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Claims Representative Jobs in Reston, VA (NOW HIRING)

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Claims Representative information

See Reston, VA salary details

$12

$25

$43

How much do claims representative jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for claims representative in Reston, VA is $25.10, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $28.51 per hour, depending on experience, location, and employer.

How do Claims Representatives typically handle challenging or complex claims cases?

Claims Representatives often encounter cases that require thorough investigation and careful judgment. When handling complex claims, they collaborate closely with policyholders, adjusters, legal teams, and sometimes external experts to gather all necessary information and documentation. Clear communication, strong organizational skills, and attention to detail are essential for ensuring claims are processed accurately and fairly. Many companies also provide ongoing training and mentorship to help Claims Representatives navigate difficult cases and stay updated on industry regulations.

What Is a Claims Representative?

Claims representatives typically work for insurance companies. They investigate claims made by policyholders to corroborate the accuracy of the filing and determine payouts and reimbursements. As a claims representative, you interview customers and process all paperwork related to the claims. Claims representatives work in all types of insurance industries, including life, property, auto, and workers compensation.

What jobs pay 2000 a day?

Claims representatives typically do not earn $2,000 a day; such high daily earnings are more common in specialized roles like high-level executives, certain sales positions, or highly experienced consultants. Some professions in finance, law, or executive management can reach this level with bonuses or commissions, but these are not typical for claims representatives. Most claims roles offer salaries or hourly wages significantly below this amount.

What are the key skills and qualifications needed to thrive as a Claims Representative, and why are they important?

To thrive as a Claims Representative, you need strong analytical skills, attention to detail, and a background in insurance or a related field, often supported by a high school diploma or higher education. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, empathy, and problem-solving abilities help a Claims Representative provide effective customer service and resolve disputes. These skills ensure accurate claim processing, customer satisfaction, and compliance with industry standards.

What is the difference between Claims Representative vs Claims Adjuster?

AspectClaims RepresentativeClaims Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; often requires state licensing or certifications
Work EnvironmentOffice settings, customer service interactions, claims processingField work, inspecting damages, interviewing claimants and witnesses
Industry UsageInsurance companies, government agenciesInsurance companies, third-party administrators
Common Search/ComparisonClaims Representative vs Claims Adjuster

Claims Representatives primarily handle customer interactions and process claims within an office environment, focusing on policy details and customer service. Claims Adjusters often conduct field inspections, assess damages, and determine claim payouts. While both roles require insurance knowledge and sometimes licensing, Claims Adjusters typically perform more investigative work, whereas Claims Representatives focus on customer communication and claim processing.

What does a Claims Representative do?

A Claims Representative is responsible for managing insurance claims from start to finish. They review claim applications, investigate the circumstances of each claim, communicate with policyholders and witnesses, and determine the validity and amount of each claim. Their goal is to ensure fair and timely settlements in accordance with policy terms and regulations. They often work for insurance companies, government agencies, or third-party administrators.

What is a claims representative?

A claims representative is a professional who investigates, evaluates, and processes insurance claims to determine coverage and settlement amounts. They often review documentation, interview claimants, and use industry software to ensure accurate and fair claim resolution.

What job makes $10,000 a month without a degree?

Claims representatives can earn around $10,000 per month with experience and strong negotiation skills, especially in high-volume or specialized insurance sectors. Typically, these roles require excellent communication, knowledge of insurance policies, and sometimes industry certifications, but they do not always require a college degree. Income varies based on location, employer, and individual performance.

What are the duties of a claims representative?

A claims representative investigates insurance claims by reviewing policies, collecting evidence, and assessing damages. They communicate with claimants, vendors, and medical providers to determine coverage and settlement amounts, often using claims management software. The role requires attention to detail, knowledge of insurance policies, and adherence to company procedures and industry regulations.
More about Claims Representative jobs
What are popular job titles related to Claims Representative jobs in Reston, VA? For Claims Representative jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Claims Representative jobs in Reston, VA look for? The top searched job categories for Claims Representative jobs in Reston, VA are:
What cities near Reston, VA are hiring for Claims Representative jobs? Cities near Reston, VA with the most Claims Representative job openings:
Claims Representative jobs near you
National Pre-Discharge Claims Rep-Joint Base Myer JBAB

National Pre-Discharge Claims Rep-Joint Base Myer JBAB

Veterans of Foreign Wars

Washington, DC • On-site

$69K/yr

Full-time

Medical, Retirement, PTO

Posted 21 days ago

Job description

NATURE OF WORK:
Assists in the implementation of the Veterans of Foreign Wars outreach programs to military service members at military installations (including National Guard and Reserve units) in support of DoD's Transition Assistance Program and the VA's Pre-Discharge Program.
Represents separating active-duty military personnel by assisting with Transition Assistance Program (TAP) as well as the preparation, development, submission and review of claims for transitioning service members' benefits to the Department of Veterans Affairs. Reviews Pre-Discharge claims' rating decisions as needed.
TYPICAL DUTIES AND RESPONSIBILITIES:
Makes presentations and prepares and processes claims for VA benefits as part of the implementation of the Veterans of Foreign Wars active service members' outreach programs to military installations in the assigned geographical area, in support of the VA's Pre-Discharge Program. Performs as a case manager for service members' claims.
Prepares statements on behalf of the Pre-Discharge client's claim, and if necessary, appeal.
Advises service members in obtaining medical evidence from VA/DoD attending physicians, and other health care professionals.
Conducts research and inquiries pertaining to military services policies and regulations. Interacts with pertinent military officials in fulfillment of the mission to provide assistance to separating/retiring service members. Maintains regular contact and partners with the sponsoring base Transition Manager.
Describes the posture of the Veterans of Foreign Wars service programs to separating service members and, as directed by the Assistant Director, to local veterans communities and federal agencies. Interacts with other veterans' service organizations and state veteran service agencies.
Incorporates statutes, regulations and government directives to ensure that service members' interests are articulated in accordance with VFW national mandates and the VA requirements.
Processes inquiries from the military community concerning veterans' benefits. Ensures that the appropriate claims forms are accurately and timely submitted. When requested by the Assistant Director, mentors recently hired VFW Pre-Discharge claims reps and department service officers (DSOs).
Coordinates, as appropriate, with the local VFW DSO to refer veterans for DSO assistance.
Interacts daily with DOD and VA employees to present the VFW program and to facilitate a constructive working relationship.
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
Position requires U.S. military service and VFW membership (member eligibility requirements at https://www.vfw.org/join/eligibility). Official DD214 required for verification of service details and VFW membership eligibility. Other official service documents may be required as necessary.
Position requires an associate degree and a minimum of one year previous experience in a closely related position, or a minimum of three years directly-related work experience.
Advanced human relations and customer service skills and proficient analytical abilities are required to interface with both active-duty military personnel and the veterans' community to analyze claims folders, research and apply applicable statutes, regulations, government directives, and VFW policies pertinent to the claim. Position requires knowledge of given subjects to such a degree as to make the incumbent authoritative in transitioning service members and veterans entitlements and benefits programs. Includes public speaking as a regular duty and incumbent may be frequently called upon to state publicly VFW positions on special veterans' affairs issues.
Position requires knowledge of given subjects to such a degree as to make the incumbent familiar in transitioning service members and veterans entitlements and benefits programs, which is normally gained through extensive study in either a business or academic environment, to include former military training. Superior knowledge is required of military regulations, directives and terminology, including military discharge characterization, to properly represent separating active duty military personnel in applying for benefits with the Department of Veterans Affairs.
Advanced knowledge of personal computers is required to include software applications, case management techniques and other electronic applications used in a fully automated office environment.
Position requires VFW accreditation with the Department of Veterans Affairs and successful completion of the Veterans Benefits Administration's Training, Responsibility, Involvement and Preparation of claims (TRIP) test. Incumbent will be required to successfully complete recertification tests to monitor their proficiency in the laws pertaining to veterans' benefits.
Incumbent must be a self-starter and able to work independently.
SCOPE OF POSITION:
Position is FLSA exempt.
Incumbent is under the direct supervision of the Assistant Director or the Associate Director of Field Operations, NVS and has no supervisory responsibility. Incumbent may make some authoritative decisions on individual claims but has limited impact beyond specific responsibilities.
Incumbent may from time to time be required to provide to the National Veterans Service Training Assistant Director subject material that will enhance the professional knowledge and proficiency at NVS training. May act as an instructor at training conferences.
Plans and prioritizes work for own position on a recurring basis. Provides a weekly report to the Field Operations leadership, schedules daily claims appointments which typically include five per day, develops briefing schedules and typically participates in VA transition briefings on a weekly basis.
Routine problem solving includes interviewing active-duty military personnel and recently discharged veterans to determine claim issues, ascertaining appropriate courses of action, reviewing VFW policies and procedures, applying applicable laws and government regulations, completing the filing process for veterans' entitlements and benefits, monitoring case progression, and providing quality customer service.
Typical problem solving includes reviewing evidence to ensure sufficient materials are available to adequately develop a claim for transitioning service members' disability compensation or referring applications as appropriate.
Typical contacts will be transitioning active-duty military personnel 80% of the time for benefits advice, briefings and claims assistance, and 20% with members of the veterans' community to resolve questions and clarify status of claims.
Incumbent has limited participation in the development of the National Veterans Service annual budget and long-term strategic plans.
WORKING CONDITIONS:
Primary duty location is Joint Base Myer-Henderson Hall, VA, and Joint Base Anacostia-Bolling (JBAB) with in-person office work Monday through Friday, 0745-1600. There is no telework or remote work available for this position.
Extensive local travel is required to make presentations as part of the local VA regional office's Pre-Discharge program to transitioning active-duty personnel. Additional domestic travel will occur for attendance at VFW National Service Officer training conferences or other periodic VFW assignments.
May be required to perform other duties as assigned to include reassignment to other duty locations in the National Capitol Region to meet the business need of the VFW.
MAJOR ACCOUNTABILITIES:
Prepares instructional material and professional presentations as part of the VFW's support for the VA's Pre-Discharge Program conducted on military installations in the assigned geographical area.
Provides quality customer service to military personnel by ensuring inquiries are adequately reviewed and processed, appropriate documentation is accurately completed, and VA benefits claims and appeals are submitted to the applicable agency in a timely manner in compliance with the rules and regulations of the Department of Veterans Affairs.
Ensures that active-duty personnel and, to a limited degree, members of the veterans' community are counseled concerning their rights and entitlements and are represented in a caring and highly professional manner.
Prepares instructional classes for the National Veterans Service training program.
Ensures proper records are maintained to render timely and accurate reports to the Assistant Director, Field Operations to include a weekly report of activities. Ensures no client's Personally Identifiable Information (PII) is stored or maintained locally, in office or on computer hard drive.
The above duties are both specific and general in nature but are not intended to reflect all of the duties that may be required of the incumbent.
*This position is not eligible for relocation assistance.
The VFW National headquarters offers a competitive salary commensurate with experience, along with a comprehensive benefits package, including health insurance, retirement plans, and paid time off.

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