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Claims Representative Associate Jobs in Virginia

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Member Services Representative

Alexandria, VA · On-site

$19.47 - $29.21/hr

Processes death claims, power of attorney (POS) trust accounts, account update forms, verification ... members and associates. 2. To carry out assigned responsibilities according to established ...

The Misch Group

P&C Producer

Fairfax, VA · On-site

Description We are seeking a dynamic and experienced Personal Lines Customer Service Representative ... Claims Assistance: Support clients in the claims process by providing guidance, documentation, and ...

Blaszkow Legal Pllc

Associate Attorney

Alexandria, VA · On-site

$85K - $100K/yr

We litigate personal injury and insurance claims in both the state and federal courts in Virginia ... Represent all clients aggressively, no matter case size Responsibilities: * Actively review cases ...

The Misch Group

Personal Lines Producer

Richmond, VA · On-site

$60K - $125K/yr

Virginia Compensation: $60,000 - $125,000 / year Description Personal Lines Producer/CSR Position ... Claims Assistance: Support clients in the claims process by providing guidance, documentation, and ...

The Misch Group

Personal Lines Producer

Fairfax, VA · On-site

Description Personal Lines Producer/CSR Position Overview We are seeking a dynamic and experienced ... Claims Assistance: Support clients in the claims process by providing guidance, documentation, and ...

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All JobsClaims Representative Associate JobsClaims Representative Associate Jobs in Virginia

Claims Representative Associate information

See Virginia salary details

$13

$20

$30

How much do claims representative associate jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for claims representative associate in Virginia is $20.81, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $22.88 per hour, depending on experience, location, and employer.

How much do claims representative associates make in the US?

Claims representative associates in the US typically earn an average annual salary of around $45,000 to $55,000, depending on experience, location, and employer. Entry-level positions may start lower, while experienced professionals or those with specialized skills can earn higher wages. Compensation often includes benefits such as health insurance and paid time off.

What do claims representative associates do?

Claims representative associates evaluate insurance claims by reviewing reports, policies, and evidence to determine coverage and liability. They communicate with claimants, investigate claims, and process payments or denials, often using claims management software. Strong attention to detail and knowledge of insurance policies are essential for this role.

What are some common challenges claims representative associates face when handling claims?

Claims Representative Associates often encounter challenges such as managing high caseloads, navigating complex policy details, and addressing discrepancies in documentation. Balancing efficiency with attention to detail is crucial, as errors can impact claim outcomes and customer satisfaction. Additionally, collaborating with policyholders, providers, and internal teams to resolve issues and provide clear communication requires strong interpersonal skills and resilience, especially when dealing with sensitive or disputed claims.

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

To thrive as a Claims Representative Associate, you need strong analytical skills, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or relevant work experience. Familiarity with claims management software, customer relationship management (CRM) systems, and basic office tools is essential. Excellent communication, problem-solving, and customer service skills help you effectively handle inquiries and resolve disputes. These skills ensure accurate claim processing, customer satisfaction, and efficient operations within the insurance industry.

What is the difference between Claims Representative Associate vs Claims Adjuster?

AspectClaims Representative AssociateClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance licensesHigh school diploma; state licensing often required
Work EnvironmentOffice setting, customer service interactions, administrative tasksField or office, investigating claims, inspecting damages
Employer & Industry UsageInsurance companies, government agenciesInsurance companies, third-party administrators
Common Search & ComparisonClaims Representative Associate vs Claims Adjuster

The Claims Representative Associate typically handles customer inquiries, processes claims, and provides administrative support within insurance companies. In contrast, Claims Adjusters investigate claims, inspect damages, and determine claim validity. While both roles require similar credentials and work in the insurance industry, Claims Adjusters often have more technical responsibilities and fieldwork. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

What are the most commonly searched types of Claims Representative jobs in Virginia? The most popular types of Claims Representative jobs in Virginia are:
What are popular job titles related to Claims Representative Associate jobs in Virginia? For Claims Representative Associate jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Claims Representative Associate jobs in Virginia look for? The top searched job categories for Claims Representative Associate jobs in Virginia are:
Claims Representative Associate jobs near you
Infographic showing various Claims Representative Associate job openings in Virginia as of June 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 76% Physical, 1% Hybrid, and 23% Remote job distribution, with an average salary of $43,279 per year, or $20.8 per hour.

RCM Practice Review Associate

TIDEWATER PHYSICIANS MULTISPECIALTY GROUP P C

Newport News, VA • On-site

$15/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Position Summary
 

The RCM Practice Review Associate is responsible for daily operations related to reviewing denials in ECW practice review. Coordinates with staff, OM’s and the ECW RCM representative to ensure timely billing and follow up for claim denials in practice review. The Practice Review Associate will ensure all adjustments are minimal and accurate. The associate will assist with identifying trends, account reconciliation, and answering questions related to billing.


Major Duties and Responsibilities  

  • Work Practice Review claims via the ECW RCM Console.
  • Assist with ECW Ready to Bill.
  • Assist with scanning and responding to correspondences as needed.
  • Assist with patient payments and refunds.
  • Investigate insurance denials and assist with necessary corrections to bring claim resolution.
  • Ensure the correct primary and/ or secondary insurance was billed. 
  • Assist with the preparation and submission of appeals and or medical records to insurance companies.
  • Assist with identifying trends, aberrations and concerns related to billing and payer denials and communicates concerns to management.
  • Ensure that payments and adjusted are posted per the EOB.
  • Work with the coding team to resolve coding related denials.
  • When needed, respond to correspondences from payers in a timely manner.
  • Assist patients with phone inquiries related to billing.
  • Assist with special projects as needed.
  • All other duties as requested by the Manager.

Compensation starts at $15.00 per hour, with the final hourly rate determined by the candidate's relevant experience and qualifications.

Knowledge, Skills and Abilities

  • Knowledge of insurance payers, including commercial and government payers.
  • Analytical and problem-solving skills to allow efficient resolution of insurance payment issues.
  • Knowledge of electronic health records.
  • Knowledge of insurance follow-up to ensure proper reimbursement.
  • Ability to use website-based insurance systems.
  • Knowledge of Microsoft Office applications.
  • Knowledge of medical terminology.
  • Ability to work scheduled hours as defined in the job offer.
  • Ability to establish/maintain effective working relationships with multiple departments.
  • Ability to read and understand oral and written instructions and follow written protocols.
  • Effective communication.
  • Ability to work independently.
  • Time management skills.

Education / Training / Requirements

  • High school diploma or college degree. 
  • Experience in medical billing and/or claims follow up preferred.

Physical Demands

  • Ability to stand and walk for limited periods of time.
  • Ability to sit for extended periods of time.
  • Ability to climb or balance for limited periods of time.
  • Ability to occasionally reach, bend, stoop and lift up to 30 lbs. *
  • Ability to grasp and hold up to 25 lbs.*
  • Ability to hear normal voice level communications in person or through the telephone.
  • Ability to speak clearly and understandably. 
  • Ability to smell.

Success Factors 

  • Alignment with Company Mission and Core Values
  • Excellent Time Management/Organized
  • Open Communication/Positive
  • Goal Driven
  • Excellent Customer Service
  • Juggles Multiple Priorities
  • Accuracy and Attention to Detail
  • Accomplished in word processing and worksheet utilization

All statements are essential functions of the position unless identified as non-essential by an asterisk (*).

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