Claims Reviewer
Richmond, VA · On-site
$23/hr
Trustpoint.One is hiring Claims Reviewers for a temporary project ln Richmond, Virginia. This position will start in June 2026 and is anticipated to last 3 months. This is a temporary job.
Richmond, VA · On-site
$23/hr
Trustpoint.One is hiring Claims Reviewers for a temporary project ln Richmond, Virginia. This position will start in June 2026 and is anticipated to last 3 months. This is a temporary job.
Richmond, VA · On-site
$23/hr
Trustpoint.One is hiring Claims Reviewers for a temporary project ln Richmond, Virginia. This position will start in June 2026 and is anticipated to last 3 months. This is a temporary job.
Compare documentation assessments to those of the Medicare contractor who originally reviewed and paid the claims and note which claims are in "error" if they have been incorrectly billed, paid or ...
Compare documentation assessments to those of the Medicare contractor who originally reviewed and paid the claims and note which claims are in "error" if they have been incorrectly billed, paid or ...
Arlington, VA · On-site
Compare documentation assessments to those of the Medicare contractor who originally reviewed and paid the claims and note which claims are in "error" if they have been incorrectly billed, paid or ...
Arlington, VA · On-site
Compare documentation assessments to those of the Medicare contractor who originally reviewed and paid the claims and note which claims are in "error" if they have been incorrectly billed, paid or ...
Richmond, VA · On-site
$97K - $134K/yr
... claims ... Review and approve correspondence and reports including coverage position letters and Large Loss ...
Richmond, VA · On-site
$97K - $134K/yr
... claims ... Review and approve correspondence and reports including coverage position letters and Large Loss ...
Richmond, VA · Hybrid
$97K - $134K/yr
... claims ... Review and approve correspondence and reports including coverage position letters and Large Loss ...
Richmond, VA · Hybrid
$97K - $134K/yr
... claims ... Review and approve correspondence and reports including coverage position letters and Large Loss ...
Southfield, MI · On-site
$96K - $130K/yr
Create and enforce protocols to detect and prevent fraudulent claims; review claims with potential fraud. * Apply technical knowledge (e.g., comparative negligence laws across all 50 states), to ...
Southfield, MI · On-site
$96K - $130K/yr
Create and enforce protocols to detect and prevent fraudulent claims; review claims with potential fraud. * Apply technical knowledge (e.g., comparative negligence laws across all 50 states), to ...
Confirm coverage of claims by reviewing policies and documents submitted in support of claims ... Review and approve reserves and settlements in excess of theauthority of the handling examiner
Confirm coverage of claims by reviewing policies and documents submitted in support of claims ... Review and approve reserves and settlements in excess of theauthority of the handling examiner
Mclean, VA · On-site
The primary responsibilities of a Physician Medical Claims Reviewer include conducting independent medical service appeal reviews, providing expert testimony, and ensuring compliance with guidelines.
Mclean, VA · On-site
The primary responsibilities of a Physician Medical Claims Reviewer include conducting independent medical service appeal reviews, providing expert testimony, and ensuring compliance with guidelines.
Henrico, VA · On-site
$48K - $55K/yr
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous) Review and analyze medical information (i.e. attending physician reports, medical records ...
Henrico, VA · On-site
$48K - $55K/yr
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous) Review and analyze medical information (i.e. attending physician reports, medical records ...
Richmond, VA · On-site
$90 - $130/hr
* Review claims and related systems and processes * Understand and analyze policy language and contracts * Provide coverage, liability, and damages analysis for claims and ensure timely reserving and ...
Richmond, VA · On-site
$90 - $130/hr
* Review claims and related systems and processes * Understand and analyze policy language and contracts * Provide coverage, liability, and damages analysis for claims and ensure timely reserving and ...
Richmond, VA · On-site
$85 - $115/hr
* Review claims and related systems and processes * Understand and analyze policy language and contracts * Provide coverage, liability, and damages analysis for claims and ensure timely reserving and ...
Richmond, VA · On-site
$85 - $115/hr
* Review claims and related systems and processes * Understand and analyze policy language and contracts * Provide coverage, liability, and damages analysis for claims and ensure timely reserving and ...
The Claims Director partners with internal and external stakeholders to identify, measure and ... Review and approve requests for exceptions, experts, travel and other significant expenses.
The Claims Director partners with internal and external stakeholders to identify, measure and ... Review and approve requests for exceptions, experts, travel and other significant expenses.
The Claims Director partners with internal and external stakeholders to identify, measure and ... Review and approve requests for exceptions, experts, travel and other significant expenses.
The Claims Director partners with internal and external stakeholders to identify, measure and ... Review and approve requests for exceptions, experts, travel and other significant expenses.
Chesapeake, VA · On-site
$82K - $115K/yr
Performs review and analysis of construction claims. * Assists with development of contractor claims. * Develops and/or review time extension requests. * Assist with development of expert reports and ...
Chesapeake, VA · On-site
$82K - $115K/yr
Performs review and analysis of construction claims. * Assists with development of contractor claims. * Develops and/or review time extension requests. * Assist with development of expert reports and ...
Glen Allen, VA · On-site
$65K - $85K/yr
Job Title: Claims Examiner Location: Full time in-office, Richmond, VA 23233 We are seeking a ... Review and analyze coverage, liability and damages * Write both coverage and liability position ...
Glen Allen, VA · On-site
$65K - $85K/yr
Job Title: Claims Examiner Location: Full time in-office, Richmond, VA 23233 We are seeking a ... Review and analyze coverage, liability and damages * Write both coverage and liability position ...
Richmond, VA · On-site
$82K - $115K/yr
Performs review and analysis of construction claims. * Assists with development of contractor claims. * Develops and/or review time extension requests. * Assist with development of expert reports and ...
Richmond, VA · On-site
$82K - $115K/yr
Performs review and analysis of construction claims. * Assists with development of contractor claims. * Develops and/or review time extension requests. * Assist with development of expert reports and ...
Richmond, VA · On-site
$73K - $90K/yr
As a Claims Examiner, you will play a key role in managing casualty claims from investigation ... For further information, please review the Know Your Rights notice from the Department of Labor.
Richmond, VA · On-site
$73K - $90K/yr
As a Claims Examiner, you will play a key role in managing casualty claims from investigation ... For further information, please review the Know Your Rights notice from the Department of Labor.
Vienna, VA · On-site
$82K - $115K/yr
Performs review and analysis of construction claims. * Assists with development of contractor claims. * Develops and/or review time extension requests. * Assist with development of expert reports and ...
Vienna, VA · On-site
$82K - $115K/yr
Performs review and analysis of construction claims. * Assists with development of contractor claims. * Develops and/or review time extension requests. * Assist with development of expert reports and ...
Glen Allen, VA · On-site
$16.50 - $22.25/hr
Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. * Prepare and submit to the Team Leader any unusual or potentially undesirable exposures ...
Glen Allen, VA · On-site
$16.50 - $22.25/hr
Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. * Prepare and submit to the Team Leader any unusual or potentially undesirable exposures ...
Reston, VA · On-site
$66K - $106K/yr
Responsibilities may include additional research on medical claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools ...
Reston, VA · On-site
$66K - $106K/yr
Responsibilities may include additional research on medical claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools ...
$30.2K - $35.6K
1% of jobs
$35.6K - $41K
3% of jobs
$41K - $46.3K
5% of jobs
$51.1K is the 25th percentile. Wages below this are outliers.
$46.3K - $51.7K
17% of jobs
$51.7K - $57.1K
11% of jobs
The median wage is $61.8K / yr.
$57.1K - $62.4K
14% of jobs
$62.4K - $67.8K
13% of jobs
$73K is the 75th percentile. Wages above this are outliers.
$67.8K - $73.1K
11% of jobs
$73.1K - $78.5K
10% of jobs
$78.5K - $83.9K
9% of jobs
$83.9K - $89.2K
6% of jobs
$30.2K
$64.1K
$89.2K
A Claims Reviewer evaluates insurance claims to determine their validity and ensures they comply with company policies and regulations. They analyze documentation, verify details, and may consult with medical or industry experts. Their role helps prevent fraud, control costs, and ensure fair compensation for policyholders. Strong attention to detail and knowledge of insurance policies are essential for this role.
As a Claims Reviewer, your typical day involves evaluating insurance claims to determine their validity, reviewing supporting documents, and making recommendations for approval or denial based on policy guidelines. You will often collaborate with team members, adjusters, and occasionally interact with clients or healthcare providers to obtain additional information or clarification. The role frequently requires balancing multiple cases simultaneously while adhering to strict deadlines and maintaining high accuracy. Most Claims Reviewers work in an office setting, but some companies also offer remote or hybrid options, making the work environment flexible. This position offers the opportunity to develop expertise in insurance practices and can lead to advancement into supervisory or specialized claims roles.
To thrive as a Claims Reviewer, you need a solid understanding of insurance policies, claim evaluation procedures, and strong analytical skills, often supported by a degree in a related field or equivalent experience. Familiarity with claims management software, electronic documentation systems, and knowledge of relevant regulations or coding (such as ICD or CPT) is typically required. Attention to detail, critical thinking, and effective written and verbal communication are essential soft skills in this position. These skills are vital for accurately assessing claims, ensuring compliance, and maintaining efficiency in a detail-oriented, deadline-driven environment.
The most popular types of Claims Reviewer jobs in Virginia are:
For Claims Reviewer jobs in Virginia, the most frequently searched job titles are:
The top searched job categories for Claims Reviewer jobs in Virginia are:
Cities in Virginia with the most Claims Reviewer job openings:

Richmond, VA • On-site
$23/hr
Contractor
Re-posted 2 days ago
Sourced by ZipRecruiter
Law firms
51 - 200 Employees
Atlanta, GA, US
2009