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Remote Claims Recovery Analyst Jobs in Virginia (NOW HIRING)

... support accurate claims adjudication and compliance. This role works closely with Product ... remote position. Application Deadline This position is anticipated to close on Aug 7, 2026. About ...

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

None Potential for Remote Work: ORA_ON_SITE Description SAIC is seeking highly skilled and ... Expertise in cost recovery, pricing strategies, lifecycle cost estimation, and investment planning.

New

Epic Denials Management Operator

Richmond, VA · Remote

$17.75 - $23.75/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

Epic Denials Management Operator

Rosslyn, VA · Remote

$20.50 - $27.25/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

Epic Denials Management Operator

Mclean, VA · Remote

$18.25 - $24.25/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

Experience working with healthcare datasets, claims data, electronic medical record data, quality ... City/State Norfolk, VA Work Shift First (Days) Location(s) Virginia Remote Overview Overview The ...

Actuary

Richmond, VA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Conduct comprehensive claims analysis using CCLF (Claims and Claims Line Feed) and BCDA ...

Showing results 41-60

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:

QNXT Benefit Configuration Analyst

TEKsystems

Norfolk, VA • Remote

$55 - $65/hr

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago


Job description

*ATTN ALL APPLICANTS* MUST be located in one of the following states in order to apply:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

Description

The Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance. This role works closely with Product, Compliance, IT, Network and Claim’s teams to ensure benefit plans are implemented accurately, timely, and in accordance with regulatory and contractual requirements.

The analyst serves as a business and technical expert in QNXT benefit build and plays a key role in supporting new plan implementations, annual updates, and ongoing configuration maintenance.

This resource will help stand up the Health Plans Commercial QNXT environment with a focus on benefits.

Day to day involves:

· Meetings

· QNXT configuration

· Capitation

· Actively using standard benefits/pricing methodologies

· Solutioning detail level business requirements

· Unit testing/proof of concept testing

· Defect resolution

· Ability to work independently

Ability to meet deliverables

Skills

Configuration, qnxt, provider claims, Sql

Top Skills Details

Configuration,qnxt,provider claims

Additional Skills & Qualifications

Health Insurance

Healthcare Benefits

Healthcare Benefit Configuration

Commercial Health Insurance

Experience Level

Expert Level

Job Type & Location

This is a Contract to Hire position based out of Norfolk, VA.

Pay and Benefits

The pay range for this position is $55.00 - $65.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Aug 7, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.