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Claims Representative Jobs in Reston, VA (NOW HIRING)

W. R. Berkley

Claims Representative

Manassas Park, VA · On-site

$65K - $75K/yr

Claims Representative As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers' compensation claims of ...

Berkley

Claims Representative

Manassas, VA · Remote

$65K - $75K/yr

Amazingly Easy." Responsibilities As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers' compensation ...

Berkley

Claims Representative

Manassas, VA · On-site

$65K - $75K/yr

Amazingly Easy." Responsibilities As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers' compensation ...

W. R. Berkley

Claims Representative

Manassas, VA · On-site

$65K - $75K/yr

Amazingly Easy." Responsibilities As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers' compensation ...

Berkley

Claims Representative

Manassas, VA · On-site

$65K - $75K/yr

Amazingly Easy." Responsibilities As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers' compensation ...

Berkley

Claims Representative

Manassas, VA · Remote

$65K - $75K/yr

Amazingly Easy." As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers' compensation claims of ...

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All JobsClaims Representative JobsClaims Representative Jobs in Reston, VA

Claims Representative information

See Reston, VA salary details

$12

$25

$43

How much do claims representative jobs pay per hour?

As of Jul 7, 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.

What jobs make $3,000 a day?

Claims representatives typically do not earn $3,000 a day; such high daily earnings are more common in executive roles, specialized surgeons, or high-level financial traders. Most claims reps earn salaries or hourly wages, with top earners reaching high six-figure annual incomes, but daily earnings of this magnitude are rare in this field.

What kind of claims adjuster makes the most money?

In the claims adjusting field, specialized roles such as catastrophe or large-loss claims adjusters tend to earn higher salaries due to the complexity and scale of claims they handle. These adjusters often require advanced knowledge, certifications, and experience, and may work in high-stakes environments like natural disaster sites or large commercial claims.

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.

How to get a job as a claims adjuster with no experience?

To become a claims representative with no experience, candidates should focus on developing strong communication, customer service, and problem-solving skills. Entry-level positions often require a high school diploma or equivalent, and obtaining relevant certifications such as the Property and Casualty (P&C) license can improve job prospects; some employers offer on-the-job training for new hires.

How much does a claims adjuster make?

The average annual salary for a claims adjuster in Florida is approximately $60,000, but it can range from around $45,000 to over $80,000 depending on experience, certifications, and the employer. Adjusters with specialized skills or in senior roles tend to earn higher salaries, and some work overtime or on-call hours. Certification through the State of Florida or industry organizations can also impact earning potential.

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 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.

Is a claims job a good career?

A claims representative role offers stable employment opportunities in insurance and related industries, often requiring strong communication and analytical skills. It can provide career advancement, certifications, and experience in customer service and risk assessment, making it a viable long-term career option for many individuals.
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
Infographic showing various Claims Representative job openings in Reston, VA as of July 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $52,205 per year, or $25.1 per hour.
Claims Representative

Claims Representative

W. R. Berkley

Manassas Park, VA • On-site

$65K - $75K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

W.R. Berkley rating

8.2

Company rating: 8.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

123rd of 277 rated insurance

Job description

Claims Representative

As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers' compensation claims of moderate complexity in multiple jurisdictions.

  • Investigate workers' compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due
  • Calculate and set timely financial reserves and proactively manages reserve adequacy throughout claim lifecycle
  • Record and code injured worker demographics, job information and accident information in company's claims management system and files necessary forms with state regulatory agencies
  • Issue timely payments to injured workers, medical providers and service vendors
  • Coordinate and actively manage medical treatment of injured workers to ensure timely rehabilitation
  • Negotiate settlements of claims within designated authority with injured workers and attorneys
  • Demonstrate a working knowledge of the Workers' Compensation Act, adjudication process, and regulatory compliance framework in assigned jurisdictions
  • Identify and manage subrogation, Second Injury Fund and joint coverage recovery opportunities
  • Regularly communicate claim activity and status updates to policyholders, injured workers and other interested parties in a professional, thoughtful and tactful manner
  • Respond in a timely manner to communications from policyholders, injured workers, and other interested parties
  • Notify management and develops reports for large exposure claims and complies with reinsurance reporting requirements
  • Manage the claims litigation process to ensure timely and cost-effective claims resolution
  • Monitor the expenses and effectiveness of managed care and investigation vendors
  • Actively participate in special projects as assigned by management
  • Periodically travel to attend hearings, conferences and training sessions
  • Attend and participates in claim file reviews with management and defense attorneys
  • Continuously strives to improve our product and business results through innovation
  • Obtain and maintain adjuster licenses in assigned jurisdictions where required

Excellent written and verbal communication skills

Strong interpersonal and relationship building skills

Exceptional time management and organization skills

Strong analytical and critical thinking skills

Ability to work independently and strategically problem solve

Ability to diplomatically manage conflict

Ability to develop relationships within the organization and work effectively across departments

Strong discretion and integrity in dealing with highly confidential and sensitive information

Detail oriented

Bachelors' degree or equivalent insurance industry work experience

The Company is an equal employment opportunity employer. We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. Base Salary Range: $65k-$75k. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Low level of domestic U.S. travel required (up to 5% - 10% of time)

Sponsorship not Offered for this Role

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