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Claims Processor Jobs in Hampton, VA (NOW HIRING)

USAA

Associate Auto Adjuster-Claims

Chesapeake, VA · On-site +1

$49K - $51K/yr

This will include the end-to-end claims process and settling claims in compliance with state laws and regulations. In this role, you will make a difference to our members as you deliver best in class ...

USAA

Associate Auto Adjuster-Claims

Chesapeake, VA · On-site +1

$49K - $51K/yr

This will include the end-to-end claims process and settling claims in compliance with state laws and regulations. In this role, you will make a difference to our members as you deliver best in class ...

Dollartree

Claims Assistant

Chesapeake, VA

$23 - $25.25/hr

This role partners with internal and external stakeholders to keep the processes flowing. The primary responsibility is to support the team's efforts for claims resolution and cost mitigation ...

Dollar Tree

Claims Assistant

Chesapeake, VA · On-site

$23 - $25.25/hr

This role partners with internal and external stakeholders to keep the processes flowing. The primary responsibility is to support the team's efforts for claims resolution and cost mitigation ...

USAA

Sr. Injury Claims Adjuster

Chesapeake, VA · On-site +1

$63K - $121K/yr

Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions. * Prioritizes and manages assigned claims workload to keep members and other involved parties ...

USAA

Sr. Injury Claims Adjuster

Chesapeake, VA · On-site +1

$63K - $121K/yr

Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions. * Prioritizes and manages assigned claims workload to keep members and other involved parties ...

ZIM

Maritime Claims Adjuster

Virginia Beach, VA · On-site +1

Handles carrier's/ZIM's response to cargo liability claims, including subrogated claims, from place of receipt to place of delivery; assists Legal Department to timely resolve claims to avoid ...

USAA

Injury Claims Examiner (East Region)

Chesapeake, VA

$85K - $162K/yr

The Opportunity As a dedicated Injury Claims Examiner (East Region), you will be responsible to ... USAA has an effective process for assessing market data and establishing ranges to ensure we remain ...

ZIM

Maritime Claims Adjuster

Virginia Beach, VA · On-site

Handles carrier's/ZIM's response to cargo liability claims, including subrogated claims, from place of receipt to place of delivery; assists Legal Department to timely resolve claims to avoid ...

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All JobsClaims Processor JobsClaims Processor Jobs in Hampton, VA

Claims Processor information

See Hampton, VA salary details

$11

$18

$25

How much do claims processor jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for claims processor in Hampton, VA is $18.52, according to ZipRecruiter salary data. Most workers in this role earn between $15.82 and $20.00 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.
More about Claims Processor jobs

What are the most commonly searched types of Claims Processor jobs in Hampton, VA?

The most popular types of Claims Processor jobs in Hampton, VA are:

What are popular job titles related to Claims Processor jobs in Hampton, VA?

For Claims Processor jobs in Hampton, VA, the most frequently searched job titles are:

What job categories do people searching Claims Processor jobs in Hampton, VA look for?

The top searched job categories for Claims Processor jobs in Hampton, VA are:

What cities near Hampton, VA are hiring for Claims Processor jobs?

Cities near Hampton, VA with the most Claims Processor job openings:

Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Hampton, VA as of August 2026, with employment types broken down into 1% Internship, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 79% Physical, 5% Hybrid, and 16% Remote job distribution, with an average salary of $38,525 per year, or $18.5 per hour.

Claims Specialist

A Groundworks Company

Virginia Beach, VA • On-site

Full-time

This job post has expired 5 days ago. Applications are no longer accepted.

Groundworks rating

6.4

Company rating: 6.4 out of 10

Groundworks

Based on 35 frontline employees who took The Breakroom Quiz

7.3

Company rating compared to similar companies: 7.3 out of 10

Construction average

Based on 12,119 frontline employees who took The Breakroom Quiz

The best things about working at Groundworks

  • 95%

    95% say they get paid time off

    say they get paid time off

  • 81%

    81% say they have respectful managers

    say they have respectful managers

  • 79%

    79% say their health insurance is affordable

    say their health insurance is affordable

Featured by Groundworks, based on 35 Breakroom Quiz responses from their frontline employees

Job description

Ready to build your future? We're Groundworks, North America's leading foundation repair and water management specialist. We're more than a company - we're a team driven by purpose. As a Top Workplace, we're looking for top talent to fuel our mission: to protect, repair, and improve our customers' greatest asset - their home.
But what makes us a great place to work? Here, you'll find real career growth, comprehensive and affordable benefits, a culture that values hard work and innovation, and company ownership equity. Whether you're starting your career or looking for your next big move, we offer hands-on training, advancement opportunities, and the chance to make a real impact every day.
Join us and lay the foundation for your success. Apply today!
The Claims Specialist is responsible for managing an assigned portfolio of workers' compensation claims and serving as the primary liaison for injured employees throughout the claim lifecycle. This role independently coordinates claim activity from initial injury reporting through resolution by partnering with third-party administrators (TPAs), insurance carriers, Human Resources, Payroll, branch leadership, medical providers, Safety, and Legal to facilitate timely claim handling, support employee recovery, and achieve successful return-to-work outcomes.
The Claims Specialist exercises independent judgment in managing day-to-day claim activity, identifying and escalating high-risk or complex issues, and ensuring compliance with applicable workers' compensation regulations and company policies. This position plays a critical role in enhancing the employee experience, reducing claim duration, supporting operational continuity, and contributing to the organization's overall workers' compensation strategy.
Duties and Responsibilities
  • Manage an assigned portfolio of workers' compensation claims from initial injury reporting through claim resolution while ensuring timely and effective claim progression.
  • Serve as the primary business partner and point of contact for injured employees throughout the claims process, providing proactive communication regarding claim status, medical treatment, work restrictions, wage replacement benefits, and return-to-work expectations.
  • Partner directly with third-party administrators, insurance carriers, medical providers, Payroll, Human Resources, Safety, and operational leadership to facilitate timely claim resolution and positive employee outcomes.
  • Evaluate claim activity, identify potential barriers to resolution, and proactively recommend solutions to improve claim outcomes and employee experience.
  • Coordinate medical treatment, monitor employee recovery, and facilitate successful return-to-work efforts in partnership with operational leadership and Human Resources.
  • Review claim documentation for completeness, accuracy, and regulatory compliance while ensuring appropriate documentation is maintained throughout the claim lifecycle.
  • Monitor claim trends, identify emerging risks, and escalate complex, litigated, catastrophic, or high-exposure claims to the Claims Manager.
  • Conduct claim investigations by gathering documentation, coordinating witness statements, and partnering with internal stakeholders to support claim resolution.
  • Support litigation management by coordinating documentation requests, maintaining claim records, and partnering with internal and external legal resources.
  • Analyze claim activity and contribute to reporting, trend analysis, and process improvement initiatives designed to reduce claim costs, improve employee experience, and enhance operational effectiveness.
  • Recommend opportunities to improve claims administration processes, employee communication, and return-to-work practices.
  • Maintain confidentiality while exercising sound judgment in handling sensitive employee, medical, and business information.
  • It is an essential function of this role that this individual reliably and regularly report to work each working day.
  • Perform other duties as necessary or assigned.

Qualifications
Education
  • Bachelor's degree in Business, Human Resources, Risk Management, Occupational Safety, or a related field preferred.
  • Equivalent combination of education and relevant experience may be considered.

Experience
  • 4+ years of experience in workers' compensation claims administration, insurance claims, risk management, Human Resources, Safety, or a related field.
  • Experience working with third-party administrators, insurance carriers, or workers' compensation programs preferred.
  • Experience coordinating return-to-work programs is preferred.

Knowledge, Skills, and Abilities
  • Demonstrated knowledge of workers' compensation claims administration, medical terminology, regulatory requirements, and industry best practices.
  • Ability to independently manage a portfolio of claims while exercising sound judgment, prioritizing competing demands, and delivering exceptional customer service.
  • Strong analytical skills with the ability to identify claim trends, evaluate risk, recommend solutions, and escalate complex issues appropriately.
  • Excellent interpersonal and relationship-building skills with the ability to influence and collaborate effectively across all levels of the organization and with external business partners.
  • Strong verbal and written communication skills with the ability to communicate complex claim information clearly, professionally, and empathetically.
  • Excellent organizational skills with the ability to manage multiple priorities while maintaining accuracy, attention to detail, and regulatory compliance.
  • Proficiency with Microsoft Office Suite and the ability to effectively utilize claims management systems, HRIS platforms, and reporting tools.
  • Ability to maintain confidentiality while handling highly sensitive employee, medical, and legal information.

Working Conditions
  • This role will be onsite and can sit in either our Virginia Beach, VA, Dallas, TX or Tallahassee, FL offices.
  • The salary range for this role is $58,000-$62,000. Salary is based experience.

What We Provide
  • Competitive Pay
  • Employee Company Ownership Opportunities
  • Industry Leading Training Programs
  • Leadership Development and Career Growth Tracks
  • Comprehensive and Affordable Benefits Package
  • Top Workplace with Award Winning Culture

Working at Groundworks

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