Medical Claims Examiner Jobs in Virginia
Medical Claims Examiner jobs in Virginia are concentrated in the Richmond, Northern Virginia, and Hampton Roads metros, where major insurers and health systems maintain large back-office operations. Anthem (now Elevance Health), Optima Health, and Sentara Healthcare are among the most established employers in the state, with consistent demand for examiners across commercial, Medicare Advantage, and workers' compensation lines. The market ranges from entry-level processing roles to senior liability and complex-claim positions. Find a role that fits below and apply directly.
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Showing 5 of 6+ Medical Claims Examiner jobs
Eligible for 20% pay differential**
Be a part of the nationwide law enforcement initiative that removes the tools of crime from criminal organizations, depriving wrongdoers of proceeds from their crime and impacting the infrastructure of criminal enterprises.
FSA Federal (FSA) is focused on delivering unsurpassed services in support of law enforcement and homeland security. We currently have a vacancy for a Records Examiner/Analyst. In this role, you will be supporting the overall mission of the Federal Bureau of Investigation (FBI). If you are looking for a meaningful, mission driven career, Join FSA!
Responsibilities
- Reviews and evaluates data and information from multiple sources.
- Confirms completeness of received data/information and resolves inconsistencies.
- Accurately enters required data into one or more databases, documents, or spreadsheets.
- Creates case/project files.
- Manages validation and verification of case files and case data system.
- Keeps track of case file status in order to confirm compliance with established deadlines.
- Manages requests for additional information as needed.
- Selects relevant information from a variety of sources in order to prepare documents, reports, summaries, and replies to inquiries, ensuring accuracy and proper format of the information provided.
- Manipulates, transfers, computes and prints information.
- Prepares and modifies reports and correspondence using word processing software.
- Provides accurate and timely status updates.
- Performs other duties as assigned.
- Undergraduate degree, or High School Diploma/GED and two-years' experience
- One-year experience in asset forfeiture or a field related to law enforcement (includes legal and military experience)
- Ability to grasp and understand the organization and functions of the customer
- Demonstratable project and workload management skills
- Excellent communication skills; oral and written
- Competence to review, interpret, evaluate, and extract data and information from complex legal and non-legal documents
- Strong attention to detail; meticulous data entry skills
- Intermediate skills with the Microsoft Office suite of applications (Excel, PowerPoint, Word) and other common software applications, advanced skills preferred
- Proven commitment and expertise to provide excellent customer service; positive and flexible
- Ability to work in a team environment and maintain a professional disposition
This position requires U.S. Citizenship and a 7 (or 10) year minimum background investigation
** NOTE: The 20% pay differential is dependent upon the customer's order for services and requires an Active Top-Secret security clearance.
Agency Overview
The mission of the Federal Bureau of Investigation (FBI) is to protect the American people and uphold the Constitution of the United States. FBI investigates a broad range of criminal violations, integrating the use of asset forfeiture into its overall strategy to eliminate targeted criminal enterprises. The FBI has successfully used asset forfeiture in White Collar Crime, Organized Crime, Drug, Violent Crime and Terrorism investigations.
Benefits Overview
At FSA Federal, we recognize the diverse needs of our employees and strive to provide an excellent package to help meet those needs. Comprehensive benefits are offered with greater choice and flexibility to support your health, work-life balance, and professional growth. A package providing employee only coverage can be built around our basic plans at $0 employee cost for: Medical, Dental, Vision, Term Life Insurance, Accidental Death & Dismemberment Insurance, Short-Term Disability, and Employee Assistance Program. For more information, click here.
Eligible for 20% pay differential**
Be a part of the nationwide law enforcement initiative that removes the tools of crime from criminal organizations, depriving wrongdoers of proceeds from their crime and impacting the infrastructure of criminal enterprises.
FSA Federal (FSA) is focused on delivering unsurpassed services in support of law enforcement and homeland security. We currently have a vacancy for a Records Examiner/Analyst. In this role, you will be supporting the overall mission of the Federal Bureau of Investigation (FBI). If you are looking for a meaningful, mission driven career, Join FSA!
Responsibilities
- Reviews and evaluates data and information from multiple sources.
- Confirms completeness of received data/information and resolves inconsistencies.
- Accurately enters required data into one or more databases, documents, or spreadsheets.
- Creates case/project files.
- Manages validation and verification of case files and case data system.
- Keeps track of case file status in order to confirm compliance with established deadlines.
- Manages requests for additional information as needed.
- Selects relevant information from a variety of sources in order to prepare documents, reports, summaries, and replies to inquiries, ensuring accuracy and proper format of the information provided.
- Manipulates, transfers, computes and prints information.
- Prepares and modifies reports and correspondence using word processing software.
- Provides accurate and timely status updates.
- Performs other duties as assigned.
- Undergraduate degree, or High School Diploma/GED and two-years' experience
- One-year experience in asset forfeiture or a field related to law enforcement (includes legal and military experience)
- Ability to grasp and understand the organization and functions of the customer
- Demonstratable project and workload management skills
- Excellent communication skills; oral and written
- Competence to review, interpret, evaluate, and extract data and information from complex legal and non-legal documents
- Strong attention to detail; meticulous data entry skills
- Intermediate skills with the Microsoft Office suite of applications (Excel, PowerPoint, Word) and other common software applications, advanced skills preferred
- Proven commitment and expertise to provide excellent customer service; positive and flexible
- Ability to work in a team environment and maintain a professional disposition
This position requires U.S. Citizenship and a 7 (or 10) year minimum background investigation
** NOTE: The 20% pay differential is dependent upon the customer's order for services and requires an Active Top-Secret security clearance.
Agency Overview
The mission of the Federal Bureau of Investigation (FBI) is to protect the American people and uphold the Constitution of the United States. FBI investigates a broad range of criminal violations, integrating the use of asset forfeiture into its overall strategy to eliminate targeted criminal enterprises. The FBI has successfully used asset forfeiture in White Collar Crime, Organized Crime, Drug, Violent Crime and Terrorism investigations.
Benefits Overview
At FSA Federal, we recognize the diverse needs of our employees and strive to provide an excellent package to help meet those needs. Comprehensive benefits are offered with greater choice and flexibility to support your health, work-life balance, and professional growth. A package providing employee only coverage can be built around our basic plans at $0 employee cost for: Medical, Dental, Vision, Term Life Insurance, Accidental Death & Dismemberment Insurance, Short-Term Disability, and Employee Assistance Program. For more information, click here.
See All 6 Medical Claims Examiner Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
Find Medical Claims Examiner JobsMedical Claims Examiner Jobs by City in Virginia
Where Virginia roles are concentrated, by current openings.
Medical Claims Examiner Job Market in Virginia
A snapshot from current Virginia openings, updated as new roles post.
Who's Hiring
What Virginia Employers Look For
The qualifications that appear most often in medical claims examiner jobs across Virginia.
- High school diploma or associate degree in health information, business, or related field
- Experience applying ICD-10 and CPT coding to adjudicate medical claims accurately
- Working knowledge of commercial, Medicare, or Medicaid claims processing guidelines
- Familiarity with claims management platforms such as FACETS, TriZetto, or similar systems
- Strong attention to detail for reviewing EOBs, medical records, and coordination of benefits
- Ability to meet production and accuracy benchmarks in a high-volume processing environment
Medical Claims Examiner Jobs in Virginia: Frequently Asked Questions
How do you become a medical claims examiner in Virginia?
Virginia does not require a state-issued license to work as a medical claims examiner, so the path starts with a high school diploma or an associate degree in health information management or a related business field. Most Virginia employers also value professional credentials such as the Certified Professional Biller from the American Academy of Professional Coders or a Certified Claims Assistance Professional designation, which signal verified competency and improve hiring prospects considerably.
Which companies hire medical claims examiners in Virginia?
Virginia medical claims examiner roles are posted by FSA, Sentara, and Arlington County and others right now, based on current listings on Migrate Mate as of July 2026. Virginia's concentration of large health plan headquarters and integrated health systems in the Richmond and Northern Virginia corridors makes it one of the more active states for in-house examiner hiring.
Which Virginia cities have the most medical claims examiner jobs?
Harrisonburg, Quantico, and Richmond have the most medical claims examiner openings in Virginia. Richmond anchors the market because Elevance Health and several regional insurers are headquartered or have major operations there, while Northern Virginia draws openings from health plans serving the dense federal-employee and commercial populations in the D.C. corridor, and Hampton Roads reflects the large Sentara Healthcare footprint in that region.
Are there remote medical claims examiner jobs in Virginia?
Yes, and more than most fields, because claims examination is a desk-based, document-driven role that translates well to remote work. About 100% of medical claims examiner openings tied to Virginia are remote or hybrid as of July 2026, reflecting how widely insurers and third-party administrators have adopted distributed teams. Fully remote positions are most common in commercial and Medicare Advantage adjudication, while workers' compensation and complex-liability roles more often require in-office presence.
How can I get hired as a medical claims examiner in Virginia with little or no experience?
The most realistic entry path is a claims processor or billing specialist role, which Virginia employers such as Sentara Healthcare and Optima Health post regularly and use as a pipeline into examiner positions. Completing an accredited health information management program at a Virginia community college and earning a Certified Professional Biller credential gives candidates a measurable edge. Lateral moves from medical billing, insurance customer service, or prior authorization coordinator roles are also widely recognized as direct preparation for examiner work.
Where can I find and apply to medical claims examiner jobs in Virginia?
You can find and apply to medical claims examiner jobs in Virginia on Migrate Mate, which lists current Virginia openings across insurers, health systems, and third-party administrators. Find the roles that fit your experience and credentials below and apply directly.
See All 6 Medical Claims Examiner Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
Find Medical Claims Examiner Jobs