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Claims Processing Jobs in Virginia (NOW HIRING)

Ampcus

Claims Processor

Fairfax, VA · On-site

$17.50 - $22.25/hr

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 ...

thg

Auto PD - Adjuster Service Claims

Richmond, VA · Hybrid

$49K - $63K/yr

Utilize technology and data tools to enhance claims processing efficiency and accuracy. * Resolve claims with empathy and customer-centricity; prepare documentation and evidence. * Maintain detailed ...

thg

Auto PD - Adjuster Service Claims

Richmond, VA · Hybrid

$49K - $63K/yr

Utilize technology and data tools to enhance claims processing efficiency and accuracy. * Resolve claims with empathy and customer-centricity; prepare documentation and evidence. * Maintain detailed ...

Georgia IT Inc

Claim Assistant-Chesapeake, VA

Chesapeake, VA · On-site

$17.25 - $21.75/hr

Process authorized payments. * Input data entry correspondence into system, diaries information for claims reps and/or team leader, and prepares form letters. * Typing, photocopying, indexing and ...

Palnar

Senior Tester

Reston, VA · On-site

5-8 Years' Experience Must have strong experience with EDI 837 Health Care Claims processing testing Must have strong working knowledge test automation using selenium java script, python cucumber ...

Kinsale Insurance

Claims Examiner

Richmond, VA

$73K - $90K/yr

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability and exposure to develop effective resolution strategies * Analyze policy coverage, make ...

Kinsale Management, Inc

Claims Examiner

Richmond, VA · On-site

$73K - $90K/yr

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability and exposure to develop effective resolution strategies * Analyze policy coverage, make ...

Kinsale Insurance

Claims Examiner

Richmond, VA · On-site

$73K - $90K/yr

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability and exposure to develop effective resolution strategies * Analyze policy coverage, make ...

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that ...

Kinsale Insurance

Associate Claims Examiner

Richmond, VA · On-site

$70K - $73K/yr

Conducting thorough investigations throughout all stages of the claims process. * Evaluating coverage and drafting clear, accurate correspondence to policyholders. * Communicating proactively with ...

Kinsale Insurance

Associate Claims Examiner

Richmond, VA · On-site

$70K - $73K/yr

Conducting thorough investigations throughout all stages of the claims process. * Evaluating coverage and drafting clear, accurate correspondence to policyholders. * Communicating proactively with ...

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Claims Processing information

See Virginia salary details

$11

$19

$26

How much do claims processing jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for claims processing in Virginia is $19.00, according to ZipRecruiter salary data. Most workers in this role earn between $16.20 and $20.48 per hour, depending on experience, location, and employer.

What is the difference between Claims Processing vs Claims Adjuster?

AspectClaims ProcessingClaims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; often state licensing or certifications
Work EnvironmentOffice-based, administrative settingFieldwork and office-based, investigative environment
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusReviewing and processing claims for paymentInvestigating claims, determining liability and settlement

Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.

What are some common challenges faced by professionals in claims processing, and how can they be managed effectively?

Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.

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

To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.

What is claims processing?

Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.
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 jobs? Cities in Virginia with the most Claims Processing job openings:
Claims Processing jobs near you
Infographic showing various Claims Processing job openings in Virginia as of July 2026, with employment types broken down into 100% Full Time. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $39,522 per year, or $19 per hour.
Claims Processor

Claims Processor

Ampcus

Fairfax, VA • On-site

$17.50 - $22.25/hr

Other

Posted 12 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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