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Disability Claims Analyst Jobs in Virginia (NOW HIRING)

Commence

Sr. Program Analyst, Federal Health

Leesburg, VA · On-site

$130K - $160K/yr

... disability claims, and support federal program delivery activities. * VA Disability Benefits Analysis - Primary Focus * Define and operationalize the regulatory and evidentiary definition of Ready ...

Kinsale Insurance

Claims Examiner

Richmond, VA · On-site

$73K - $90K/yr

This position combines analytical thinking, decision-making, and negotiation to ensure fair and ... and disability coverage. * Continuous Learning - Annual $3,000 reimbursement for educational ...

Kinsale Management, Inc

Claims Examiner

Richmond, VA · On-site

$73K - $90K/yr

This position combines analytical thinking, decision-making, and negotiation to ensure fair and ... and disability coverage. * Continuous Learning - Annual $3,000 reimbursement for educational ...

Kinsale Insurance

Claims Examiner

Richmond, VA · On-site

$73K - $90K/yr

This position combines analytical thinking, decision-making, and negotiation to ensure fair and ... and disability coverage. * Continuous Learning - Annual $3,000 reimbursement for educational ...

Richmond National

Claims Examiner

Glen Allen, VA · On-site

$65K - $85K/yr

Review and analyze coverage, liability and damages * Write both coverage and liability position ... Basic Life/AD&D/Short Term/Long Term Disability coverage. * 401(k) - Company match of up to 6% * ...

Markel Corporation

Claims Examiner

Richmond, VA · On-site

$62K - $85K/yr

Strong analytical and problem-solving skills * Strong organization and time management skills ... disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an ...

Markel International

Claims Examiner

Richmond, VA · On-site +1

$62K - $85K/yr

Strong analytical and problem-solving skills * Strong organization and time management skills ... disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an ...

Dollartree

Director, Claims Litigation

Chesapeake, VA · On-site

Conduct analysis of claims data to facilitate decisions on liability claims program structure ... The company offers Health, Dental, & Vision, a flexible spending account, life and disability ...

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All JobsDisability Claims Analyst JobsDisability Claims Analyst Jobs in Virginia

Disability Claims Analyst information

See Virginia salary details

$14

$27

$51

How much do disability claims analyst jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for disability claims analyst in Virginia is $27.16, according to ZipRecruiter salary data. Most workers in this role earn between $20.00 and $31.20 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a disability claims analyst?

To thrive as a Disability Claims Analyst, you need strong analytical skills, attention to detail, and a background in insurance, healthcare, or a related field—often supported by a bachelor's degree. Familiarity with claims management software, medical terminology, and regulatory compliance systems is typically required. Excellent communication, empathy, and problem-solving abilities help analysts effectively interact with claimants and collaborate with medical professionals. These skills are essential for making fair, timely decisions that balance company guidelines with claimant needs, ensuring accuracy and customer satisfaction.

What is the difference between Disability Claims Analyst vs Insurance Claims Adjuster?

AspectDisability Claims AnalystInsurance Claims Adjuster
Required CredentialsTypically a bachelor's degree in healthcare, insurance, or related field; certifications like CPC or CPC-A are commonHigh school diploma or equivalent; some roles prefer certifications like AIC or CPC
Work EnvironmentOffice-based, analyzing disability claims, reviewing medical documentationOffice or field-based, investigating and settling insurance claims
Employer & IndustryInsurance companies, government agencies, healthcare providersInsurance companies, third-party claims organizations
Common Search & ComparisonYesYes

Disability Claims Analysts focus on evaluating disability claims, often requiring healthcare knowledge and medical documentation review. Insurance Claims Adjusters handle a broader range of insurance claims, including property, auto, and health, with a focus on investigation and settlement. While both roles involve claims processing, their specific duties, environments, and required credentials differ.

What does a disability claims analyst do?

A Disability Claims Analyst reviews and evaluates disability insurance claims to determine an individual's eligibility for benefits. They examine medical records, employment history, and policy details to assess whether a claimant meets the criteria for disability coverage. The analyst communicates with claimants, healthcare providers, and employers to gather necessary information and may also coordinate with doctors for additional medical opinions. Their goal is to ensure claims are processed accurately, fairly, and in compliance with legal and organizational guidelines.

What are some common challenges faced by disability claims analysts and how can new hires prepare for them?

Disability Claims Analysts often encounter challenges such as interpreting complex medical documentation, balancing a high caseload, and maintaining clear communication with claimants, healthcare providers, and employers. New hires can prepare by developing strong attention to detail, time management skills, and a thorough understanding of relevant policies and regulations. Building effective communication and empathy is also crucial for handling sensitive situations and ensuring fair, timely claims resolution.

What are popular job titles related to Disability Claims Analyst jobs in Virginia?

For Disability Claims Analyst jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Disability Claims Analyst jobs in Virginia look for?

The top searched job categories for Disability Claims Analyst jobs in Virginia are:

Disability Claims Analyst jobs near you
Infographic showing various Disability Claims Analyst job openings in Virginia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, 25% Hybrid, and 25% Remote job distribution, with an average salary of $56,486 per year, or $27.2 per hour.

Healthcare Claims Payment Policy Managing Consultant

Guidehouse

Mclean, VA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago

Guidehouse rating

7.7

Company rating: 7.7 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

42nd of 72 rated business consultants

Job description

Job Family:
Strategy & Transformation Consulting
Travel Required:
Up to 25%
Clearance Required:
Ability to Obtain Public Trust
We are looking for a Healthcare Claims Payment Policy expert to draft, standardize, implement, and maintain payment policies that improve payment accuracy, cost control, provider experience, and compliance in a large payer environment. In this role, you will help shape how reimbursement policies are researched, written, operationalized, and communicated across clinical, operational, finance, legal, analytics, and implementation stakeholders. You will translate reimbursement research, claims data, stakeholder input, and policy decisions into clear, operationally usable guidance that supports consistent claims adjudication and stakeholder understanding. The ideal candidate brings strong payer and provider reimbursement policy experience, including knowledge of Medicare, Medicaid, TRICARE, commercial payer policy, provider billing standards, claims coding, modifiers, fee schedules, and reimbursement impact analysis.
What You Will Do:
  • Support the payment policy workstream. Set priorities, manage the policy portfolio, align stakeholders, and drive timely decisions that support accurate and consistent reimbursement.
  • Draft and standardize payment policies. Write, update, and maintain clear payment policies, reimbursement guidance, FAQs, briefings, and implementation materials.
  • Translate policy into operational requirements. Convert reimbursement policy, payer guidance, coding requirements, and stakeholder decisions into claims rules, edits, bundles, business requirements, payment controls, fee schedules, and operational decision logic.
  • Support implementation and stakeholder adoption. Coordinate readiness, communications, testing support, reimbursement logic clarification, issue resolution, and stakeholder materials so policies are understood and applied consistently.
  • Monitor reimbursement policy changes. Track federal, state, and commercial payer updates, coding changes, fee schedule changes, and provider billing guidance to keep policies current.
  • Analyze reimbursement and claims impact. Define data needs, review claims and reimbursement data, assess payment impacts, and use findings to inform policy decisions, implementation planning, and stakeholder discussions.

What You Will Need:
  • 5+ years in payment policy, reimbursement policy, payment integrity, claims, revenue cycle, fee schedule development, or healthcare reimbursement.
  • Experience drafting, standardizing, implementing, and maintaining payment policies, reimbursement guidance, provider billing guidance, and stakeholder communications.
  • Knowledge of Medicare, Medicaid, TRICARE, commercial payer reimbursement policy, provider billing standards, fee schedules, claims adjudication rules, and healthcare claims coding concepts including CPT, HCPCS, ICD, revenue codes, DRGs, modifiers, bundled payments, unlisted codes, non-reimbursable codes, and claims edits.
  • Ability to translate reimbursement policy and payer guidance into claims rules, edits, bundles, business requirements, payment controls, operational decision logic, and defensible payment integrity approaches.
  • Ability to translate policy questions into data requests, interpret claims and reimbursement data, and clearly explain operational and payment impact to technical and non-technical stakeholders.

What Would Be Nice To Have:
  • Experience working in a large federal health, payer, or provider environment with complex reimbursement policies, multiple stakeholders, and cross-functional implementation partners.
  • Experience supporting third-party administrator or claims operations implementation, including translating policy into business requirements, clarifying reimbursement logic, supporting testing, resolving operational questions, and tracking implementation issues.
  • Experience conducting claims, reimbursement, cost, or payment impact analyses using Excel, Power BI, Tableau, SQL, or similar tools.
  • Experience leading a team or workstream, including setting priorities, assigning work, reviewing deliverables, coordinating subject matter experts, tracking deadlines, and communicating status, risks, and decisions to leadership.

What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave and Adoption Assistance
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Student Loan PayDown
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program
  • Mobility Stipend

About Guidehouse
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

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