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Remote Claims Recovery Analyst Jobs in Virginia (NOW HIRING)

This position is remote however, candidates must be able to commute to our Richmond location. The ... Talroo-Allied Health, Healthcare, Coding, CPC, CIC, Billing, Claims, Auditing, ICD-10 CM, CPT ...

VP, Claims Operations

Chesapeake, VA · On-site +1

$257K - $463K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Deep understanding of property and/or auto claims operations, including recoveries, salvage ...

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Remote Claims Recovery Analyst information

What is a remote claims recovery analyst?

A Remote Claims Recovery Analyst is a professional who reviews, investigates, and processes insurance or healthcare claims to identify overpayments, errors, or discrepancies. They work remotely to recover funds owed to the organization by analyzing claim data, communicating with clients or providers, and ensuring compliance with regulations. This role typically involves using specialized software, collaborating with other departments, and providing detailed reports on recovery activities. Strong analytical skills, attention to detail, and knowledge of insurance or healthcare claims processes are essential for success in this position.

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

To thrive as a Remote Claims Recovery Analyst, you need strong analytical skills, attention to detail, and a background in finance, healthcare, or insurance, often supported by a relevant degree or experience. Familiarity with claims management software, data analysis tools, and Excel is typically required, and knowledge of industry regulations or certifications like Certified Professional Coder (CPC) can be beneficial. Excellent communication, problem-solving, and organizational skills are crucial for collaborating with stakeholders and managing multiple recovery cases efficiently. These competencies ensure accurate claims resolution, maximize recoveries, and uphold compliance in a remote working environment.

What are some common challenges faced by remote claims recovery analysts, and how can they be managed effectively?

Remote Claims Recovery Analysts often encounter challenges such as navigating complex insurance policies, managing large volumes of claims, and coordinating with multiple stakeholders virtually. To manage these effectively, strong organizational skills and attention to detail are essential. Proactive communication with clients, colleagues, and third-party payers, along with staying current on industry regulations, helps ensure accurate and timely claim resolutions. Regular check-ins with your remote team and leveraging digital workflow tools can also improve efficiency and collaboration.

What is the difference between Remote Claims Recovery Analyst vs Remote Insurance Claims Adjuster?

AspectRemote Claims Recovery AnalystRemote Insurance Claims Adjuster
Required CredentialsClaims certification, insurance knowledgeAdjuster license, insurance certification
Work EnvironmentOffice or remote, claims departmentRemote or on-site, claims handling
Employer & IndustryInsurance companies, third-party administratorsInsurance carriers, independent agencies
Common Search & ComparisonClaims recovery, debt collectionClaims assessment, settlement

The Remote Claims Recovery Analyst primarily focuses on recovering owed funds through claims analysis and debt collection, often working with insurance companies or third-party agencies. In contrast, the Remote Insurance Claims Adjuster evaluates and settles insurance claims, handling damage assessments and policy coverage. While both roles require insurance knowledge and certifications, their core functions differ—recovery versus claims settlement. Understanding these distinctions helps job seekers find the role that best matches their skills and career goals.

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

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

What cities in Virginia are hiring for Remote Claims Recovery Analyst jobs?

Cities in Virginia with the most Remote Claims Recovery Analyst job openings:

Management Liability Claims Counsel

Iatinsurancegroup

Virginia Beach, VA • On-site, Remote

$82K - $150K/yr

Full-time

Medical, Retirement, PTO

Re-posted 3 days ago


Job description

IAT has an immediate need for a Claims Counsel in our Management Liability Claims Unit that can be located in any of the IAT locations. This role is a true complex claims handling role that is tasked with managing all lines of Management Liability Claims under our Management liability policies. The ideal candidate for this role will have 3-7 years of experience as a claim professional with experience handling Management liability claims including, Employment Practices liability, Directors and Officers Liability, Fiduciary Liability, as well as Crime claims on a national basis.

This role works a hybrid schedule that requires working from the office Monday through Wednesday, with the option of working Thursday and Friday remotely.

While we prefer candidates to work from one of our IAT office locations, we are open to considering fully remote arrangements for the ideal candidate.

Responsibilities:

  • Responsible for handling Management Liability Claims (EPL, D&O, Fiduciary and Crime) for Private and Non-Profit businesses based on Claim Guidelines

  • Within authority limit, thoroughly analyze, investigate, negotiate and resolve all levels of severity claims

  • Selects, directs and manages defense counsel including approval of budgets

  • Develops litigation/file disposition strategy. Attends mediations, settlement conferences and trials

  • Verifies/analyzes applicable coverage for the reported claims

  • Follow operational policies and procedures, including compliance, regulatory and performance and customer service standards

  • Prepare reports, including Large Loss Reports, to management which accurately reflects loss development, potential/actual financial exposure, coverage issues, claim and recovery strategies

  • Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file

  • Identifies and addresses recovery/contribution/SIU opportunities

  • Sets accurate/timely loss/expense reserves in compliance with Claim Guidelines.

  • Drafts correspondence, including but not limited to, coverage letters to stakeholders as required

  • Support business partners on an as needed basis on various claim and underwriting related issues and marketing meetings

  • Maintains resident/nonresident adjuster licenses as required

  • Perform other duties as needed

Qualifications:

Must-Have:

  • Juris Doctorate required

  • Properly licensed, registered or authorized, and in good standing, to practice law in the jurisdiction in which you will be working

  • 3-7 years management liability claim experience, including handling employment liability practices, directors & officers' liability and fiduciary liability coverages

  • Excellent coverage analysis skills with experience in drafting coverage position correspondence

  • Experience handling litigated files and direction of defense counsel a plus

  • Excellent negotiation skills

  • Must be willing to travel, average 1 day a month.

  • Claims Licensure as required by respective state(s)

  • CPCU and other insurance related studies are beneficial

  • Excellent oral and written communication skills

  • Ability to organize, multi-task and prioritize work

  • Excellent customer service and interpersonal skills

  • Ability to analyze data, utilize sound judgment to draw conclusion and make supported decisions

  • To qualify, applicants must be authorized to work in the United States and must note require, now or in the future, VISA sponsorship for employment purposes

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.

Compensation:

Please note, the annual gross salary range associated with this posting is $82,960 - $150,000. The total compensation will include a base salary, performance-based bonus opportunities, 401(K) match, profit sharing opportunities and more. Actual salaries will vary based on factors such as a candidate qualifications, skills, competencies, and geographical location related to this specific role.

To view details of our full benefits, please visit https://www.iatinsurancegroup.com/careers/benefits

 

IAT Insurance Group is the largest private, family-owned property and casualty insurer in the U.S. Insurance Answers Together is how we define IAT, in letter and in spirit. We work together to provide solutions for people and businesses. We collaborate internally and with our partners to provide the best possible insurance and surety options for our customers.

At IAT, we're committed to driving and building an open and supportive culture for all. Our employees propel IAT forward - driving innovation, stable partnerships and growth. That's why we continue to build an engaging workplace culture to attract and retain the best talent.

We offer comprehensive benefits like:

  • 26 PTO Days (Entry Level) + 12 Company Holidays = 38 Paid Days Off
  • 7% 401(k) Company Match and additional Profit Sharing
  • Hybrid work environment
  • Numerous training and development opportunities to assist you in furthering your career
  • Healthcare and Wellness Programs
  • Opportunity to earn performance-based bonuses
  • College Loan Assistance Support Plan
  • Educational Assistance Program
  • Mentorship Program
  • Dress for Your Day Policy

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.