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Medical Insurance Claims Jobs in Virginia (NOW HIRING)

GEICO

Claims Specialist

Norfolk, VA · On-site

$22.34 - $26.46/hr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

GEICO

Claims Specialist

Virginia Beach, VA · On-site

$45K - $53K/yr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

New

GEICO

Claims Specialist

Virginia Beach, VA · On-site

$22.34 - $26.46/hr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

GEICO

Claims Specialist

Virginia Beach, VA · On-site

$22.34 - $26.46/hr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

GEICO

Claims Specialist

Norfolk, VA · On-site

$45K - $53K/yr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

New

GEICO

Claims Specialist

Virginia Beach, VA · On-site

$45K - $53K/yr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

New

GEICO

Claims Specialist

Norfolk, VA · On-site

$22.34 - $26.46/hr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

GEICO

Claims Specialist

Norfolk, VA · On-site

$45K - $53K/yr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

New

GEICO

Claims Specialist

Virginia Beach, VA · On-site

$22.34 - $26.46/hr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

GEICO

Claims Specialist

Virginia Beach, VA · On-site

$45K - $53K/yr

You will guide policyholders through often complicated medical aspects of auto insurance claims as you deliver world-class service. You will investigate medical necessities and determine casualty.

GEICO

Claims Specialist

Virginia Beach, VA · On-site

$45K - $53K/yr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

New

GEICO

Claims Specialist

Virginia Beach, VA · On-site

$45K - $53K/yr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

New

GEICO

Claims Specialist

Virginia Beach, VA · On-site

$22.34 - $26.46/hr

... auto insurers in the United States. When you join our company, we want you to feel valued ... You will guide policyholders through often complicated medical aspects of auto ...

Xylem I LLC

Claims Intake Specialist

Norfolk, VA · On-site

$25/hr

The Claims Intake Specialist is responsible for receiving, documenting, and coordinating the ... This is a full-time position that offers health insurance benefits for medical, vision, and dental ...

Xylem I LLC

Claims Intake Specialist

Virginia Beach, VA · On-site

$25/hr

The Claims Intake Specialist is responsible for receiving, documenting, and coordinating the ... This is a full-time position that offers health insurance benefits for medical, vision, and dental ...

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All JobsMedical Insurance Claims JobsMedical Insurance Claims Jobs in Virginia

Medical Insurance Claims information

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How much do medical insurance claims jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for medical insurance claims in Virginia is $20.79, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $22.88 per hour, depending on experience, location, and employer.

What is a medical insurance claims job?

A Medical Insurance Claims job involves processing and reviewing insurance claims submitted by healthcare providers or patients. Professionals in this role assess claims for accuracy, verify patient coverage, and determine the amount payable by the insurance company. They may also communicate with healthcare providers, policyholders, and adjusters to resolve discrepancies and ensure proper claim adjudication. Strong attention to detail and knowledge of medical billing codes and insurance policies are essential for success in this field.

What are the typical daily responsibilities of someone working in medical insurance claims?

Professionals in Medical Insurance Claims are responsible for reviewing and processing insurance claims submitted by healthcare providers or patients, verifying the accuracy of billing information, and ensuring compliance with policy guidelines. They regularly communicate with insurance companies, medical offices, and occasionally patients to resolve discrepancies or request additional information. The role involves considerable attention to documentation, data entry, and adhering to deadlines to expedite claim decisions. Teamwork is often essential, as collaboration with billing specialists and other administrative staff helps streamline claim resolution and maintain efficient workflow.

What are the key skills and qualifications needed to thrive in the medical insurance claims position?

To thrive in Medical Insurance Claims, a strong understanding of healthcare billing, insurance policies, and claims processing procedures is essential, typically supported by a diploma or relevant experience in medical administration. Familiarity with claims management software, medical coding systems (such as ICD-10 and CPT), and knowledge of HIPAA regulations is commonly required. Attention to detail, problem-solving skills, and effective written and verbal communication help individuals excel in this role. These competencies ensure timely, accurate claims processing and positive working relationships with providers, insurers, and patients.

How to become a medical insurance claims adjuster?

To become a medical insurance claims adjuster, you typically need a high school diploma or equivalent, with some roles preferring postsecondary education or relevant coursework in insurance or healthcare. Gaining experience in insurance claims processing or healthcare settings is beneficial, and obtaining a state license may be required depending on the jurisdiction. Strong attention to detail, communication skills, and familiarity with claims processing software are important for success in this role.

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

The most popular types of Medical Insurance Claims jobs in Virginia are:

What are popular job titles related to Medical Insurance Claims jobs in Virginia?

For Medical Insurance Claims jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Medical Insurance Claims jobs in Virginia look for?

The top searched job categories for Medical Insurance Claims jobs in Virginia are:

What cities in Virginia are hiring for Medical Insurance Claims jobs?

Cities in Virginia with the most Medical Insurance Claims job openings:

Medical Insurance Claims jobs near you
Infographic showing various Medical Insurance Claims job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 22% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $43,248 per year, or $20.8 per hour.

Claims Consultant

Tata Consultancy Service Limited

Henrico, VA • On-site

$48K - $55K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 24 days ago

Job description

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
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 such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned
Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.
TCS Employee Benefits Summary:
• Discretionary Annual Incentive.
• Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
• Family Support: Maternal & Parental Leaves.
• Insurance Options: Auto & Home Insurance, Identity Theft Protection.
• Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.
• Time Off: Vacation, Time Off, Sick Leave & Holidays.
• Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
Salary Ran ge: $48,000 - $55,000 per year

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