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Claims Processor Jobs in Virginia (NOW HIRING)

Ampcus

Claims Processor

Fairfax, VA · On-site

$17.50 - $22.25/hr

Claims Processor Location(s): Fairfax, VA * Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational ...

AppleOne

FHA VA Claims Associate

Virginia Beach, VA · Remote

$28/hr

... leadership focused on quality, process improvement, and successful team performance. Key ... Review FHA Claims Part B and CWCOT documentation to ensure accuracy and filing readiness ...

New

Estes Express Lines

Processor I, Liability

Richmond, VA · On-site

$16.75 - $21.25/hr

Process liability insurance claims, in accordance with accident details, Drug and Alcohol policies and DOT compliance * Manage driver files under the accident policy * Responsible for handling Estes ...

Estes Express Lines

Processor I, Liability

Richmond, VA · On-site

$16.75 - $21.25/hr

Process liability insurance claims, in accordance with accident details, Drug and Alcohol policies and DOT compliance * Manage driver files under the accident policy * Responsible for handling Estes ...

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 ...

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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All JobsClaims Processor JobsClaims Processor Jobs in Virginia

Claims Processor information

See Virginia salary details

$11

$19

$26

How much do claims processor jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for claims processor 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 jobs pay 500,000 a year in the US?

Claims processors typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Most claims processing roles have salaries well below this threshold.

What Is a Claims Processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

Is claim adjusting a dying field?

Claims processing is a stable field that involves reviewing and settling insurance claims, often requiring attention to detail and knowledge of insurance policies. While automation and AI tools are increasingly used to streamline tasks, the need for human claims adjusters remains, especially for complex cases and customer interactions.

What are some common challenges faced by Claims Processors, and how can they be managed effectively?

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that involves reviewing and verifying insurance claims. While it can involve tight deadlines and attention to detail, the level of stress varies depending on workload, workplace environment, and individual coping skills.

What is the role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for this role.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

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 strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

What does a Claims Processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.
More about Claims Processor jobs
What are the most commonly searched types of Claims Processor jobs in Virginia? The most popular types of Claims Processor jobs in Virginia are:
What are popular job titles related to Claims Processor jobs in Virginia? For Claims Processor jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Claims Processor jobs in Virginia look for? The top searched job categories for Claims Processor jobs in Virginia are:
What cities in Virginia are hiring for Claims Processor jobs? Cities in Virginia with the most Claims Processor job openings:
What are popular job titles related to Claims Processor jobs in VA? For Claims Processor jobs in VA, the most frequently searched job titles are:
Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Virginia as of July 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $39,522 per year, or $19 per hour.

Claims Processor

Ampcus

Fairfax, VA • On-site

$17.50 - $22.25/hr

Other

Re-posted 25 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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