Claims Examiner

Virginia Information Technologies Agency • Richmond, VA

1d • $47,003 • Hybrid

About The Position

The Virginia Victims’ Fund is seeking analytical, compassionate, and detail-oriented professionals who thrive in fast-paced environments where no two days are the same. This role is ideal for someone who enjoys solving complex problems, interpreting policies and laws, piecing together information from multiple sources, and making thoughtful decisions that directly impact victims of crime across the Commonwealth of Virginia. Successful Claims Examiners are naturally curious, adaptable, and resilient. They are comfortable managing dynamic caseloads, navigating sensitive situations with professionalism and empathy, and applying critical thinking to determine how each claim aligns with Virginia law and eligibility requirements. If you enjoy investigative-style work, balancing human compassion with analytical reasoning, and being part of a mission-driven organization dedicated to serving victims, this may be the career opportunity you’ve been looking for.

The Virginia Workers’ Compensation Commission’s Criminal Injuries Compensation Fund (Virginia Victims’ Fund) provides critical financial assistance and support to victims of crime throughout the Commonwealth of Virginia. Our work helps individuals and families navigate some of the most difficult moments of their lives with compassion, professionalism, and fairness. We are seeking motivated and detail-oriented professionals to join our team as Claims Examiners. This role combines analytical problem-solving, case management, customer service, and legal interpretation in a fast-paced environment where every case presents unique challenges. This is not a repetitive “checklist” position. Claims are dynamic, often involving complex documentation, multiple stakeholders, evolving circumstances, and interpretation of Virginia Code and program policies. The ideal candidate enjoys investigative work, critical thinking, and putting together the pieces of a complex puzzle while maintaining empathy and professionalism.

Requirements

• Experience managing high-volume caseloads or workload priorities in a fast-paced environment
• Strong analytical, organizational, and problem-solving skills
• Excellent written and verbal communication skills
• Demonstrated attention to detail and ability to make sound decisions
• Experience interacting professionally with customers, clients, or stakeholders in sensitive or complex situations
• Ability to manage multiple priorities and deadlines effectively
• Proficiency with Microsoft Office applications and database systems

Nice To Haves

• Working knowledge of the Code of Virginia sections relating to the Criminal Injuries Compensation Fund and medical billing processes and terminology preferred.
• Experience working with the Criminal Injuries Compensation Fund preferred.

Responsibilities

• Review and evaluate criminal injury compensation claims to determine eligibility and award decisions in accordance with Virginia law and agency policies.
• Analyze records and documentation.
• Manage a dynamic caseload.
• Communicate with victims and stakeholders.
• Conduct follow-up research.
• Prepare detailed reports and correspondence.
• Collaborate with internal and external partners to support victims throughout the claims process.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed