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Remote Disability Claims Examiner Jobs in Virginia

LIO Insurance

Claims Examiner (Casualty)

Richmond, VA · On-site +1

$68K - $123K/yr

The Claims Examiner - Casualty is accountable for managing a portfolio of moderate complexity ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...

AppleOne

FHA VA Claims Associate

Glen Allen, VA · Remote

$28/hr

This opportunity offers remote work with equipment provided, a structured 40-hour work week, and ... individuals with disabilities. If you need a reasonable accommodation for any part of the ...

New

FCCI Insurance Group

E&S Claim Adjuster

Glen Allen, VA · On-site +1

$91K - $140K/yr

Investigate assigned E&S lines claims, including initial investigation, coverage evaluation ... Richmond, VA and Richardson, TX) or can be remote within FCCI territory. In exchange for your ...

Erie Insurance

Property Adjuster II

Newport News, VA · Remote

$60K - $96K/yr

Additional benefits that include company-paid basic life insurance; short-and long-term disability ... Also assists or acts on behalf of the claims supervisor when required. * This is a remote, work ...

Sentara Healthcare

Benefits Coding Analyst

Richmond, VA · On-site +1

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 ...

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Remote Disability Claims Examiner information

What does a remote disability claims examiner do?

A Remote Disability Claims Examiner evaluates disability insurance claims to determine eligibility for benefits. They review medical records, employment history, and other relevant documents while working from a remote location. The examiner communicates with claimants, healthcare providers, and sometimes employers to gather necessary information. Their primary responsibility is to ensure that claims are processed accurately, fairly, and in compliance with legal and company guidelines.

What are the key skills and qualifications needed to thrive as a remote disability claims examiner?

To thrive as a Remote Disability Claims Examiner, you need a solid understanding of insurance policies, medical terminology, and claims adjudication, typically backed by a relevant degree or prior claims experience. Familiarity with claims management software, electronic documentation tools, and regulatory compliance systems is essential. Attention to detail, strong analytical thinking, and effective written communication are standout soft skills for this role. These skills and qualities are crucial for accurately evaluating claims, ensuring regulatory compliance, and delivering fair outcomes while working independently from a remote setting.

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

Remote Disability Claims Examiners often encounter challenges such as evaluating complex medical documentation, communicating with claimants or healthcare providers virtually, and meeting tight deadlines. Staying organized with digital case management tools and maintaining clear, proactive communication can help manage these challenges. Additionally, regularly collaborating with team members and participating in ongoing training sessions can enhance accuracy and ensure consistency in decision-making, even in a remote work environment.

What is the difference between Remote Disability Claims Examiner vs Remote Disability Claims Adjuster?

AspectRemote Disability Claims ExaminerRemote Disability Claims Adjuster
Required CredentialsTypically requires a healthcare or insurance-related certification, such as nursing or claims certificationOften requires insurance adjuster licensing and relevant certifications
Work EnvironmentPrimarily office-based, working with medical records and reports remotelyRemote or office-based, assessing claims and interacting with policyholders
Employer & Industry UsageUsed mainly by insurance companies, government agencies, and third-party administratorsCommonly employed by insurance carriers, third-party administrators, and claims management firms

While both roles involve evaluating insurance claims remotely, the Remote Disability Claims Examiner focuses on medical and disability documentation, often requiring healthcare credentials. In contrast, the Remote Disability Claims Adjuster handles broader claims assessments, including policy interpretation and settlement, often requiring insurance licensing. Understanding these differences helps job seekers identify the right role based on their background and career goals.

What are the most commonly searched types of Disability Claims Examiner jobs in Virginia?

The most popular types of Disability Claims Examiner jobs in Virginia are:

What are popular job titles related to Remote Disability Claims Examiner jobs in Virginia?

For Remote Disability Claims Examiner jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Disability Claims Examiner jobs in Virginia look for?

The top searched job categories for Remote Disability Claims Examiner jobs in Virginia are:

What cities in Virginia are hiring for Remote Disability Claims Examiner jobs?

Cities in Virginia with the most Remote Disability Claims Examiner job openings:

Remote Disability Claims Examiner jobs near you

Claims Examiner (Casualty)

Richmond, VA • On-site, Remote

LIO Insurance
Insurance Services • 11 - 50 employees
Learn more about LIO Insuranceexternal

$68K - $123K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 13 days ago

Job description

Summary/Objective:
The Claims Examiner – Casualty is accountable for managing a portfolio of moderate complexity general liability claims across admitted and E amp;S products, including exposure to construction-related and construction defect property damage claims, driving each claim from initial notice through resolution. This role requires applying sound coverage analysis, leading investigations, evaluating liability and damages, and crafting clear, defensible coverage positions. The Claims Examiner will proactively negotiate with claimants and attorneys, ensure timely and accurate claim payments, and deliver a high-quality claims experience. The ideal candidate is a strong communicator and critical thinker who can effectively engage with insureds, brokers, counsel, and internal partners while balancing customer experience, financial outcomes, and regulatory compliance.
Essential Duties amp; Functions:
  • Manage a portfolio of moderate complexity casualty claims, including general liability and select construction-related / construction defect property damage exposures
  • Handle claims across admitted and E amp;S platforms, applying sound judgment and seeking guidance on complex or high-exposure matters
  • Perform coverage analysis and policy interpretation, including drafting coverage positions for moderately complex claims and supporting more complex or layered matters
  • Conduct thorough investigations, evaluate liability and damages, and establish and adjust reserves in accordance with claim developments
  • Coordinate and actively manage defense counsel, experts, and vendors to ensure effective case strategy and cost control
  • Support the development and execution of litigation and settlement strategies aligned with claim facts, coverage, and business objectives
  • Participate in mediations, settlement negotiations, and discussions with claimants and counsel as appropriate
  • Maintain accurate, timely, and well-documented claim files, including clear reporting and adherence to internal guidelines and regulatory requirements
  • Proactively identify and escalate complex, high-severity, or coverage-sensitive issues to senior team members
LIO LIFE – What we value:
  • The Customer Lens – Prioritizing our relationships, service and needs of our customers.
  • Innovative Thinking – Fostering an environment that empowers and sustains bold thinking and actions.
  • Balance – Creating an inclusive, diverse, and holistic balance to meet our personal and professional needs.
  • Simplicity – Striving for simplicity in our service, products, and processes.
  • Accountability – Owning our results and learning from them.
Qualifications:
To perform this role successfully, an individual must be able to execute each essential duty effectively. The requirements below represent the key competencies needed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Strong written and verbal communication skills, including the ability to clearly convey complex information and actively listen to understand key issues
  • Sound judgment and decision-making abilities, with the capacity to evaluate risk, think critically, and escalate appropriately
  • High degree of integrity and professionalism, with a strong commitment to confidentiality and ethical conduct
  • Customer-focused mindset, delivering responsive, solutions-oriented service to both internal and external stakeholders
  • Ability to build effective working relationships and collaborate across teams and levels, while also operating independently
  • Strong organizational and time management skills, with the ability to prioritize, manage competing demands, and meet deadlines
  • Analytical mindset, with the ability to assess information, identify key drivers, and support well-reasoned outcomes
  • Ability to influence, negotiate, and navigate challenging conversations with professionalism and confidence
  • Adaptability and accountability in a dynamic, fast-paced, and primarily virtual work environment
  • Demonstrated respect for diverse perspectives and the ability to work effectively across varied backgrounds and experiences
  • Ownership mindset, with the ability to plan, organize, and execute work from initiation through completion
  • Comfort working in a lean, entrepreneurial environment, with a willingness to take initiative and adapt to evolving priorities
Required Education and Experience:
  • Bachelor’s degree or equivalent combination of education and relevant experience
  • 3–6+ years of casualty claims handling experience
  • Experience handling general liability (GL) claims required; exposure to construction-related or construction defect claims preferred
  • Active state adjuster license(s) or ability to obtain required licenses within a defined timeframe
Preferred Education and Experience:
  • CPCU and/or AI
Additional Eligibility Requirements (Certificates, Licenses, Required/Preferred):
  • CPCU or AIS
Benefits:
As a core value, LIO Insurance understands the importance of balance to meet both personal and professional needs. Our benefits include:
  • Flexible (unlimited) Time Off and 13 paid holidays
  • 401k
  • Maternity Leave
  • Competitive Medical to support holistic health
    • Medical, dental/ortho, vision, life and disability insurance
    • HSA/FSA/DCAP savings plans
Work Environment:
This job operates in a professional office environment. This role routinely uses standard office equipment.
Position Type/Expected Hours of Work:
This is a full-time position. Expected days and hours of work are Monday through Friday, 8:30 a.m. to 5 p.m. This position may require long hours and weekend work.
Travel:
Occasional travel may be necessary for this position – to attend mediations, trials, or large property loss exposures.
EEO Statement:
LIO Insurance provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, creed, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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