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Claims Processing Manager Jobs in Virginia (NOW HIRING)

Ampcus

Claims Processor

Fairfax, VA · On-site

$17.50 - $22.25/hr

... processing requirements based on contracts, policies and procedures. Process product or system ... Reports are used by management to plan for scheduling, quality improvement initiatives, workflow ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

This role is fully remote and requires strong accuracy, time management, multitasking skills and ... Log into internal systems and begin processing claims * Accurately enter and review data in a high ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

This role is fully remote and requires strong accuracy, time management, multitasking skills and ... Log into internal systems and begin processing claims * Accurately enter and review data in a high ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

This role is fully remote and requires strong accuracy, time management, multitasking skills and ... Log into internal systems and begin processing claims * Accurately enter and review data in a high ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

This role is fully remote and requires strong accuracy, time management, multitasking skills and ... Log into internal systems and begin processing claims * Accurately enter and review data in a high ...

Kinsale Management, Inc

Claims Examiner

Richmond, VA

$73K - $90K/yr

Manage a variety of casualty claims under the guidance of a Claims Supervisor * Conduct and coordinate investigations across all phases of the claims process * Evaluate liability and exposure to ...

Georgia IT Inc

Claim Assistant-Chesapeake, VA

Chesapeake, VA · On-site

$17.25 - $21.75/hr

Desired qualifications: * 2 years previous claims processing experience. * Strong customer service ... Superior organizational skills and the ability to effectively manage multiple priorities.

Kinsale Insurance

Claims Examiner

Richmond, VA

$73K - $90K/yr

Manage a variety of casualty claims under the guidance of a Claims Supervisor * Conduct and coordinate investigations across all phases of the claims process * Evaluate liability and exposure to ...

Kinsale Insurance

Claims Examiner

Richmond, VA · On-site

$73K - $90K/yr

Manage a variety of casualty claims under the guidance of a Claims Supervisor * Conduct and coordinate investigations across all phases of the claims process * Evaluate liability and exposure to ...

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable ...

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Claims Processing Manager information

See Virginia salary details

$34.7K

$87.1K

$137.8K

How much do claims processing manager jobs pay per year?

As of Jul 15, 2026, the average yearly pay for claims processing manager in Virginia is $87,108.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,400.00 and $104,100.00 per year, depending on experience, location, and employer.

What are the primary challenges faced by a Claims Processing Manager, and how can they be addressed?

Claims Processing Managers often navigate challenges such as ensuring timely and accurate claim adjudication, managing a team with varying workloads, and staying up to date with regulatory changes. Balancing efficiency with compliance requires strong organizational skills and effective communication. Successful managers foster a collaborative environment, implement regular training, and leverage technology to streamline processes, all while maintaining high standards of customer service and data integrity.

What does a Claims Processing Manager do?

A Claims Processing Manager oversees the team responsible for reviewing, evaluating, and processing insurance claims. Their duties include ensuring claims are handled efficiently and accurately, developing procedures to improve workflow, and maintaining compliance with industry regulations. They also resolve complex or escalated claims issues, provide staff training, and report on performance metrics. The role requires strong leadership, analytical skills, and attention to detail to ensure a fair and timely claims process.

What are the key skills and qualifications needed to thrive as a Claims Processing Manager, and why are they important?

To thrive as a Claims Processing Manager, you need expertise in insurance claims procedures, analytical skills, and a solid understanding of regulatory compliance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, workflow automation tools, and data analysis systems is typically required. Strong leadership, attention to detail, and effective communication are crucial soft skills that set top performers apart in this role. These abilities ensure accurate and efficient claims processing, regulatory adherence, and effective team management, all of which are vital for organizational success.
What are the most commonly searched types of Claims Processing jobs in Virginia? The most popular types of Claims Processing jobs in Virginia are:
What cities in Virginia are hiring for Claims Processing Manager jobs? Cities in Virginia with the most Claims Processing Manager job openings:
Claims Processing Manager jobs near you
Claims Processor

Claims Processor

Ampcus

Fairfax, VA • On-site

$17.50 - $22.25/hr

Other

Re-posted 10 days ago

Job description

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.
Job Title: Claims Processor
Location(s): Fairfax, VA

Job Description:

  • Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.

ESSENTIAL FUNCTIONS:

  • 60% Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.
  • 25% Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives coaching from leadership. Required participation in ongoing developmental training to performing daily functions.
  • 10% Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc.
  • 5% Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.

Qualifications

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
  • Education Level: High School Diploma or GED
  • Experience: less than one year experience processing claim documents

Preferred Qualifications

  • 1-3 years Claims processing, billing, or medical terminology experience

Knowledge, Skills and Abilities (KSAs)

  • Demonstrated analytical skills, Proficient
  • Demonstrated reading comprehension and ability to follow directions provided, Proficient
  • Basic written/oral communication skills , Proficient
  • Demonstrated ability to navigate computer applications , Proficient


All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.

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About Ampcus

Sourced by ZipRecruiter

Ampcus Inc. is a ISO 20000, ISO 27000, ISO 9001, CMMI DEV/3 SM and CMMI SVC/3 SM certified global provider of a broad range of Technology and Business consulting services. From strategy to execution, our disciplined yet flexible approach starts and ends with our clients. By listening hard and working harder, client goals become our goals. Their success is our satisfaction. It’s why our clients sleep well at night. We believe that the success of an engagement is determined by strong project management, as well as clear communication and mutual commitment working collaboratively. Our methodology begins with listening to the customer about their needs, then working with their team to gain a clear understanding of the requirements, while providing knowledge transfer of best practices for the organization.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Chantilly, VA, US

Year founded

2004

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