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Claim Operator Jobs in Virginia (NOW HIRING)

Epic Denials Management Operator

Richmond, VA ยท Remote

$17.75 - $23.75/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

Epic Denials Management Operator

Rosslyn, VA ยท Remote

$20.50 - $27.25/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

Epic Denials Management Operator

Mclean, VA ยท Remote

$18.25 - $24.25/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

ENGINEERING EQUIPMENT OPERATOR

Quantico, VA ยท On-site +1

$34.71 - $40.55/hr

You will initiate or annotate forms and reports, such as an Operator's Inspection Guide and Trouble ... However, if you claim veteran's preference, you will be required to submit supporting documentation ...

Claims Examiner (Casualty)

Richmond, VA ยท On-site +1

$68K - $123K/yr

Maintain accurate, timely, and well-documented claim files, including clear reporting and adherence ... operating independently * Strong organizational and time management skills, with the ability to ...

Workers' Compensation Claims Associate

Roanoke, VA ยท On-site

$20.75 - $22.50/hr

In this role, you'll play a key part in managing claim details and delivering exceptional service to our customers. Metis is a Roanoke-owned and operated organization dedicated to providing ...

Establish and maintain appropriate claim reserves based on investigation findings and projected ... Repetitive tasks associated with typing, note taking, telephonic communication and operating ...

Head of Claims

Falls Church, VA ยท On-site

$115 - $165/hr

... and claim closure discipline.Provide quarterly forecasts on claims expenditures and recoveriesDrive improvements in experience modification outcomes across operating entities.Analytics, Reporting ...

... and claim closure discipline. * Provide quarterly forecasts on claims expenditures and recoveries * Drive improvements in experience modification outcomes across operating entities. Analytics ...

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Claim Operator information

What does a claim operator do?

A Claim Operator is responsible for processing and managing insurance claims. They review claim submissions, verify documentation for accuracy, and determine the validity of claims according to company policies. Claim Operators may also communicate with clients, adjusters, and other stakeholders to gather additional information or resolve issues. Their role helps ensure that claims are handled efficiently and fairly, contributing to customer satisfaction and the integrity of the insurance process.

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

To thrive as a Claim Operator, you need strong analytical skills, attention to detail, and a foundational understanding of insurance processes, often supported by a high school diploma or equivalent. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, organization, and problem-solving abilities help in interacting with clients and resolving claims efficiently. These skills are crucial for accurately processing claims, ensuring customer satisfaction, and maintaining compliance with regulatory standards.

What are some common challenges a claim operator faces in managing insurance claims, and how can they be addressed?

Claim Operators often encounter challenges such as handling a high volume of claims, ensuring accuracy in documentation, and meeting strict deadlines. These challenges can be managed by developing strong organizational skills, utilizing claims management software efficiently, and maintaining clear communication with both clients and team members. Staying updated on regulatory changes and company policies also helps prevent errors and ensures compliance throughout the claims process.

What is the difference between Claim Operator vs Claims Adjuster?

AspectClaim OperatorClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; licensing or certification often required
Work EnvironmentInsurance companies, claims processing centersFieldwork and office settings, inspecting damages
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Common Search & ComparisonClaim OperatorClaims Adjuster

Claim Operators primarily handle the administrative processing of claims within insurance companies, focusing on data entry and documentation. Claims Adjusters, on the other hand, evaluate damages, inspect claims, and determine settlement amounts. While both roles require insurance knowledge and sometimes licensing, Claim Operators focus on processing, whereas Claims Adjusters are more involved in assessment and decision-making.

What are popular job titles related to Claim Operator jobs in Virginia?

For Claim Operator jobs in Virginia, the most frequently searched job titles are:

What cities in Virginia are hiring for Claim Operator jobs?

Cities in Virginia with the most Claim Operator job openings:

Infographic showing various Claim Operator job openings in Virginia as of August 2026, with employment types broken down into 52% Full Time, 46% Part Time, 1% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Remote job distribution.