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Claims Analyst Jobs in Virginia (NOW HIRING)

Head of Claims

Falls Church, VA ยท On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Support captive insurance programs through claims analytics, reserve oversight, funding recommendations, and executive reporting. * Provide insights to inform retention, deductible, renewal, and risk ...

Head of Claims

Falls Church, VA ยท On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Support captive insurance programs through claims analytics, reserve oversight, funding recommendations, and executive reporting. Provide insights to inform retention, deductible, renewal, and risk ...

Head of Claims

Falls Church, VA ยท On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Support captive insurance programs through claims analytics, reserve oversight, funding recommendations, and executive reporting. * Provide insights to inform retention, deductible, renewal, and risk ...

Understand and analyze policy language and contracts * Provide coverage, liability, and damages analysis for claims and ensure timely reserving and appropriate legal and indemnity payments * Draft ...

Claims Examiner

Richmond, VA

$73K - $90K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position combines analytical thinking, decision-making, and negotiation to ensure fair and timely claim outcomes. You'll work closely with experienced claims professionals and legal partners ...

Claims Examiner

Richmond, VA ยท On-site

$73K - $90K/yr

This position combines analytical thinking, decision-making, and negotiation to ensure fair and timely claim outcomes. You'll work closely with experienced claims professionals and legal partners ...

Claims Examiner

Richmond, VA ยท On-site

$73K - $90K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position combines analytical thinking, decision-making, and negotiation to ensure fair and timely claim outcomes. You'll work closely with experienced claims professionals and legal partners ...

Claims Consultant

Henrico, VA ยท On-site

$48K - $55K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous) Review and analyze medical information (i.e. attending physician reports, medical records ...

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Claims Analyst information

See Virginia salary details

$14

$27

$51

How much do claims analyst jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for claims 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.

How to become a claims analyst?

To become a claims analyst, candidates typically need a high school diploma or equivalent, with some roles preferring a bachelor's degree in fields like business, finance, or insurance. Relevant skills include attention to detail, analytical thinking, and proficiency with claims processing software. Gaining industry certifications such as the Certified Claims Professional (CCP) can enhance job prospects.

What is the difference between Claims Analyst vs Claims Processor?

AspectClaims AnalystClaims Processor
Required credentialsHigh school diploma or equivalent; sometimes certifications in insurance or claims processingHigh school diploma or equivalent; often basic insurance or claims processing training
Work environmentOffice setting, analyzing complex claims, collaborating with adjusters and underwritersOffice setting, reviewing and entering claim data, processing claims efficiently
Employer and industry usageInsurance companies, third-party administrators, healthcare providersInsurance companies, healthcare providers, government agencies

Claims Analysts focus on evaluating complex claims, analyzing data, and making decisions, while Claims Processors handle the day-to-day entry and processing of claims. Both roles are essential in the insurance industry, but Claims Analysts typically require more analytical skills and sometimes additional certifications.

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 following company policies. Strong attention to detail and knowledge of insurance policies are essential for this role.

Is being a claims analyst hard?

Being a claims analyst involves reviewing insurance claims, analyzing data, and ensuring accuracy, which can require attention to detail and strong organizational skills. The job may involve handling complex cases and working under deadlines, but it generally depends on the individual's experience and the company's workload.

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

To thrive as a Claims Analyst, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies, often supported by a relevant degree in finance, business, or a related field. Familiarity with claims management software, data analysis tools, and knowledge of regulatory compliance are typically required. Excellent communication, problem-solving skills, and the ability to manage time effectively help you stand out in this role. These skills ensure accurate claim evaluations, efficient processing, and high-quality service to both clients and the organization.

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, often supplemented with benefits and bonuses.

What are some common challenges a claims analyst faces when handling complex claims, and how are these typically addressed?

Claims Analysts often encounter complex cases that involve ambiguous documentation, multiple parties, or unusual policy details. Navigating these situations requires strong investigative skills, attention to detail, and effective communication with policyholders, healthcare providers, or other stakeholders. To address these challenges, Claims Analysts typically collaborate closely with senior team members, legal counsel, or specialized departments and use claims management software to track progress. Ongoing training and knowledge sharing within the team also play a key role in resolving complex claims efficiently.

What are the most commonly searched types of Claims Analyst jobs in Virginia?

The most popular types of Claims Analyst jobs in Virginia are:

What are popular job titles related to Claims Analyst jobs in Virginia?

For Claims Analyst jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Claims Analyst jobs in Virginia look for?

The top searched job categories for Claims Analyst jobs in Virginia are:

What cities in Virginia are hiring for Claims Analyst jobs?

Cities in Virginia with the most Claims Analyst job openings:

What are popular job titles related to Claims Analyst jobs in VA?

For Claims Analyst jobs in VA, the most frequently searched job titles are:

Infographic showing various Claims Analyst job openings in Virginia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 72% In-person, 14% Hybrid, and 14% 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 โ€ข On-site

Full-time

Posted 11 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.