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Claims Research Associate Jobs in Virginia (NOW HIRING)

United and Empowered

Medical Billing

Hampton, VA · On-site

$17 - $19/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Track all denied claims, research, and appeal/resubmit denials in a timely manner. * Prepare and ... High school diploma or equivalent * (associate degree or certification in medical billing/coding ...

AppleOne

FHA VA Claims Associate

Virginia Beach, VA · Remote

$28/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Job Summary Our client is seeking an experienced FHA VA Claims Associate for a remote contract ... readiness. - Identify, research, and resolve claim discrepancies, missing information ...

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Claims Research Associate information

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How much do claims research associate jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for claims research 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.

What is a claims research associate?

Claims Research Associates are professionals who investigate and analyze insurance claims to determine their validity and ensure they comply with policy terms. They gather and review documentation, interview relevant parties, and communicate findings to claims adjusters or insurance companies. Their work helps prevent fraud and ensures that clients receive fair compensation. Claims Research Associates often work in insurance companies, healthcare organizations, or third-party administrators.

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

To thrive as a Claims Research Associate, you need strong analytical abilities, attention to detail, and a background in insurance, finance, or a related field—often supported by a relevant degree or experience. Familiarity with claims management software, databases, and Microsoft Office Suite is typically required, and some positions may value industry certifications like AIC (Associate in Claims). Excellent communication, problem-solving skills, and the ability to manage time effectively help set top performers apart. These skills ensure accurate investigation and resolution of claims, which is essential for minimizing risk and providing excellent customer service.

What are some common challenges faced by claims research associates, and how can they be effectively managed?

Claims Research Associates often encounter challenges such as analyzing incomplete or ambiguous claim information, managing a high volume of cases, and coordinating with multiple departments to resolve discrepancies. Successfully managing these challenges requires strong attention to detail, effective organizational skills, and clear communication with both internal teams and external parties. Utilizing available claims management systems and regularly collaborating with colleagues can help streamline processes and ensure accurate claim resolution.

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

AspectClaims Research AssociateClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer associate degreesHigh school diploma or equivalent; licensing may be required depending on state
Work EnvironmentOffice setting, research-focused tasksField and office settings, investigating claims
Industry UsageInsurance companies, third-party administratorsInsurance companies, public agencies
Common Search/ComparisonClaims Research Associate vs Claims Adjuster

The main difference between a Claims Research Associate and a Claims Adjuster lies in their roles. Claims Research Associates primarily focus on gathering and analyzing information related to insurance claims, often working in an office environment. Claims Adjusters, on the other hand, investigate claims directly, sometimes in the field, and make decisions on claim validity and settlement. Both roles require knowledge of insurance policies, but Claims Adjusters typically need licensing, whereas Claims Research Associates focus more on research skills.

How can I become a claims research associate?

To become a claims research associate, candidates typically need a high school diploma or equivalent, with some roles preferring a bachelor's degree in fields like insurance, business, or related areas. Relevant skills include attention to detail, analytical thinking, and proficiency with data management tools. Gaining experience through internships or entry-level positions in insurance or claims processing can also improve job prospects.

Is claims research a stressful job?

Claims research as a Claims Research Associate involves analyzing insurance claims, which can be demanding due to tight deadlines and the need for accuracy. The job may involve repetitive tasks and detailed data review, but stress levels vary depending on workload, company environment, and individual coping skills.

What cities in Virginia are hiring for Claims Research Associate jobs?

Cities in Virginia with the most Claims Research Associate job openings:

Claims Research Associate jobs near you

Medical Billing

United and Empowered

Hampton, VA • On-site

$17 - $19/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 25 days ago

Job description

NEW HIRE SIGN ON BONUS:
$250 AFTER 90 DAYS
$250 AFTER 6 MONTHS


Hourly rate starts at $16 - $18 per hour (based on experience and qualifications)


Full Benefit Package:

  • Paid Vacation that accrues immediately
  • Paid Sick leave
  • Bereavement leave
  • Health, Vision, and Dental Insurance
  • Company Matched 401-k
  • 9 Paid Holidays & Skeleton Days
  • Annual Tenure Bonuses


Full-Time Mon - Fri 8am - 5pm


Typical Day:

  • Verify Medicaid and other Insurance eligibility as needed
  • Stay informed about changes and updates to Guidelines and Regulations regarding Medicaid Waiver Services Billing
  • Update and maintain Client Billing Information Sheets with new Authorizations and other information
  • Verify Clients, Tiers, and dates monthly with department heads.
  • Track weekly hours for all clients, input into Billing Logs for each program.
  • Prepare, Review, and transmit claims in Medicaid and other Insurances Billing software
  • Update and maintain Billing Logs with current rates for services and Procedure codes.
  • Track all denied claims, research, and appeal/resubmit denials in a timely manner.
  • Prepare and submit weekly reports regarding claims pending and status.
  • Assist with Bookkeeping, Front office, HR auditing and filing as needed.
  • Assist with answering phones and other administrative duties as assigned.
  • Maintain confidentiality and security of Employee and patient information in accordance with HIPPA regulations and organizational policies.


Knowledge & Skills:


Education:

  • High school diploma or equivalent
  • (associate degree or certification in medical billing/coding preferred).

Experience:

  • 2 years of experience in Medical Billing, or related field.
  • Ability to establish and maintain effective working relationships with individuals, community and staff.