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Remote Claims Recovery Analyst Jobs in Virginia (NOW HIRING)

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... Analyzes provider coding and documentation to evaluate risks relating to future payor recovery ...

E&S Claim Adjuster

Glen Allen, VA · On-site +1

$91K - $140K/yr

... Lines claims that require expertise in areas such as coverage, analysis, jurisdictional and ... Richmond, VA and Richardson, TX) or can be remote within FCCI territory. In exchange for your ...

... remote applicants residing in states/locations under Eastern or Central Standard Time: Alabama ... Act as a senior analytical advisor and trusted partner supporting Long Term Care Claims, Customer ...

TS/SCI with Poly Potential for Remote Work: ORA_ON_SITE Description SAIC is looking for a highly ... Cost recovery processes * Compile and analyze cost data charged across the budget element and ...

... support accurate claims adjudication and compliance. This role works closely with Product ... remote position. Application Deadline This position is anticipated to close on Aug 21, 2026. About ...

Showing results 21-40

Remote Claims Recovery Analyst information

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 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 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 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 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:

TEMP-Workers' Compensation Claims Adjuster

Brookfield

Richmond, VA • On-site, Remote

$65K - $84K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago


Job description

Company

Argo Group

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.


Job Description

Business Title(s): TEMP-Workers' Compensation Claims Adjuster

Employment Type: Contingent Worker

FLSA Status: Non-Exempt

Location: In-Office or Remote

Summary:
We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary assignment with an estimated end date of 9 October 2026, and work from anywhere in the United States. If this role is filled so the individual can work five days a week in any of the following offices, we can consider this a temp-to-hire assignment: Albany, Chicago, Los Angeles, New York City, Omaha, or Richmond (VA).This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the states of CT, DC, DE, MD, and VT. As this is a temporary assignment, only government mandated benefits will be provided.

Employees in this role are required to accurately record all hours worked and submit timesheets in accordance with company policy. Overtime may be assigned as business needs dictate, and employees are expected to work overtime when required.

Essential Responsibilities:

  • Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
  • Resolving issues that are generalized and typically not complex, but require understanding of a broader set of issues.
  • Reporting to senior management and underwriters on claims trends and developments.
  • Investigating claims promptly and thoroughly.
  • Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
  • Investigating claims promptly and thoroughly, including interviewing all involved parties.
  • Managing claims in litigation.
  • Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
  • Properly setting claim reserves.
  • Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.
  • Preparing reports for file documentation.
  • Applying creative solutions which result in the best financial outcome.
  • Negotiating settlements.
  • Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
  • Having an appreciation and passion for strong claim management.

Qualifications / Experience Required:

  • A practical knowledge of adjudicating workers' compensation claims through:
    • A minimum of five years' experience adjudicating workers' compensation claims in one or more of the following jurisdictions: CT, DC, DE, MD, and VT.
    • Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating medical only claims beyond the minimum experience required above may be substituted in lieu of a degree.
    • License required in CT, DE, & VT.
  • Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
  • Must have excellent communication skills and the ability to build lasting relationships.
  • Exhibit natural curiosity
  • Desire to work in a fast-paced environment.
  • Excellent evaluation and strategic skills required.
  • Strong claim negotiation skills a must.
  • Must possess a strong customer focus.
  • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
  • Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
  • Must work independently and demonstrate the ability to exercise sound judgment.
  • Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
  • Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
  • Proficient in MS Office Suite and other business-related software.
  • Polished and professional written and verbal communication skills.
  • The ability to read and write English fluently is required.
  • Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.

The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location.

  • Colorado outside of Denver metro, Delaware, Illinois (outside of Chicago metro area), Maine, Maryland, Massachusetts (outside of Boston metro area), Minnesota, Nevada, Rhode Island, Vermont, and Virginia Pay Ranges:$37.66 - $44.33
  • Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. metro area, & Washington State Pay Ranges:$41.44 - $48.79
  • New York City, Los Angeles and San Francisco metro areas Pay Ranges:$45.12 - $53.16

About Working in Claims at Argo Group

  • Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
  • Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.
  • We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.
  • Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
  • We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.

PLEASE NOTE:

Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.

If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.

Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.

We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.

The collection of your personal information is subject to ourHR Privacy Notice

Benefits and Compensation

We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.