Claims Examiner

About This Role

The Claims Examiner reviews and evaluates criminal injury compensation claims, determining eligibility and awards in accordance with Virginia law and agency policies. 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 an ideal opportunity for a professional who enjoys investigative work, critical thinking, and balancing human compassion with analytical reasoning to support victims of crime.

Responsibilities

• Review and evaluate criminal injury compensation claims to determine eligibility and award decisions
• 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

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 have:

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

Benefits

• Competitive and unique pay structure (pay grade 5 based on a 14-grade structure)

Important Details

• Closing at: June 26, 2026 - 23:55 EDT
• Schedule: Full-Time
• Telework structure: Hybrid model; all training and orientation conducted at Headquarters Office or as required

Application Process

• You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully
• Refer to “Your Application” in your account to check the status of your application for this position

About the Company

The Virginia Workers’ Compensation Commission is an independent agency led by a Senior Leadership team consisting of three Commissioners, an Executive Director, and a Chief Deputy Commissioner. Its mission is to serve injured workers, victims of crimes, employers, and related industries by providing exceptional services, resolving disputes, and faithfully executing the duties entrusted to it by the Commonwealth of Virginia. The VWC has been recognized as a Top Workplace for several years in the Richmond Region and in the country, receiving multiple awards including Top USA Workplace (2022-2026) and Top Workplace Richmond Region (2021-2026).