1

Claims Processor Jobs in Virginia (NOW HIRING)

* Review claims and related systems and processes * Understand and analyze policy language and contracts * Provide coverage, liability, and damages analysis for claims and ensure timely reserving and ...

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

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

Claims Examiner

Richmond, VA ยท 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 ...

This role builds solid relationships with internal and external clients, vendors and industry groups to ensure Dollar Tree maintains a "Best in Class" claims process. Principal Duties and ...

Associate Claims Examiner

Richmond, VA ยท 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 ...

Auto PD - Adjuster Service Claims

Syracuse, NY ยท Hybrid

$48K - $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 ...

Auto Claims Adjuster

Richmond, VA ยท Hybrid

$55K - $62K/yr

Own the Process: You will actively manage a pending inventory of 80 to 120 moderately complex service claims from intake to resolution, taking on an average of 5 new claims daily. * Investigate ...

New

Act as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, delivering clear and professional communication throughout the claims process.

Workers' Compensation Claims Associate

Roanoke, VA ยท On-site

$19.75 - $22.50/hr

Work closely with injured workers to guide them through the claims process. * Collect, review, and maintain proper documentation and records. Minimum Qualifications: * Bachelor's degree * Proficiency ...

next page

Showing results 1-20

Claims Processor information

See Virginia salary details

$11

$19

$26

How much do claims processor jobs pay per hour?

As of Aug 24, 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 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.

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.

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

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 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.

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.

Do you need a degree to be a claims processor?

A degree is not typically required to become a claims processor, as most employers prioritize relevant skills such as attention to detail, communication, and familiarity with claims processing software. Many positions accept candidates with a high school diploma or equivalent, and on-the-job training is often provided. Certifications in claims or insurance can enhance job prospects but are not mandatory.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that requires attention to detail and organizational skills. While it can involve handling high volumes of claims and meeting deadlines, stress levels vary depending on workload, workplace environment, and individual resilience. Proper training and time management can help mitigate stress in this job.

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 cities in Virginia are hiring for Claims Processor jobs?

Cities in Virginia with the most Claims Processor job openings:

Infographic showing various Claims Processor job openings in Virginia as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 82% Physical, 4% Hybrid, and 14% Remote job distribution, with an average salary of $39,522 per year, or $19 per hour.

Claims Director, Casualty Claims

Jobtailor

Richmond, VA โ€ข On-site

$90 - $130/hr

Other

Posted 19 days ago


Job description

  • Review claims and related systems and processes
  • Understand and analyze policy language and contracts
  • Provide coverage, liability, and damages analysis for claims and ensure timely reserving and appropriate legal and indemnity payments
  • Draft DISCLAIMERS and reservation of rights letters
  • Negotiate settlements, mitigate losses, and control expenses
  • Adhere to Claims Best Practices, Key Controls, and file handling requirements
  • Maintain a high level of communication with leadership and underwriting partners
  • Ensure appropriate reports are timely prepared and disseminated
  • Ensure successful implementation of key organization-wide initiatives and improvement strategies for claims and our business units
  • Present to management, mentor new staff and identify procedural improvements
  • Support other functional groups within the organization
  • Ensure compliance with internal corporate guidelines, processes and procedures
  • Other duties as required by management
  • Some travel, as required for trials & mediations, etc
Requirements
  • 7+ years of experience in casualty and/or specialty claims handling or related litigation with a career history of increasing responsibility
  • Experience handling claims in the Excess and Surplus market preferred
  • Experience working with complex coverage issues required
  • Multi-jurisdictional claims and litigation experience required
  • Adjuster license and or certifications desired but not required
  • Bachelorโ€™s degree or equivalent experience, JD desirable
  • Highly advanced knowledge of claim processes, policies, procedures, claim systems, regulation, coverage, liability, damage evaluation, and/or settlement with exposures in excess of $1M
  • Strong negotiating, analytical, written, and organizational skills
  • Mediation and arbitration experience preferred
  • Strong computer skills (Microsoft Office Suite, SharePoint, and in-house claims systems)
  • Ability to prioritize and manage deadlines
  • Ability to work both independently and collaboratively as part of a team
  • Excellent at establishing close working relationships with other departments, including underwriting, operations, finance, IT, actuarial and legal
Core Competencies

Demonstrates extensive expertise in claims handling, including complex coverage issues and multi-jurisdictional litigation, while ensuring compliance with corporate guidelines and best practices. Strong negotiation and analytical skills are essential for effective settlement and loss mitigation.

Highest-signal resume keywords
  • Claims Handling Experience
  • Complex Coverage Analysis
  • Negotiation Skills
  • Multi-Jurisdictional Litigation
  • Claims Best Practices
ATS Optimization Keywords Hard Skills
  • Claims Processes
  • Policy Language Analysis
  • Liability Evaluation
  • Damage Evaluation
  • Settlement Negotiation
  • Mediation Experience
  • Arbitration Experience
  • Claims Systems Knowledge
  • Regulatory Compliance
  • File Handling Requirements
Soft Skills
  • Analytical Skills
  • Organizational Skills
  • Communication Skills
  • Team Collaboration
  • Mentoring Skills
Certifications & Qualifications
  • Adjuster License
  • JD (Desirable)
Industry Keywords
  • Excess and Surplus Market
  • Casualty Claims
  • Specialty Claims
  • Claims Best Practices
  • Key Controls
Tools & Technologies
  • Microsoft Office Suite
  • SharePoint
  • In-House Claims Systems
#J-18808-Ljbffr