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Remote Disability Claims Examiner Jobs in Virginia

Claims Examiner

Richmond, VA · On-site +1

$62K - $85K/yr

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12 ... disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an ...

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 ...

Associate Claims Examiner

Richmond, VA · On-site +1

$27.84 - $38.27/hr

The national average hourly range for the Associate Claims Examiner is $27.84/hr- $38.27/hr with ... disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an ...

Property Adjuster I

Petersburg, VA · Remote

$55K - $88K/yr

Additional benefits that include company-paid basic life insurance; short-and long-term disability ... claims. * This is a remote, work from home position in Virginia * The selected candidate will ...

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 ...

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 ...

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 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:

Claims Examiner

Richmond, VA • On-site, Remote

$62K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago


Job description

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it.

The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of claims of average complexity and low to mid exposure claims. The primary purpose of this job is to investigate, evaluate, negotiate and settle assigned claims by collecting and analyzing data according to policy application and/or contract provisions. The position will have responsibility for decision making within their authority and work under the general direction from their manager.

Job Responsibilities

  • Typically handles low to moderate low exposure claims.
  • Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Analyzes coverage and communicates coverage positions.
  • Drafts coverage position letters independently
  • Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records.
  • Conducts, coordinates, and directs investigation into loss facts and extent of damages
  • Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
  • Sets reserves within authority or makes recommendations concerning reserve changes to manager
  • Utilizes diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of the claim.
  • Negotiates and settles claims directly with claimant
  • Prepares reports by collecting and summarizing information
  • Participates in special projects or assists other team members as requested
  • Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
  • Identifies subrogation opportunities and fraud potential and makes appropriate referrals
  • Strong emphasis on customer service to both internal and external customers

Education and Certification:

  • Bachelor's degree or equivalent work experience
  • Advanced degree, or focused technical degree a plus
  • Must have or be eligible to receive claims adjuster license
  • Successful completion of basic insurance courses or achievement of industry designation (INS, IEA, AIC, ARM, SCLA, CPCU)

Work Experience

  • Minimum of two years of claims handling experience or equivalent combination of education and experience
  • Knowledge of insurance industry or claims handling preferred, or
  • Successful completion of two years as an Associate Claims Specialist preferred.

Qualifications:

  • Excellent written and oral communication skills
  • Strong analytical and problem-solving skills
  • Strong organization and time management skills
  • Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
  • Ability to work in a team environment
  • Strong desire for continuous improvement
  • Ability to travel to industry conferences or meetings, if required.

US Work Authorization

US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.

Pay information:

The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure,demonstratedcompetencies, geographic location, and other factors. The national average salary range for theClaims Examiner positionis $62,000 - $85,800 with 12% incentive.

Who we are:

Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.

We're all about people | We win together | We strive for better

We enjoy the everyday | We think further

What's in it for you:

In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.

  • We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life.

  • All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.

  • We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.

Are you ready to play your part?

Choose 'Apply Now' to fill out our short application, so that we can find out more about you.

Caution: Employment scams

Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that:

  • All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.

  • All legitimate communications with Markel recruiters will come from Markel.com email addresses.

We would also ask that you please report any job employment scams related to Markel to rarecruiting@markel.com.

Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.

Should you require any accommodation through the application process, please send an e-mail to therarecruiting@markel.com.

No agencies please.