ZipRecruiter

Log In

1

Claims Processor Associate Jobs in Washington (NOW HIRING)

Crawford and Company

Claims Specialist-WC

Fairfax, VA · On-site

$16.10 - $29.44/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Associate in Claim designation, etc ... Demonstrates a thorough working knowledge of claim processing and claim policies and procedures.

Crawford and Company

Claims Specialist-WC

Fairfax, VA

$23.75 - $32.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Associate in Claim designation, etc ... Demonstrates a thorough working knowledge of claim processing and claim policies and procedures.

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

... claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered ... Associate'sor Bachelor's degree in Health Information Management, Business, or arelated field ...

MedVanta Interco, LLC.

CBO EDI Associate

Bethesda, MD · On-site

$18/hr

The EDI (Electronic Data Interchange) Associate is responsible for supporting electronic claims ... Process and submit electronic healthcare claims through the EDI system in compliance with payer ...

MedVanta

CBO EDI Associate

Bethesda, MD · On-site

The EDI (Electronic Data Interchange) Associate is responsible for supporting electronic claims ... Process and submit electronic healthcare claims through the EDI system in compliance with payer ...

MDAEdge

Senior Data Engineer

Washington, DC · On-site

$119K - $162K/yr

... 837/835, claims processing; 3+ years) • Microsoft Certified: Azure Data Engineer Associate or Databricks Certified Professional Data Engineer • Government or highly regulated environment ...

Everforth, Cybercoders

Associate Attorney

Alexandria, VA · Hybrid

$100K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Associate Attorney - Social Security Disability Established (100+ Years) Premier Firm Seeking ... process, from initial claims and applications through appeals and hearings , with workers ...

MedVanta

Healthcare Account Associate

Bethesda, MD · On-site

$50K - $69K/yr

The Healthcare Account Associate is the liaison between MedVanta DTE Clients and our MSK services ... Processes daily incoming claims and aggregated Stop Loss claims including initial entry claims or ...

previous pagenext page

Showing results 21-40

All JobsClaims Processor Associate JobsClaims Processor Associate Jobs in Washington

Claims Processor Associate information

What does a claims processor associate do?

A Claims Processor Associate is responsible for reviewing, processing, and verifying insurance claims to ensure they are accurate and comply with policy guidelines. They investigate claim details, communicate with policyholders or medical providers for additional information, and enter claim data into company systems. Their role is crucial in ensuring timely and accurate payments or denials, helping both insurance companies and clients. Attention to detail, strong organizational skills, and excellent communication abilities are important for success in this position.

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

To thrive as a Claims Processor Associate, you need strong attention to detail, analytical skills, and a high school diploma or equivalent, with some employers preferring experience in insurance or healthcare. Familiarity with claims management software, data entry systems, and basic office applications is typically required. Excellent organizational skills, clear communication, and the ability to work efficiently under deadlines are essential soft skills for this role. These abilities ensure accurate claims processing, minimize errors, and support timely service for clients and providers.

What are some common challenges faced by claims processor associates, and how can they be effectively managed?

Claims Processor Associates often encounter challenges such as handling a high volume of claims, navigating complex policy details, and meeting strict deadlines. Successfully managing these challenges requires strong organizational skills, attention to detail, and the ability to prioritize tasks effectively. Collaborating closely with team members and regularly communicating with supervisors can also help resolve discrepancies and ensure accuracy. Most organizations provide training and support to help associates stay updated on procedures and regulatory requirements, fostering a supportive work environment.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, strong organizational skills, and the ability to handle complex or difficult cases. However, workload and stress levels vary depending on the employer and work environment.

What are popular job titles related to Claims Processor Associate jobs in Washington?

For Claims Processor Associate jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Claims Processor Associate jobs in Washington look for?

The top searched job categories for Claims Processor Associate jobs in Washington are:

What cities in Washington are hiring for Claims Processor Associate jobs?

Cities in Washington with the most Claims Processor Associate job openings:

Claims Processor Associate jobs near you
Infographic showing various Claims Processor Associate job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 27% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Claims Specialist-WC

Crawford and Company

Fairfax, VA • On-site

$16.10 - $29.44/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description


HIRING NOW: Claims Specialist - Workers' Compensation (REMOTE)
Ready to make a real impact? We're looking for a sharp, proactive Claims Specialist-WC to join our team!
In This Role, You'll
⚡ Manage and resolve straightforward, short-term WC claims- including medical-only cases
⚡ Keep cases moving with precise documentation and timely follow-through
⚡ Use your judgment to make decisions within delegated authority
⚡ Ensure accuracy, efficiency, and top-notch service for every claim
If you're detail-driven, organized, and eager to grow in a fast-paced environment, you're exactly who we're looking for!
Apply today and take the next big step in your WC career!
Responsibilities
  • Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims.
  • Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.
  • Identifies wage loss expenses and wage exposures on medical claims.
  • Documents receipt and contents of medical reports. Interacts frequently with claimant to understand nature and extent of injury and medical conditions. Reviews and handles other correspondence within authority including material from the team members, and/or clients.
  • Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, $2,500 after compensability has been determined.
  • Evaluates medical claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations.
  • Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction.
  • With the team managers guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms.
  • Completes all reporting forms and file documentation.
  • Adheres to client and carrier guidelines and prepares written updates for supervisor to review.
  • Performs other related duties as required or requested.

Qualifications
  • College degree or the equivalent of education and experience.
  • Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc).
  • Demonstrates a thorough working knowledge of claim processing and claim policies and procedures.
  • Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions
  • Demonstrates effective and diplomatic oral and written communication skills.
  • Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others.
  • Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level. Must possess a valid driver's license. Must complete continuing education requirements as outlined by Crawford Educational Services. Additional courses may be required by jurisdiction for maintenance of license.

#LI-ET1
About Us
Why Crawford?
Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer a comprehensive Total Rewards package to our employees to assist with their financial, health/wellness, continuing education/training and other needs:
  • Competitive base pay
- The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours.
  • Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
  • We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include:
- Medical, Dental and Vision Plans
- Prescription Drugs
- HSA, HRA, and FSA Accounts
- Paid Holidays, Vacation and Sick Leave
- 401(k) Retirement Plan
- Tuition Assistance
- Paid Parental Leave
- Supplemental Health Benefits
Other Benefits currently available at no cost include: - Enhanced Mental Health Support
- Virtual Physical Therapy
- Caregiving Services
- Life Assistance Program
*The above information highlights some of the benefits currently available to eligible full-time employees.
  • Training programs that promote continuous learning and career progression while enhancing job performance.
  • Sustainability programs that give back to the communities in which we live and work.
  • A culture of respect, collaboration, entrepreneurial spirit and inclusion.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

Apply