1

Claims Configuration Jobs in Virginia (NOW HIRING)

Guidewire Architect

Rosslyn, VA · On-site

$71.75 - $94.50/hr

CPCU, AIC, ARM, and/or Guidewire Integration or Configuration certification * 4+ years of experience with Guidewire Cloud Claims migration * Experience delivering projects using Agile/Scrum ...

Guidewire Architect

Mclean, VA · On-site

$63.75 - $84/hr

CPCU, AIC, ARM, and/or Guidewire Integration or Configuration certification * 4+ years of experience with Guidewire Cloud Claims migration * Experience delivering projects using Agile/Scrum ...

Support FAS upgrades, interface enhancements, configuration changes, and system security improvements. * Coordinate cross module alignment to ensure changes in Member, Claims, or Finance workflows do ...

Lead rootcause analysis and corrective actions to reduce repeat issues; coordinate with Claims, Data, and IT on systemic fixes and configuration updates. Analytics, Reporting & Continuous Improvement

Work with Claims Operations to resolve provider data discrepancies affecting reimbursement; support EDI/configuration updates and claimsimpact analyses. * Participate in enterprise initiatives ...

Guidewire Architect

Mclean, VA · On-site

$61.50 - $79.75/hr

Advanced degree in area of technical specialization CPCU, AIC, ARM Certification Guidewire Integration or Configuration certification 4 years experience with Guidewire Cloud Claims migration ...

Guidewire Architect

Rosslyn, VA · On-site

$69.25 - $90/hr

Advanced degree in area of technical specialization CPCU, AIC, ARM Certification Guidewire Integration or Configuration certification 4 years experience with Guidewire Cloud Claims migration ...

Red Hat OpenShift Cloud Engineer SME

Springfield, VA · On-site

$58.25 - $78/hr

... Claims, and enterprise/cloud storage platforms. * Automate OpenShift/Kubernetes infrastructure and application configuration using Infrastructure as Code, configuration management, Helm, and GitOps ...

Advanced degree in area of technical specialization CPCU, AIC, ARM Certification Guidewire Integration or Configuration certification 4 years experience with Guidewire Cloud Claims migration ...

Experience with insurance operations, claims, underwriting, or distribution transformation * Experience translating business requirements into platform design, configuration, or implementation plans

Showing results 21-40

Claims Configuration information

What is the difference between Claims Configuration vs Claims Processing Specialist?

AspectClaims ConfigurationClaims Processing Specialist
Primary RoleSetting up and customizing claims systems and workflowsReviewing, adjudicating, and processing individual insurance claims
Required SkillsTechnical knowledge of claims systems, data managementAttention to detail, knowledge of claims policies, customer service
Work EnvironmentTypically in IT or claims system teams within insurance companiesIn claims departments, interacting directly with claimants and providers
CertificationsClaims system certifications, insurance knowledgeInsurance claims processing certifications, customer service training

Claims Configuration involves setting up and maintaining claims systems to ensure efficient processing, while Claims Processing Specialists handle the day-to-day review and adjudication of claims. Both roles are essential in the insurance industry but focus on different aspects of claims management.

What are the typical challenges faced in a claims configuration role, and how can they be effectively managed?

Professionals in Claims Configuration often encounter challenges such as interpreting complex insurance policies, keeping up with frequently changing healthcare regulations, and ensuring accuracy in system setups to prevent claims processing errors. To manage these challenges, strong analytical skills, attention to detail, and ongoing communication with cross-functional teams—such as IT, business analysts, and compliance—are essential. Staying current with regulatory updates and participating in regular training can also help maintain high-quality work and minimize costly claim rework.

What is claims configuration?

Claims configuration refers to the process of setting up and maintaining the rules, parameters, and workflows in a healthcare or insurance system that determine how claims are processed, adjudicated, and paid. This role involves configuring software systems to ensure claims are handled accurately according to plan benefits, provider contracts, and regulatory requirements. Claims configuration specialists work closely with business analysts, IT, and operations teams to implement updates, troubleshoot issues, and support system enhancements. Their work helps streamline claims processing and minimize errors, ensuring compliance and customer satisfaction.

What are the key skills and qualifications needed to thrive as a claims configuration specialist?

To thrive as a Claims Configuration Specialist, you need a strong understanding of healthcare claims processing, benefits administration, and insurance terminology, often supported by a degree in healthcare administration or a related field. Familiarity with claims management systems (like Facets or QNXT), SQL, and sometimes certification in medical billing or claims adjudication is typically required. Attention to detail, analytical thinking, and effective communication are standout soft skills for this position. These abilities ensure accurate claims setup and processing, minimizing errors and supporting efficient healthcare operations.

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

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

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

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

What cities in Virginia are hiring for Claims Configuration jobs?

Cities in Virginia with the most Claims Configuration job openings:

Guidewire Architect

Deloitte

Rosslyn, VA • On-site

$71.75 - $94.50/hr

Full-time

This job post has expired today. Applications are no longer accepted.


Deloitte rating

8.2

Company rating: 8.2 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

45th of 150 rated financial services


Job description


Join our AI & Engineering team in transforming technology platforms, driving innovation, and helping make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation.

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Recruiting for this role ends on 08/15/2026.

Work you'll do

As a Manager on the Insurance Solutions team, you will be responsible for defining the end-to-end architecture for Guidewire solutions, serving as a bridge between client stakeholders and Deloitte delivery teams to translate business needs into scalable, secure configuration and integration designs.

  • Lead solution architecture for Guidewire implementations across policy, billing, and claims transformations within insurance client environments
  • Translate business, functional, and technical requirements into configuration, integration, and data architecture decisions
  • Establish technical standards, guide solution design reviews, and validate prototypes to support delivery quality, scalability, and security
  • Oversee architecture support across build, testing, deployment, and production readiness activities while managing technical risks and dependencies
  • Lead teams and mentor junior practitioners across workstreams, stakeholder interactions, and issue resolution throughout the project lifecycle

A successful candidate would possess these skills:

  • Ability to work independently and collaborate as part of a team
  • Effective written and verbal communication skills
  • Meticulous attention to detail and quality of work product
  • Ability to build and sustain professional relationships
  • Ability to lead projects or workstreams
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  • Strong interpersonal skills and professional demeanor
  • Ability to meet deadlines
  • Ability to mentor and provide clear guidance to others

The team

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

The team collaborates with practitioners across Deloitte's different service offerings to deliver advice to formulate business strategy and strategic plans to leading insurance organizations and to implement solutions to execute on those plans and aid our clients in navigating complex engagements and organizational change.

Engagements span Deloitte offerings and could include developing underwriting, distribution, and claims transformation plans, modernizing specific business and enterprise functions, re-designing operating models and organizational structures, implementing digital experience and advanced analytics solutions, and integrating functions across multiple organizations. Our engagements require a combination of insurance industry knowledge, technical skill, and change management actions to instill confidence with our clients and execute the transformation. To enable our success, it will be critical to use data, insights, and new methods and technologies to inform better ways of working together.

Qualifications

Required:

  • Bachelor's degree
  • 6+ years of consulting experience and/or insurance industry experience in property and casualty, life and annuity/group, commercial, or specialty insurance
  • 6+ years of experience implementing insurance core platforms such as Guidewire, Duck Creek, Majesco, or Origami, including 4+ years leading full lifecycle implementations of policy, billing, and/or claims systems
  • 4+ years of experience supporting one or more insurance domains such as products, underwriting, claims, billing and payments, policy administration, or distribution
  • 2+ years of experience leading at least one large business integration effort and project team through scoping, planning, requirements, design, development, and testing
  • Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve.
  • Limited immigration sponsorship may be available.

Preferred:

  • Advanced degree in business, computer science, engineering, or mathematics
  • CPCU, AIC, ARM, and/or Guidewire Integration or Configuration certification
  • 4+ years of experience with Guidewire Cloud Claims migration
  • Experience delivering projects using Agile/Scrum methodology
  • Experience with Java, Gosu, Enterprise JavaBeans, Business Process Execution Language, and UNIX
  • Experience with Amazon Web Services, Microsoft Azure, or Google Cloud Platform

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $148,200 to $292,300.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Qualifications:

Join our AI & Engineering team in transforming technology platforms, driving innovation, and helping make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation.

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Recruiting for this role ends on 08/15/2026.

Work you'll do

As a Manager on the Insurance Solutions team, you will be responsible for defining the end-to-end architecture for Guidewire solutions, serving as a bridge between client stakeholders and Deloitte delivery teams to translate business needs into scalable, secure configuration and integration designs.

  • Lead solution architecture for Guidewire implementations across policy, billing, and claims transformations within insurance client environments
  • Translate business, functional, and technical requirements into configuration, integration, and data architecture decisions
  • Establish technical standards, guide solution design reviews, and validate prototypes to support delivery quality, scalability, and security
  • Oversee architecture support across build, testing, deployment, and production readiness activities while managing technical risks and dependencies
  • Lead teams and mentor junior practitioners across workstreams, stakeholder interactions, and issue resolution throughout the project lifecycle

A successful candidate would possess these skills:

  • Ability to work independently and collaborate as part of a team
  • Effective written and verbal communication skills
  • Meticulous attention to detail and quality of work product
  • Ability to build and sustain professional relationships
  • Ability to lead projects or workstreams
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  • Strong interpersonal skills and professional demeanor
  • Ability to meet deadlines
  • Ability to mentor and provide clear guidance to others

The team

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

The team collaborates with practitioners across Deloitte's different service offerings to deliver advice to formulate business strategy and strategic plans to leading insurance organizations and to implement solutions to execute on those plans and aid our clients in navigating complex engagements and organizational change.

Engagements span Deloitte offerings and could include developing underwriting, distribution, and claims transformation plans, modernizing specific business and enterprise functions, re-designing operating models and organizational structures, implementing digital experience and advanced analytics solutions, and integrating functions across multiple organizations. Our engagements require a combination of insurance industry knowledge, technical skill, and change management actions to instill confidence with our clients and execute the transformation. To enable our success, it will be critical to use data, insights, and new methods and technologies to inform better ways of working together.

Qualifications

Required:

  • Bachelor's degree
  • 6+ years of consulting experience and/or insurance industry experience in property and casualty, life and annuity/group, commercial, or specialty insurance
  • 6+ years of experience implementing insurance core platforms such as Guidewire, Duck Creek, Majesco, or Origami, including 4+ years leading full lifecycle implementations of policy, billing, and/or claims systems
  • 4+ years of experience supporting one or more insurance domains such as products, underwriting, claims, billing and payments, policy administration, or distribution
  • 2+ years of experience leading at least one large business integration effort and project team through scoping, planning, requirements, design, development, and testing
  • Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve.
  • Limited immigration sponsorship may be available.

Preferred:

  • Advanced degree in business, computer science, engineering, or mathematics
  • CPCU, AIC, ARM, and/or Guidewire Integration or Configuration certification
  • 4+ years of experience with Guidewire Cloud Claims migration
  • Experience delivering projects using Agile/Scrum methodology
  • Experience with Java, Gosu, Enterprise JavaBeans, Business Process Execution Language, and UNIX
  • Experience with Amazon Web Services, Microsoft Azure, or Google Cloud Platform

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $148,200 to $292,300.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Education:Bachelor's DegreeEmployment Type:

What Deloitte employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom