Claims Examiner (Henrico, State Employees Only)
About The Position
The Virginia Employment Commission (VEC) is seeking a detail oriented and customer focused Claims Examiner who will review, examine, and process unemployment insurance (UI), Trade (TRA/RTAA), and Special Program claims while ensuring accuracy, timeliness, and compliance with state and federal requirements. In this role, you will investigate and respond to inquiries from claimants, employers, and the public, as well as gather and verify information to determine eligibility, reconcile employer account charges and reimbursements, and resolve issues related to benefits and payments. You will also prepare reports, maintain confidential claim files, coordinate with financial institutions to ensure accurate payments, provide mentoring and training to staff, and support system testing and administrative functions as needed. Join the VEC and be part of a mission-driven agency dedicated to supporting workers, strengthening communities, and promoting economic stability across the Commonwealth. We administer Virginia’s UI benefits program with a commitment to providing customer-centered, accessible, inclusive, and impactful services to support our shared mission: lifting up Virginia, one unemployed worker at a time. The VEC is also an integral part of a historic milestone as Virginia becomes the first state in the South to offer Paid Family and Medical Leave (PFML). Our agency will be responsible for standing up and administering this new program, which will expand the vital support we provide for employees when they need it most. We offer paid leave; a minimum of 13 paid state holidays per year; medical, dental, vision, and life insurance options; retirement plans (including 401a Cash Match and 457 Deferred Compensation Plan for classified positions); and are a federally recognized Public Service Loan Forgiveness (PSLF) employer. If you’re motivated by public service, continuous improvement, and meaningful work that supports opportunity for all, the VEC is a place where your contributions matter!
Requirements
- Basic knowledge of claims processing.
- Basic knowledge of accounting and cash management principles.
- Basic knowledge of office operations.
- Strong customer service skills.
- Strong claims examination and processing skills.
- Strong data entry skills.
- Strong communication (oral and written) skills.
- Ability to perform detailed work related to the tracking and resolution of claims and employer charges.
- Ability to collect and analyze information to make determinations.
- Ability to prepare and reconcile reports.
- Ability to record and enter information into a database.
- Ability to interpret and apply program requirements.
- Ability to work independently and as a member of a team.
- Ability to respond to inquiries and provide technical assistance.
- Ability to prioritize workload and meet deadlines.
- Must successfully obtain and demonstrate requisite skill set (knowledge, skills and abilities) for position and meet the certification requirements, as defined by DOL, to become certified as an agency Unemployment Claims Investigator no later than one year from the commencement of the training program to remain in position.
- Must be a citizen or national of the U.S., a Lawful Permanent Resident, or an alien authorized to work in the US.
- Must successfully pass a comprehensive background check including an FBI fingerprint background investigation and an Unemployment Insurance (UI) fraud background check.
- Must possess a valid Virginia Driver's License.
Nice To Haves
- Working knowledge of the UI benefits eligibility and claims process.
- Experience working with VEC programs and processing claims and charges.
- Experience entering and reviewing data in a mainframe and PC based system environment (such as VUIS or related systems).
- Experience reviewing claims.
- Experience working with UI benefit and/or Trade programs.
- Proficient in Microsoft software (e.g., Excel and Word), OneDrive, and similar software programs.
Responsibilities
- Review, examine, and process unemployment insurance (UI), Trade (TRA/RTAA), and Special Program claims.
- Ensure accuracy, timeliness, and compliance with state and federal requirements.
- Investigate and respond to inquiries from claimants, employers, and the public.
- Gather and verify information to determine eligibility.
- Reconcile employer account charges and reimbursements.
- Resolve issues related to benefits and payments.
- Prepare reports.
- Maintain confidential claim files.
- Coordinate with financial institutions to ensure accurate payments.
- Provide mentoring and training to staff.
- Support system testing and administrative functions as needed.
Benefits
- Paid leave
- A minimum of 13 paid state holidays per year
- Medical insurance options
- Dental insurance options
- Vision insurance options
- Life insurance options
- Retirement plans (including 401a Cash Match and 457 Deferred Compensation Plan for classified positions)
- Federally recognized Public Service Loan Forgiveness (PSLF) employer
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
