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Claim Analyst Jobs in Virginia (NOW HIRING)

Brookfield

SIU Analyst

Richmond, VA · On-site

SIU Analyst Employment Type: Full-Time FLSA Status: Exempt Location: In-Office: Any employee, in ... claim presentations. * Initiates proactive data investigations and identifies emerging fraud ...

New

The Whiteside Agency

Cyber Claim Counsel

Chantilly, VA · On-site

$111K - $184K/yr

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.

Commence

Sr. Program Analyst, Federal Health

Leesburg, VA · On-site

$130K - $160K/yr

The Sr. Program Analyst, Federal Health will serve as a subject matter expert (SME) in VA ... Review and validate AI-generated determinations against the claim file or synthesized data; assess ...

FCCI Insurance Group

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 ...

Chubb

Casualty Claim Examiner

Chesapeake, VA · On-site

$53K - $77K/yr

Chubb is looking to build a talent pipeline for upcoming Casualty Claims Examiner, Claim Specialist ... Analyze Initial Reports: Review and assess the nature of loss, coverage provided, and the scope of ...

Chubb

Casualty Claim Examiner

Chesapeake, VA · On-site

$53K - $77K/yr

Chubb is looking to build a talent pipeline for upcoming Casualty Claims Examiner, Claim Specialist ... Analyze Initial Reports: Review and assess the nature of loss, coverage provided, and the scope of ...

TEOCO

Senior Telecom Expense Analyst

Fairfax, VA · On-site +1

$89K - $118K/yr

... Claim Center application with clear explanations and supporting evidence. Participate in client ... analyze large datasets and support audit processes. Research and validate billing discrepancies ...

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How much do claim analyst jobs pay per hour?

As of Aug 13, 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?

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 claim 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.

How much do claim analysts make in the US?

Claim 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 does a claim analyst do?

A claim analyst reviews insurance claims to determine their validity and ensure accurate processing. They analyze documentation, assess coverage, and identify discrepancies, often using specialized software and industry knowledge to make informed decisions. Strong attention to detail and understanding of policy terms are essential for this role.

Is being a claim analyst hard?

Claim analysts review insurance claims to determine coverage and payout amounts, which requires attention to detail, analytical skills, and knowledge of insurance policies. The job can involve repetitive tasks and working under deadlines, but it generally depends on the complexity of claims and the individual's experience. Training and familiarity with claims processing software are also important factors in job difficulty.
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Claim Analyst jobs near you
Infographic showing various Claim Analyst job openings in Virginia as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 7% Part Time, and 6% Contract. Highlights an 81% Physical, 9% Hybrid, and 10% Remote job distribution, with an average salary of $56,486 per year, or $27.2 per hour.

Epic HB/PB Resolute Claims Analyst

InterScripts, Inc

Chantilly, VA • On-site

Full-time

Posted 9 days ago

Job description


bJob Title: Epic HB/PB Resolute Claims Analyst
Location: Chantilly, Virginia, United States
Experience: 2+ Years
Employment Type: Full-Time
Job Summary
We are seeking an experienced Epic Resolute Hospital Billing (HB),or Professional Billing (PB), and Claims Analyst to support, maintain, and optimize Epic Revenue Cycle applications. The ideal candidate will have hands-on experience with Epic Resolute HB, PB, Claims, and Revenue Cycle workflows, along with strong analytical and troubleshooting skills. Active Epic certification is mandatory.
Key Responsibilities
  • Configure, maintain, and support Epic Resolute HB, PB, and Claims applications.
  • Analyze business requirements and translate them into Epic system solutions.
  • Support claim generation, claim edits, remittance processing, and denial management workflows.
  • Troubleshoot application issues and provide timely resolution.
  • Perform system build, configuration, testing, upgrades, and optimization activities.
  • Collaborate with Revenue Cycle, Patient Financial Services, and IT teams.
  • Create and maintain application documentation, workflows, and training materials.
  • Participate in integrated testing, go-live support, and post-implementation activities.
  • Ensure compliance with healthcare billing regulations and organizational standards.
  • Support enhancement requests and continuous process improvement initiatives.

Requirements
  • Minimum 2+ years of experience working with Epic Resolute applications.
  • Epic Resolute Hospital Billing (HB) Certification - Mandatory.
  • Epic Resolute Professional Billing (PB) Certification - Mandatory.
  • Epic Claims/Remittance experience preferred.
  • Experience supporting healthcare revenue cycle operations.
  • Strong understanding of billing, claims processing, payment posting, denial management, and reimbursement workflows.
  • Experience with system configuration, testing, validation, and production support.
  • Excellent communication and stakeholder management skills.
    • Preferred Skills
    • Knowledge of Charge Router, Work Queues (WQs), Claims, Remittance, Payment Posting, and Revenue Cycle workflows.
    • Experience with Epic upgrade testing and release management.
    • Understanding of healthcare billing regulations, payer requirements, and reimbursement processes.
    • Experience in hospital and professional billing environments.
    Education
    • A bachelor's degree in Healthcare, Information Technology, Computer Science, or a related field is preferred.
    Mandatory Certification
    • Epic Resolute Hospital Billing (HB) Certification.
    • Epic Resolute Professional Billing (PB) Certification.
    • Epic Claims/Remittance Certification is a strong plus.
    Preferred Experience
    • Healthcare IT implementation, optimization, or application support experience.
    • Experience working directly with Revenue Cycle and Patient Financial Services teams.

    Apply