Title: Claims Examiner

State Role Title: Salary Non-Specified

Hiring Range: Minimum starting salary $47,003, commensurate with experience

Pay Band: UG

Agency: VA Workers' Compensation Comm

Location: RICHMOND HEADQUARTERS

Agency Website: https://workcomp.virginia.gov/

Recruitment Type: General Public - G

Every claim tells a story and behind every story is a victim looking for support, answers, and fairness.

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.

Job Duties

Make an Impact Through Meaningful Public Service

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.

What You’ll Do

Claims Examiners review and evaluate criminal injury compensation claims to determine eligibility and award decisions in accordance with Virginia law and agency policies. This role involves analyzing records and documentation, managing a dynamic caseload, communicating with victims and stakeholders, conducting follow-up research, preparing detailed reports and correspondence, and collaborating with internal and external partners to support victims throughout the claims process.

What Makes Someone Successful in This Role

Successful Claims Examiners are analytical, adaptable, and detail-oriented professionals who enjoy problem-solving and investigative work. They can manage changing priorities in a fast-paced environment while balancing empathy with objective decision-making. Strong candidates communicate professionally in sensitive situations, work effectively both independently and as part of a team, and are comfortable interpreting laws, policies, and complex information to make sound decisions.

VWC Compensation Structure

Virginia Workers' Compensation Commission is an independent agency which allows us to have a more competitive and unique pay structure. This position is a pay grade 5 based on a 14 grade pay structure. Our positions are not classified under DHRM's pay bands.

Telework Structure

Our agency is currently using a hybrid model for teleworking. Our positions currently are not 100% teleworking.  However, we do have a liberal telework policy in place and all candidates would be expected to report to our Headquarters as requested.

Telework scheduling is at the discretion of the position’s supervisor, the Executive Director, based on the business needs of the department.  Upon hire, candidates should expect to have all training and orientation conducted at the Headquarters Office, or as required.

Virginia Workers' Compensation Commission Overview 

Led by a Senior Leadership team consisting of three Commissioners, an Executive Director, and a Chief Deputy Commissioner. Our 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 us by the Commonwealth of Virginia. Our vision is to lead the nation as the most effective and innovative state agency.  VWC demonstrate seven core values: innovation, respect, accountability, reliability, impartiality, integrity, and effectiveness.

We are a “Virginia Values Veterans” (V3) official certified state agency that supports Veterans and Members of the Reserves and/or National Guard.  If you are a Veteran or Spouse of a Veteran or Active Military Member, we urge you to respond accordingly on your state application.  Virginia Workers’ Compensation Commission is an Equal Opportunity Employer, and we encourage diversity within our workforce.  Virginia Workers’ Compensation Commission does not provide sponsorship for employment.

VWC has been recognized as a Top Workplace for the past several years in the Richmond Region and in the country. It is the recipient of the following awards:

• 2022 - 2026 Top USA Workplace
• 2021 - 2026 Top Workplace Richmond Region
• 2023 - 2025 Top Award for Mid-Sized Companies
• 2022 - 2023 Doers Award
• 2024 Manager’s Award
• 2025 Leadership Award, McGill 

Minimum Qualifications

• 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

Additional Considerations

• 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.

Special Instructions

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

Contact Information

Name: Amy Habel

Phone: 804-205-3571

Email: amy.habel@workcomp.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.