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Medical Insurance Claims Jobs in Virginia (NOW HIRING)

Winston Medical Staffing

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Medical Insurance Verifier

Alexandria, VA · On-site

$20 - $23/hr

Once updates are entered in client system, follow procedure on filing the claims. * Comment all ... Insurance Verification knowledge is preferred * Experience with practice management software: GE ...

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Medical Insurance Claims information

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How much do medical insurance claims jobs pay per hour?

As of Aug 21, 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 Director, Professional Lines - Medical and Non-Medical

Jobtailor

Richmond, VA • On-site

$90 - $150/hr

Other

Posted 15 days ago

Job description

  • Directly handle high-exposure professional lines claims, including Allied Medical, Medical Professionals, Errors and Omissions, and Management Liability matters on both primary and excess policies
  • 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 appropriate legal and indemnity payments
  • Develop and document claim strategy for complex professional liability matters, including regulatory, licensing, credentialing, standard-of-care, causation, damages, and consent-to-settle considerations where applicable
  • Draft disclaimer and reservation of rights letters
  • Negotiate settlements, mitigate losses, and control expenses
  • Adhere to Claims Best Practices, Key Controls, and file handling requirements
  • Maintain a high level of communication with leadership and underwriting partners
  • Identify trends, emerging exposures, procedural improvements, and underwriting feedback from claim activity
  • Present to management, support peer development, mentor new staff, and assist with organization-wide initiatives and improvement strategies for claims and business units
  • Ensure appropriate reports are timely prepared and disseminated
  • Ensure successful implementation of key organization-wide initiatives and improvement strategies for claims and our business units
  • Support other functional groups within the organization
  • Ensure compliance with internal corporate guidelines, processes and procedures
  • Other duties as required by management
  • Some travel, as required for trials & mediations, etc.
Requirements
  • 5+ years of experience, with progressive claims handling, litigation management, or related insurance industry experience
  • Experience handling claims in the Excess and Surplus market preferred
  • Experience handling professional lines claims, including Allied Medical, Medical Professionals, Errors and Omissions, and Management Liability is strongly preferred
  • Experience working with complex coverage issues required
  • Multi-jurisdictional claims and litigation experience required
  • Adjuster license and or certifications desired, but not required
  • Bachelor’s degree or equivalent experience, JD desirable
  • Highly advanced knowledge of claim processes, policies, procedures, claim systems, regulation, coverage, liability, damage evaluation, and/or settlement with exposures in excess of $1M
  • Strong negotiating, analytical, written, and organizational skills
  • Mediation and arbitration experience preferred
  • Strong computer skills (Microsoft Office Suite, SharePoint, and in-house claims systems)
  • Ability to prioritize and manage deadlines
  • Ability to work both independently and collaboratively as part of a team
  • Excellent at establishing close working relationships with other departments, including underwriting, operations, finance, IT, actuarial and legal
Core Competencies

Demonstrates extensive experience in handling high-exposure professional lines claims, including strong analytical and negotiation skills for complex coverage issues. Proficient in developing claim strategies and ensuring compliance with corporate guidelines and best practices.

Highest-signal resume keywords
  • Claims Handling Experience
  • Professional Lines Claims Expertise
  • Multi-Jurisdictional Litigation Experience
  • Strong Negotiating Skills
  • Advanced Knowledge of Claim Processes
ATS Optimization Keywords Hard Skills
  • Claims Analysis
  • Coverage Analysis
  • Liability Evaluation
  • Damage Evaluation
  • Settlement Negotiation
  • Claims Strategy Development
  • Regulatory Compliance
  • Mediation Experience
  • Arbitration Experience
  • Claims Systems Knowledge
Soft Skills
  • Analytical Skills
  • Organizational Skills
  • Communication Skills
  • Team Collaboration
  • Relationship Building
Certifications & Qualifications
  • Adjuster License
  • Insurance Certifications
Industry Keywords
  • Excess and Surplus Market
  • Allied Medical
  • Medical Professionals
  • Errors and Omissions
  • Management Liability
  • Claims Best Practices
  • Key Controls
  • Claims Handling Requirements
  • Licensing and Credentialing
  • Consent-to-Settle
Tools & Technologies
  • Microsoft Office Suite
  • SharePoint
  • In-House Claims Systems
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