00 and $31.20 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Claim Analyst, and why are they important?

To thrive as a Claim Analyst, you need strong analytical skills, attention to detail, and a background in finance, insurance, or a related field, often supported by a relevant degree or certificate. Familiarity with claims management software, data entry systems, and sometimes industry-specific regulations or certifications like AIC is typical. Strong communication, problem-solving abilities, and customer service skills help you resolve issues efficiently and build trust with clients. These competencies are crucial for ensuring accurate claim evaluations, minimizing errors, and providing excellent service in a fast-paced environment.

What Is a Claims Analyst?

A claims analyst works for an insurance company, government agency, or medical billing department. As a claims analyst, your responsibilities include reviewing insurance claims filed by policyholders to ensure they are accurate and complete, that the individual understands their benefits, and that the policies cover the claims. Your duties include monitoring each claim throughout the process, determining reimbursement eligibility, negotiating payments to each party, and following up to ensure the parties make their payments. You then provide documentation and report the necessary information to each party. You are the primary contact for groups and members to answer questions and solve any issues. You may work in a variety of medical and insurance subsets in the claims industry, like dental or vision health, disability, and even construction.

How does a Claim Analyst typically collaborate with other departments during the claims review process?

Claim Analysts frequently work closely with teams such as underwriting, customer service, and legal to ensure accurate and timely resolution of claims. They often need to clarify policy details with underwriters, gather additional information from customer service representatives, and consult with legal advisors on complex or disputed cases. Effective communication and teamwork are essential, as these collaborations help ensure that claims are processed in compliance with company policies and regulatory requirements. This cross-functional interaction also provides valuable learning opportunities and can support career advancement within the insurance industry.

What are claim analysts?

Claim analysts are professionals who review, process, and evaluate insurance claims submitted by policyholders. They investigate the details of each claim, assess coverage, determine the validity, and ensure compliance with company policies and regulations. Their work may involve communication with claimants, healthcare providers, or other parties to gather necessary information. Claim analysts play a key role in preventing fraud and making sure claims are settled accurately and efficiently.

What does a claims analyst do?

A claims analyst reviews insurance claims to determine their validity and ensure accurate processing. They analyze documentation, assess coverage, and identify potential fraud or errors, often using specialized software and industry knowledge to make informed decisions.

Is being a claims analyst hard?

Claims analysts review insurance claims to determine coverage and payout amounts, which can involve detailed analysis and attention to accuracy. The job often requires strong communication skills, familiarity with claims processing software, and the ability to handle repetitive tasks, making it moderately challenging depending on experience and workload.

How much do claims analysts make in the US?

Claims analysts in the US typically earn a median annual salary of around $50,000 to $70,000, depending on experience, location, and industry. Entry-level positions may start lower, while experienced analysts or those with specialized skills can earn higher salaries and bonuses.

What jobs pay $500,000 a year in the US?

Claim analysts typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized surgeons, or successful entrepreneurs. In the insurance industry, senior claims executives or those in leadership positions may reach high six-figure or low seven-figure incomes, especially with bonuses and profit sharing. Achieving a $500,000 salary generally requires extensive experience, advanced certifications, or ownership of a business.
What cities in Virginia are hiring for Claim Analyst jobs? Cities in Virginia with the most Claim Analyst job openings:
What are popular job titles related to Claim Analyst jobs in VA? For Claim Analyst jobs in VA, the most frequently searched job titles are:
Infographic showing various Claim Analyst job openings in Virginia as of July 2026, with employment types broken down into 87% Full Time, 8% Part Time, 1% Temporary, and 4% Contract. Highlights an 85% Physical, 6% Hybrid, and 9% Remote job distribution, with an average salary of $56,486 per year, or $27.2 per hour.
Claims System and Business Analyst II

Claims System and Business Analyst II

Virginia Farm Bureau

Henrico, VA • On-site

$78K - $87K/yr

Full-time

Medical, Dental, Retirement, PTO

Posted 6 days ago


Virginia Farm Bureau rating

9.6

Company rating: 9.6 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

5th of 299 rated insurance


Job description

POSITION TITLE: Claims System and Business Analyst II
STATUS: Exempt
COMPENSATION RANGE: $78,000-87,000 Annually
LOCATION: Based out of our beautiful West Creek Office, located at 12580 West Creek Pkwy, Richmond, VA 23238.
REPORTS TO: VP of Claims
POSITION SUMMARY:
The Claims Technology Business Analyst is responsible for delivering business analysis, system automation initiatives, including artificial intelligence (AI), project allocation, and system maintenance for all core systems used by the Claims Department. The role serves as a key link between business needs and technology execution by evaluating organizational challenges, documenting technical requirements, and translating them into clear, actionable specifications for developers and IT teams.
PRIMARY DUTIES
  • Conduct business analysis to identify operational challenges and opportunities for improvement within the Claims Department.
  • Analyzes, prepares, designs and/or reviews Claims reporting systems, determining formats, displays and functional designs.
  • Analyzes claims data and metrics to provide observations on trends to leadership.
  • Manage project allocation and coordinate priorities across multiple system-related initiatives.
  • Oversee ongoing system maintenance and support for core Claims Department platforms.
  • Gather, document, and clarify business and technical requirements for new and existing systems.
  • Translate business needs into functional specifications for developers and IT partners.
  • Collaborate with cross-functional teams to ensure technology solutions align with organizational goals.
  • Monitor system performance and recommend enhancements to improve usability, reliability, and business outcomes.
  • Partner with department leadership to assess business needs, allocate resources, and prioritize initiatives that support corporate objectives and regulatory requirements.
  • Maintain broad, enterprise-level knowledge of Claims Department operations and business activities, with responsibility for driving continuous improvement and scalability.
  • Lead and support system automation efforts, including AI-driven solutions and automation tools, to improve business practices, reduce manual work, increase accuracy, and boost efficiency across claims functions.
  • Oversee the evaluation, testing, recommendation, and implementation of enhancements to insurance systems, including Finys, legacy platforms, and ImageRight, to ensure alignment with business strategy and technical standards.
  • Direct the development, testing, documentation, and deployment of system changes to ensure reliable performance, regulatory compliance, and positive customer outcomes.
  • Establish standards and governance for gathering, documenting, and validating business requirements from Claims and Information Services to support system and process changes.
  • Ensure thorough test scenarios, validation plans, and acceptance criteria are developed and executed to support high-quality system releases.
  • Oversee the development, maintenance, and ongoing improvement of processing procedures and documentation to align with evolving systems, AI capabilities, and business rules.
  • Serve as an escalation point for complex processing and procedural issues, providing accurate guidance and timely resolution for stakeholders.
  • Identify, recommend, and lead system, process, and AI-driven initiatives that improve efficiency, productivity, data quality, and decision-making across the department and organization.
  • Build and maintain strong partnerships with business units and the IS department to align business strategy with technology execution.
  • Work with business leaders to understand, communicate, and strategically prioritize projects while balancing immediate operational needs with long-term transformation goals.

ADDITIONAL DUTIES
• All other duties as assigned by the VP of Claims.
MINIMUM QUALIFICATIONS
  • Working knowledge of insurance processing systems and workflows.
  • Working knowledge of AI tools, software, and best practices.
  • Strong analytical and problem-solving skills with close attention to detail.
  • Ability to manage multiple projects while maintaining focus on details and deadlines.
  • Proficiency in Microsoft Office applications.
  • Strong interpersonal skills.
  • Demonstrated initiative and strategic thinking.
  • Ability to work effectively in a team environment and with all levels of the organization.
  • Excellent verbal and written communication skills.
  • Knowledge of multiline claims, including Auto, Property, and Commercial lines.

MINIMUM EDUCATION AND EXPERIENCE QUALIFICATIONS
  • Bachelor's degree in Information Systems, Computer Science, Business, or a related field, or equivalent experience.
  • At least two years of experience in the design, development, and implementation of information systems projects and solutions.
  • Two to three years of prior insurance experience.
  • Coursework in project management, business analysis, or related discipline.
  • Insurance-related coursework, including progress toward or completion of designations such as General Insurance, AIS, AIC, or AAM.

PREFERRED QUALIFICATIONS
  • Experience supporting claims systems, workflow optimization, or digital transformation initiatives.
  • Knowledge of business process improvement methodologies and requirements gathering best practices.
  • Experience working with cross-functional technology teams, including developers, business analysts, and system administrators.
  • Familiarity with data analysis, reporting tools, or dashboard development.
  • Experience with AI-enabled tools or automation technologies that improve operational efficiency.
  • Project coordination or project management experience in a business or technology environment.
  • Progress toward or completion of relevant insurance, business analysis, or project management certifications.

BENEFITS OVERVIEW
At VA Farm Bureau, we provide an exceptional benefits package, including ongoing job development and support in all roles, paid training and continuing education reimbursement, medical and dental insurance available on your first day, generous employee 401K contribution, excellent Paid Time off (PTO) plan and more!
Virginia Farm Bureau Companies provide equal employment opportunity in all aspects of employment without regard to race, color, national origin, religion, gender, pregnancy, age, disability, orientation or veteran status.

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