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Director Remote Claims Jobs in Virginia (NOW HIRING)

Sentara Health

Benefits Coding Analyst

Richmond, VA · Remote

$10K/mo

This position is remote however, candidates must be able to commute to our Richmond location. The ... direct experience processing Government program or commercial health claims for an MCO • ...

Corvel

Workers' Compensation EDI Specialist I

Glen Allen, VA · On-site +1

$16.54 - $24.95/hr

Direct Workers' Compensation EDI experience is preferred but not required. We welcome candidates ... This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITES * Prepare, review, and submit ...

Koniag, Inc.

Salesforce Tester (REMOTE)

Chantilly, VA · On-site +1

... as directed by the Contracting Officer's Representative (COR). Core business hours are Monday ... Peak Claims and Loss Information Portal (CLIP) and the USDA Agricultural Marketing Service (AMS ...

micro1 AI

Regulatory Affairs Specialist

Roanoke, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Preferred Qualifications * 5+ years of direct regulatory affairs experience at a sponsor, CRO, or ...

micro1 AI

Regulatory Affairs Specialist

Suffolk, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Preferred Qualifications * 5+ years of direct regulatory affairs experience at a sponsor, CRO, or ...

micro1 AI

Compliance Officers

Virginia Beach, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Preferred Qualifications * 5+ years of direct regulatory affairs experience at a sponsor, CRO, or ...

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Showing results 21-40

All JobsClaims JobsDirector Remote Claims JobsDirector Remote Claims Jobs in Virginia

Director Remote Claims information

What does a director remote claims do?

A Director of Remote Claims oversees the operations and management of claims processing teams that work remotely, often for insurance or healthcare organizations. They develop strategies to improve efficiency, ensure compliance with policies and regulations, and monitor claim resolution metrics. Additionally, they are responsible for staff training, quality assurance, and implementing technology solutions to streamline remote workflows. Their role is crucial in ensuring that claims are handled accurately and promptly, even when teams are distributed across various locations.

What are the key skills and qualifications needed to thrive as a director remote claims, and why are they important?

To thrive as a Director of Remote Claims, you need in-depth knowledge of insurance claims processes, strong leadership experience, and typically a bachelor's degree in business, insurance, or a related field. Familiarity with claims management software, data analytics tools, and relevant certifications such as CPCU (Chartered Property Casualty Underwriter) are highly valuable. Exceptional communication, problem-solving, and team management skills help ensure effective oversight and support of remote teams. These skills and qualifications are crucial for maintaining efficient claims operations, ensuring regulatory compliance, and delivering excellent customer service in a remote environment.

What are some common challenges faced by a director remote claims and how can they be addressed?

A Director of Remote Claims often encounters challenges such as ensuring consistent communication across distributed teams, maintaining high productivity, and upholding compliance standards in a remote environment. Addressing these requires implementing robust digital collaboration tools, setting clear performance metrics, and conducting regular training on regulatory requirements. Building a strong remote culture through frequent check-ins and transparent leadership also helps foster team cohesion and accountability.

What is the difference between Director Remote Claims vs Claims Manager?

AspectDirector Remote ClaimsClaims Manager
CredentialsBachelor's degree, industry certifications (e.g., CPCU, ARM)Bachelor's degree, industry certifications often preferred
Work EnvironmentRemote leadership role overseeing multiple teamsRemote or on-site, managing claims staff directly
ResponsibilitiesStrategic planning, policy development, high-level oversightDaily claims processing, team supervision, customer service
Industry UsageCommon in insurance companies, large organizationsWidely used in insurance, healthcare, and related sectors

The main difference between a Director Remote Claims and a Claims Manager lies in scope and responsibilities. The Director focuses on strategic leadership and high-level oversight, while the Claims Manager handles daily operations and team management. Both roles require relevant industry certifications and can be remote, but the Director typically oversees multiple teams or departments.

What are the most commonly searched types of Remote Claims jobs in Virginia?

The most popular types of Remote Claims jobs in Virginia are:

What are popular job titles related to Director Remote Claims jobs in Virginia?

For Director Remote Claims jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Director Remote Claims jobs in Virginia look for?

The top searched job categories for Director Remote Claims jobs in Virginia are:

What cities in Virginia are hiring for Director Remote Claims jobs?

Cities in Virginia with the most Director Remote Claims job openings:

Director Remote Claims jobs near you
Infographic showing various Director Remote Claims job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Benefits Coding Analyst

Sentara Healthcare

Richmond, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

497th of 898 rated healthcare providers

Job description

City/State
Richmond, VA
Work Shift
First (Days)
Overview:
Sentara Health is looking to hire a Remote Benefits Coding Analyst.
This position is remote however, candidates must be able to commute to our Richmond location.
The Benefits Coding Analyst - Certified Professional Coder maintains the integrity of the plan benefits for each program and is responsible for developing an extensive expertise of all plan benefits. The Benefits Coding Analyst will work closely with multiple teams across the Health Plan, including but not limited to Claims, Compliance, Program, IT, and Health Services/Medical Management to ensure benefits are compliant with state and Federal guidelines, as well as aligned with Program benefit offerings. This position is responsible for synthesizing the input from multiple stakeholders to inform significant business decisions regarding benefit implementation as well as coordinating and maintaining benefit design documentation for the organization. The Benefits Coding Analyst will research, code, and assist with the development of benefit and utilization review policies and criteria for emerging treatments, technology, medications, and health plan services. This role will assist in researching code updates, authorization requests, and claim questions, updating business rules and benefit repositories as appropriate.
Education:
  • Associate Degree in Healthcare (preferred)

Certification:
• Certified Professional Coder certification (CPC) (required)
• Certified Inpatient Coder (CIC) (preferred)
• Medical Assistant Certification (preferred)
Note: CIC is required for advancement to Level 2 and Level 3
Experience:
• 2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and /or various payment methodologies (required)
• Experience in both established benefit coding environments as well as experience in determination of coding requirements for new benefits (preferred)
• Experience resolving billing and claims issues related to benefit to code assignment.
• Thorough knowledge of anatomy and medical terminology
• Expertise with NCCI (National Correct Coding Initiative) guidelines
• Knowledge or direct experience processing Government program or commercial health claims for an MCO
• Experience with ICD-10 CM, CPT, HCPCS, QNXT.
Keywords: Talroo-Allied Health, Healthcare, Coding, CPC, CIC, Billing, Claims, Auditing, ICD-10 CM, CPT, HCPCS, QNXT and Revenue coding in a managed care setting
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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