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Claim processor jobs in Wakefield, VA

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  • Claims Examiner. Workers' Comp

    Amergis

    Claim processor job in Columbia, MD

    Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connectingpeople to the work that matters since 1988. We provide meaningful opportunitiesto our extensive network of healthcare and school-based professionals, ready towork in any hospital, government facility, or school. Through partnership andinnovation, Amergis creates unmatched staffing experiences to deliver the bestworkforce solutions. The Claims Examiner Workers' Comp understands and participates in every aspect of the WC claim process. Working in a team approach, the Claims Examiner WC will make decisions concerning reserve adjustments, develop a plan of action, and determine claim resolution. The Claims Examiner WC also works with the Adjusters, WC Manager, and fellow Amergis team members. Essential Duties and Responsibilities: + Manages full cycle claim management for assigned states to resolution + Participates in conference calls with local offices, third-party administrators (TPAs), medical providers, and other Amergis employees in order to communicate status plans + Ensures legal deadlines are met + Monitors TPA's file resolution plans + Represents Amergis in depositions, mediation, and conference calls regarding assigned claim files + Provides analysis on the financial aspects of assigned claims files + Provides excellent customer service to injured workers + Prepares WC claim reports for department management team + Reviews, identifies and makes recommendations for maintaining control and/or reducing the claims experience (loss history) of the company + Authorizes or revise reserve requests + Coordinates with Benefits team during employee's absence + Coordinates with state programs and internal departments for transitional duty + Educates branch offices about all aspects of Workers' Compensation + Assists Manager in achieving overall department goals + Performs other duties as assigned/necessary Minimum Requirements: + College degree preferred; or equivalent work experience + 5 to 10 years of Workers' Compensation experience preferred + Some legal experience strongly preferred + Good organizational skills and attention to detail + Ability to work independently and cooperatively in a team environment + Ability to communicate effectively and provide excellent customer service with individuals at all levels of the organization + Computer proficiency, including Microsoft Office applications, required + Prior experience performing internet research + Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is required At Amergis Healthcare Staffing, wefirmly believe that our employees are the heartbeat of our organization and weare happy to offer the following benefits: Medical/Prescription,Dental, Vision, Health Advocacy (company paid if enrolled Medical), HealthAdvocate Employee Assistance Program, Health Savings Account , 401(k), 401(k) Company Match, Profit Sharing, Short Term Disability, Long Term Disability,Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death and Dismemberment Insurance, Voluntary Life and Accidental Death and DismembermentInsurance, Hospital Expense Protection Plan, Critical Illness Insurance,Accident Insurance, Dependent Care Flexible Spending Account, Home and AutoInsurance, Pet Insurance, MilkStork, Transportation Benefit, EducationalAssistance Program, College Partnership Program, Paid Time Off/Company Holidays *Benefit eligibility is dependent onemployment status. AmergisHealthcare Staffing is an equal opportunity/affirmative action employer. Allqualified applicants will receive consideration for employment without regardto sex, gender identity, sexual orientation, race, color, religion, nationalorigin, disability, protected Veteran status, age, or any other characteristicprotected by law. This posting willremain active on job boards for 5 days from date of posting unless there is agood faith basis to extend the posting date. Please note thatthis pay range represents a good faith estimate of the compensation that willbe offered for this position based on the circumstances. The actual pay offeredto a successful candidate will take into account a wide range of factors,including but not limited to location, experience, and other variable factors. "Pursuant tothe San Francisco Fair Chance Initiative, Amergis will consider for employmentqualified applicants with arrest and conviction records"
    $37k-65k yearly est. 5d ago
  • Senior Claims Analyst

    Coast and Harbor Associates

    Claim processor job in Washington, DC

    Owner's project management firm is seeking an experienced SENIOR CLAIMS ANALYST for work on construction claims. Candidates qualifications must include demonstrated experience with: Furnishes reports with supporting information necessary to resolve disputes or defend against the claims, Prepares and assembles appeal files, Participates in meetings or negotiations with claimants, Appears in legal proceedings, Prepares cost estimates for use in claims negotiations, Prepares risk assessments/analysis relative to claim exposures, Prepares findings of fact and other documentation required by the CO. Provides litigation support to include court boards, timelines, diagrams, static and electronic illustrations and three dimensional models. Candidates should have demonstrated ability to work cooperatively and productively as a member of a project or claims defense team. Candidates must have 15 years experience and a Bachelor's Degree in Engineering, or Construction/Project Management. CCM and either P.E. or CPA necessary though all three are preferred. Submit resumes and project list in MS Word or PDF format: Please No Calls
    $58k-101k yearly est. 60d+ ago
  • Experienced Outside Property Claim Representative - Washington, DC

    Msccn

    Claim processor job in Washington, DC

    ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers . If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $67,000.00 - $110,600.00 What Is the Opportunity? This position could be eligible for a sign on bonus. LOCATION REQUIREMENT: This position services Insureds/Agents in and around Washington DC. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. What Will You Do? Handles 1st party property claims of moderate severity and complexity as assigned. Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates. Broad scale use of innovative technologies. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate. Establishes timely and accurate claim and expense reserves. Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits. Writes denial letters, Reservation of Rights and other complex correspondence. Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. Meets all quality standards and expectations in accordance with the Knowledge Guides. Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. Manages file inventory to ensure timely resolution of cases. Handles files in compliance with state regulations, where applicable. Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. Identifies and refers claims with Major Case Unit exposure to the manager. Performs administrative functions such as expense accounts, time off reporting, etc. as required. Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. May provides mentoring and coaching to less experienced claim professionals. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states. Must secure and maintain company credit card required. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work. This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position. Perform other duties as assigned. Additional Qualifications/Responsibilities What Will Our Ideal Candidate Have? Bachelor's Degree preferred. General knowledge of estimating system Xactimate preferred. Two or more years of previous outside property claim handling experience preferred. Interpersonal and customer service skills - Advanced Organizational and time management skills- Advanced Ability to work independently - Intermediate Judgment, analytical and decision making skills - Intermediate Negotiation skills - Intermediate Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate Investigative skills - Intermediate Ability to analyze and determine coverage - Intermediate Analyze, and evaluate damages -Intermediate Resolve claims within settlement authority - Intermediate Valid passport preferred. What is a Must Have? High School Diploma or GED required. A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required. Valid driver's license required. What Is in It for You? Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
    $67k-110.6k yearly 6d ago
  • Claims Analyst I

    Healthcare Legal Solutions LLC

    Claim processor job in Washington, DC

    JOB TITLE: Claims Analyst This position is responsible for assisting with following up on administrative appeals and documentation submitted to health insurers and governmental payers; working well with attorneys and paralegals; maintaining the workload. DUTIES AND RESPONSIBILITIES: Works within the client's Patient Accounting system, payer portals and/or websites, and will utilize proprietary software to research accounts in the work queue. Determines action required to resolve the underpayment and initiate that action, including submitting appeals and reconsideration requests. Utilizes increased knowledge of the industry, hospital revenue cycle, and payers/insurance companies to document the account and provide information and details to support paralegal's/attorney's pursuit for additional reimbursement Quickly and efficiently prepares, reviews, and submits well-written claims correspondence and related documents to insurers Is skilled, aggressive, cordial, and professional on the telephone to follow up on submitted appeals. Performs other related duties as assigned by management. QUALIFICATIONS: Bachelor's Degree (BA/BS) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience. Other skills required : BA/BS with a GPA of 3.0 or higher. Interest in healthcare and healthcare law. Able to navigate through various computer systems and applications to find information about insurance claims. Ability to prioritize and multi-task. Excellent written and verbal communication skills. Proficiency in Microsoft Office, including Word and Excel. Excellent organizational and time management skills. High attention to detail. Clear, concise, and logical writing style. COMPETENCIES: Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures. Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals. Business Necessity - The needs of the employer may be dependent on responding to and anticipating rapidly changing external and internal demands in all aspects of how business is conducted. This may include, but is not limited to, organization structure, finances, goals, personnel, work processes, technology, and customer demands. Therefore, it may become necessary to make modifications to how business is conducted, and work is accomplished, with minimal or no advance notice to employees. Accordingly the employee must be capable of adapting, with minimal or no advance notice, to changes in how business is conducted, and work is accomplished, with no diminishment in work performance. Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce. Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. External Working Relationships - Develops and maintains courteous and effective working relationships with clients, vendors and/or any other representatives of external organizations. Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things. Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions. Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics. Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
    $45k-80k yearly est. Auto-Apply 60d+ ago
  • Experienced Outside Property Claim Representative

    Travelers Insurance Company 4.4company rating

    Claim processor job in Washington, DC

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** This position could be eligible for a sign on bonus. LOCATION REQUIREMENT: This position services Insureds/Agents in and around Washington DC. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. **What Will You Do?** + Handles 1st party property claims of moderate severity and complexity as assigned. + Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates. + Broad scale use of innovative technologies. + Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate. + Establishes timely and accurate claim and expense reserves. + Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. + Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits. + Writes denial letters, Reservation of Rights and other complex correspondence. + Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. + Meets all quality standards and expectations in accordance with the Knowledge Guides. + Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. + Manages file inventory to ensure timely resolution of cases. + Handles files in compliance with state regulations, where applicable. + Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. + Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. + May provides mentoring and coaching to less experienced claim professionals. + May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. + CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states. + Must secure and maintain company credit card required. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work. + This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's Degree preferred. + General knowledge of estimating system Xactimate preferred. + Two or more years of previous outside property claim handling experience preferred. + Interpersonal and customer service skills - Advanced + Organizational and time management skills- Advanced + Ability to work independently - Intermediate + Judgment, analytical and decision making skills - Intermediate + Negotiation skills - Intermediate + Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate + Investigative skills - Intermediate + Ability to analyze and determine coverage - Intermediate + Analyze, and evaluate damages -Intermediate + Resolve claims within settlement authority - Intermediate + Valid passport preferred. **What is a Must Have?** + High School Diploma or GED required. + A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required. + Valid driver's license required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $67k-110.6k yearly 49d ago
  • Claims Examiner - Auto/Bodily Injury

    Sedgwick 4.4company rating

    Claim processor job in Alexandria, VA

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Auto/Bodily Injury **PRIMARY PURPOSE** : To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. + Responsible for litigation process on litigated claims. + Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. + Reports large claims to excess carrier(s). + Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. + Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/processing with insured, client, and agent or broker when appropriate. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws. **Skills & Knowledge** + In-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs. + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong organizational skills + Strong interpersonal skills + Good negotiation skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $75,000_ _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $23k-34k yearly est. 60d+ ago
  • Experienced Outside Property Claim Representative

    Travelers 4.8company rating

    Claim processor job in Washington, DC

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job CategoryClaimCompensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range$67,000.00 - $110,600.00Target Openings1What Is the Opportunity?This position could be eligible for a sign on bonus. LOCATION REQUIREMENT: This position services Insureds/Agents in and around Washington DC. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.What Will You Do? Handles 1st party property claims of moderate severity and complexity as assigned. Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates. Broad scale use of innovative technologies. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate. Establishes timely and accurate claim and expense reserves. Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits. Writes denial letters, Reservation of Rights and other complex correspondence. Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. Meets all quality standards and expectations in accordance with the Knowledge Guides. Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. Manages file inventory to ensure timely resolution of cases. Handles files in compliance with state regulations, where applicable. Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. Identifies and refers claims with Major Case Unit exposure to the manager. Performs administrative functions such as expense accounts, time off reporting, etc. as required. Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. May provides mentoring and coaching to less experienced claim professionals. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states. Must secure and maintain company credit card required. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work. This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position. Perform other duties as assigned. What Will Our Ideal Candidate Have? Bachelor's Degree preferred. General knowledge of estimating system Xactimate preferred. Two or more years of previous outside property claim handling experience preferred. Interpersonal and customer service skills - Advanced Organizational and time management skills- Advanced Ability to work independently - Intermediate Judgment, analytical and decision making skills - Intermediate Negotiation skills - Intermediate Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate Investigative skills - Intermediate Ability to analyze and determine coverage - Intermediate Analyze, and evaluate damages -Intermediate Resolve claims within settlement authority - Intermediate Valid passport preferred. What is a Must Have? High School Diploma or GED required. A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required. Valid driver's license required. What Is in It for You? Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $67k-110.6k yearly Auto-Apply 34d ago
  • Claims Analyst/Lead Claims Analyst/Senior Claims Analyst (Full-Time)

    McDonough Bolyard Peck, Inc. (Mbp

    Claim processor job in Vienna, VA

    MBP is looking for Claims Analyst/Lead Claims Analyst/Senior Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Highly proficient in Oracle P6 and experienced with one or more of the following: Microsoft Project, Phoenix Project Manager, or similar. Responsibilities Main Duties: Performs review and analysis of construction claims. Assists with development of contractor claims. Develops and/or review time extension requests. Assist with development of expert reports and exhibits. Qualifications Education B.S. in Civil Engineering, Construction Management, or relevant experience which equates to this degree. P.E. license, Certified Construction Manager, Planning and Scheduling Profession, or similar, certification preferred. Skills and Abilities Experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Experience drafting expert reports and deliverables. Proficient in Oracle P6 required and experienced with Microsoft Project desired. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration. Ability to relate technical knowledge to a non-technical audience. Proficiency in reading/understanding construction plans and specifications. Proficiency with Microsoft Office software programs including Word, Excel, and PowerPoint. Experience providing training, supervision, proposal development, and business development desired. Occasional overnight travel may be required. STATUS: Full-time BENEFITS: Competitive compensation with opportunities for semi-annual bonuses Generous Paid Time Off and holiday schedules 100% Employer paid medical, dental, vision, life, AD&D, and disability benefits (for individual) Health Savings Account with company contribution 401(k)/Roth 401(k) plan with company match Tuition Assistance and Student Loan Reimbursement Numerous Training and Professional Development opportunities Wellness Program & Fitness Program Reimbursement Applicants must be authorized to work in the U.S. without sponsorship. MBP is an equal opportunity employer and does not discriminate on the basis of any legally protected status or characteristic. Protected veterans and individuals with disabilities are encouraged to apply.
    $42k-73k yearly est. Auto-Apply 28d ago
  • Claims Specialist

    Corvel Career Site 4.7company rating

    Claim processor job in Rockville, MD

    The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a Hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Requires regular and consistent attendance Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”) Additional projects and duties as assigned KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to learn rapidly to develop knowledge and understanding of claims practice Ability to identify, analyze and solve problems Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to meet or exceed performance competencies Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: Bachelor's degree or a combination of education and related experience Minimum of 1 year of industry experience and claims management preferred State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $51,807 - $83,551 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Hybrid
    $51.8k-83.6k yearly 60d+ ago
  • Submarine Certification Specialist - Washington, D.C.

    Serco 4.2company rating

    Claim processor job in Washington, DC

    Looking for an opportunity at a place you can have influence and make a difference every day? Then Serco has the right opportunity for you! As the Program Analyst (Submarines), you will provide programmatic support to one of our NAVSEA customers in the Washington, DC area. Bring your expertise and collaborative skills to make an impact towards our military defense and safety of our sailors. Serco is the prime on the SHAPM contract which deals with acquisition and construction of submarines. The Team Submarine concept unifies once diverse submarine-related activities into a single submarine-centric organization with the goal of eliminating traditional stovepipe structures and processes that created impediments and inefficiencies in the submarine research, development, acquisition, and maintenance communities. Team Submarine provides improved communication among the various offices that contribute to the overall success of the United States Submarine Force. **In this role, you will:** + Provide Engineering and Technical support coordinating all matters relating to preparation, review and approval of Ship Certification correspondence for Fast Cruise and Sea Trials, Follow-On certifications and URO certifications. + Coordinate routing and processing of all ship certification documents for concurrence and approval signatures. + Prepare coordinated reports, presentations and briefings in support of program actions. + Analyzes requirements to develop program reporting including specifications, data gathering and analytical techniques, and evaluation methodology. + Support studies, surveys, reviews, and/or research projects to evaluate program accomplishments, effectiveness, and/or compliance with meeting specific goals, objectives, rules, and regulations. + Develop evaluation plans, metrics, procedures, and methodology as a result of studies performed. + Provide Subject Matter Expert (SME) support and assist the Government with technical analyses, inquiries, research, testing, data validation for any matters relating to US submarines. + Maintain applicable Plans of Actions and Milestones (POA&M) as directed/required. + Interface with stakeholders to identify, assign, and track action items, leveraging initiatives to benefit submarine sustainment support. + Collect information and provide recommendations to senior decision-makers through well-written documents. + Communicate with various Program Office representatives within NAVSEA and other Department of Navy organization in supporting PM concerns. + Coordinate with the technical community and develop white papers and presentations for the Government and the Navy on program status or issues impacting the program. + Organize and maintain Program tracking files/tools on program status, actions items and issues. + Support the team in performing additional duties and responsibilities as assigned. + Provide timely and efficient responses for all urgent tasking. + Ensure program correspondence and deliverables are in accordance with Serco's Quality Assurance Program. Meet Your Recruiter! (https://serco.kzoplatform.com/player/medium/**********002817285?embed=true&layout=fullscreen&overlay=false&auth=public) **Qualifications** **To be successful in this role you will have:** + Ability to obtain and maintain an active DoD Secret clearance. + US Citizenship + Bachelor's Degree + An Associate's Degree and 2 years of additional experience will be considered in lieu of Bachelor's Degree or a High School Diploma/GED and 4 years of additional experience will be considered in lieu of Bachelor's Degree. + 8 years of experience (Experience with Navy acquisition and/or In-Service Programs highly preferred) + Strong customer, interpersonal and organizational level communication skills (written and verbal). + Proficiency with Microsoft Office Suite programs, to include Excel and PowerPoint. + Written communication skills (e.g., drafting program impact statements and Congressional Appeals) + Experience leading a project and interfacing with an end item customer. + Ability to travel at least 10% of the time. **Additional desired experience and skills:** + Active-Duty experience in submarine service (preferably SSN) is a plus. + Recent experience in Team Submarine would be ideal. If you are interested in supporting and working with our military and sailors and a passionate Serco team- then submit your application now for immediate consideration. It only takes a few minutes and could change your career! **Company Overview** Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco's 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters. To review Serco benefits please visit: *********************************************************** . If you require an accommodation with the application process please email: ******************** or call the HR Service Desk at ************, option 1. Please note, due to EEOC/OFCCP compliance, Serco is unable to accept resumes by email. Candidates may be asked to present proof of identify during the selection process. If requested, this will require presentation of a government-issued I.D. (with photo) with name and address that match the information entered on the application. Serco will not take possession of or retain/store the information provided as proof of identity. For more information on how Serco uses your information, please see our Applicant Privacy Policy and Notice (**************************************** . Serco does not accept unsolicited resumes through or from search firms or staffing agencies without being a contracted approved vendor. All unsolicited resumes will be considered the property of Serco and will not be obligated to pay a placement or contract fee. If you are interested in becoming an approved vendor at Serco, please email ********************* . Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. **Pay Transparency** Our Total Rewards package includes competitive pay, performance-based incentives, and benefits that promote well-being and work-life balance-so you can thrive both professionally and personally. Eligible employees also gain access to a wide range of benefits from comprehensive health coverage and health savings accounts to retirement plans, life and disability insurance, and time-off programs that support work-life balance. Program availability may vary based on factors such as contract type, location, hire date, and applicable collective bargaining agreements. Salary range: The range for this position can be found at the top of the posting. This range is provided as a general guideline and represents a good faith estimate across all experience levels. Actual base salary will be determined by a variety of factors, including but not limited to, the scope of the role, relevant experience, job-related knowledge, education and training, key skills, and geographic market considerations. For roles available in multiple states, the range may vary to reflect differences in local labor markets. In addition to base salary, eligible positions may include other forms of compensation such as annual bonuses or long-term incentive opportunities. Benefits HIGHLIGHTS - Comprehensible Benefits for Full-time Employees (Part-time members receive a customized package tailored to their role). + Medical, dental, and vision insurance + Robust vacation and sick leave benefits, and flexible work arrangements where permitted by role or contract + 401(k) plan that includes employer matching funds + Tuition reimbursement program + Life insurance and disability coverage + Optional coverages you can buy, including pet insurance, home and auto insurance, additional life and accident insurance, critical illness insurance, group legal, ID theft protection + Birth, adoption, parental leave benefits + Employee Assistance Plan that includes counseling conditions + Specific benefits are dependent upon the specific contract as well as whether the position is covered by a collective bargaining agreement or the Service Contract Act. To review all Serco benefits please visit: ***************************************** . Serco complies with all applicable state and local leave laws, including providing time off under the Colorado Healthy Families and Workplaces Act for eligible Colorado residents, in alignment with our policies and benefit plans. The application window for this position is for no more than 60 days. We encourage candidates to apply promptly after the posting date, as the position may close earlier if filled or if the application volume exceeds expectations. Please submit applications exclusively through Serco's external (or internal) career site. This is a U.S.-based role. If an applicant has any concerns with job posting compliance, please send an email to: ******************** . Click here to apply now (************************************************************************************************************************************************************** **New to Serco?** Join our Talent Community! (*************************************************** **ID** _72127_ **Recruiting Location : Location** _US-DC-Washington_ **Category** _Project/Program Management_ **Position Type** _Full-Time_ **Security Clearance** _Other_ **Clearance Details** _Ability to obtain and maintain an active DoD Secret clearance._ **Telework** _No - Teleworking not available for this position_ **Campaign** _LPMETS_ **Salary Range/Amount** _$103369.00 - $167974.00_
    $103.4k-168k yearly Easy Apply 23d ago
  • Chinese Triage Examiner

    Leidos 4.7company rating

    Claim processor job in Bethesda, MD

    The National Solutions Sector is currently looking experienced Chinese Triage Examiners in various languages to perform media exploitation (MEDEX) and triage in support a customer in the National Capital Region (NCR). Triage Examiners should be experienced in general linguist operations and Document and Media Exploitation (DOMEX) operations, and are expected to leverage language and analytical skills, as well as advanced computer systems aptitude in addressing triage examination projects. Triage Examiners will perform eDiscovery examinations of electronic media for content of interest using a suite of forensic examination tools and will identify and prioritize items of importance for further processing, in accordance with customer standard operating procedures. Examiners will also be expected to communicate effectively and provide ad-hoc notification to superiors on task progress and significant findings, and to produce a report of their findings for further dissemination to customer(s). Required Language: Chinese Locations: The NMEC-LEaRN program is located at the customer site in Bethesda, MD, and we also offer the option to work from different locations (JIRC sites). The primary responsibilities of the Triage Examiners are: Perform data discovery on large datasets of foreign language material and identify essential elements of information. Convert, reformat, parse, and otherwise exploit media files using customer tools to ensure compatibility and readability for translation systems. Prepare files and metadata for transfer to translation systems, including review of foreign-language data. Produce report of findings and disseminate to customer, analysts, and liaison officers. Prepare accurate written gists, translations, and/or transcriptions of general and technical material. Candidate must have operational experience within the Chinese language. Basic Qualifications Must have the sufficient language skills, analytic skills, and technical aptitude to gain proficiency with job-required tools and processes (On-the-job training may be provided as needed to address customer-specific needs, with ongoing evaluations throughout train-up period). Native-level proficiency in English. Two years of overall experience in Chinese linguist operations (i.e. translation, language analysis), and two years of experience performing media examination for Document and Media Exploitation projects. Willingness to perform occasional shift work to meet mission demands. Achieve a minimum score of a 3/3 in Reading and Listening in Chinese and 3+/3+ for Reading and Listening in English. BA degree and/or 4 years prior relevant experience in lieu of degree, or Masters with 2 years of prior relevant experience. Ability to compose summarizations of highly technical and complex subjects that are both succinct and accessible to a general reader. Outcomes-based problem solving of ill-defined and abstract problems. Ability to maintain project momentum while working independently with limited oversight over a long period of time. Ability to quickly scan and process a large amount of material in a foreign language for essential elements of information. Ability to comprehend customer prioritization requirements and apply them to files under review, as well as apply personal judgment when assessing the potential value of files and information. Demonstrated history of working on screening or translation projects and in maintaining the integrity and meaning of the translated material. Demonstrated ability to communicate in a professional manner (email, spoken, & reports). Ability to make sound decisions and handle stress, while meeting deadlines and performing in a high-paced environment. Familiarity with report writing styles for DOD and IC consumers. Possess a working proficiency in standard computer systems and office programs, with additional experience in media examination tools. Ability to use or train to proficiency on customer specific software programs and tools. Clearance Must currently possess at least an active TS/SCI clearance. Current or recent SCI-level access is a significant advantage and preferred. Must be able to pass a polygraph and Subject Interview. Preferred Qualifications Native-level proficiency in foreign language Graduate of the Defense Language Institute Chinese Course. An advanced degree in one of the following fields: Engineering, Computer Science, Chemistry, Physics, Legal, Medical, Banking and Financing, Foreign Military, Forensics Familiarity with Digital Forensics/eDiscovery/Document and Media Exploitation (DOMEX) processes and specialized tools (i.e. FTK, en Case, or similar). Past performance as a media examiner in support of DOD or IC customers. If you're looking for comfort, keep scrolling. At Leidos, we outthink, outbuild, and outpace the status quo - because the mission demands it. We're not hiring followers. We're recruiting the ones who disrupt, provoke, and refuse to fail. Step 10 is ancient history. We're already at step 30 - and moving faster than anyone else dares. Original Posting:August 26, 2025 For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Pay Range:Pay Range $73,450.00 - $132,775.00 The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.
    $73.5k-132.8k yearly Auto-Apply 9d ago
  • Senior Veterans Benefits Claims Analyst

    Best Value Technology

    Claim processor job in Haymarket, VA

    Travel Requirement Less than 10 percent. VA Background Investigation Requirement Candidate must hold or be eligible to undergo and pass a mandatory government background check. Candidate must pass a pre-employment drug screening. U.S. Citizenship may be required by certain federal customers. Best Value Technology, Inc. (BVTI) is an established Service-Disabled Veteran-Owned Small Business (SDVOSB) with a 20-year track record delivering innovative data and technology solutions to the federal government. BVTI is seeking an individual with strong experience in VBA Claims Processing to support an anticipated contract focused on delivering veteran benefits claims processing improvement efforts to programs within the Department of Veteran's Affairs. The candidate will provide subject matter expertise on VA disability compensation and/or pension claims processes, as well as VBA's documentation processes and workflows for these benefits. The candidate will also provide training and collaborate with Team Leaders supporting multiple project teams, providing direct support to the Department of Veterans Affairs, and contributing knowledge of VBA claims operations across various operational units. The ideal candidate will be a self-motivator who is attentive to details and possesses the training and problem-solving skills required to independently assess and advise a team, ensuring critical deadlines are met.
    $41k-72k yearly est. 60d+ ago
  • Records Examiner

    SGI Global, LLC 4.0company rating

    Claim processor job in Washington, DC

    Job Description SGI Global is seeking a Records Examiner to provide data entry, records and data analysis support for the Executive Office for the United States Attorneys' Office. The position is based in Washington DC. The Records Examiner position will support the client by providing a wide variety of clerical and administrative assistance services. The work requires knowledge of processes, procedures, and practices associated with accessing databases, data entry, administrative office skills, attention to detail, quality control techniques to ensure accuracy, and the ability to work independently. Responsibilities The Records Examiner/Analyst contract position will support the FLPs by performing data entry services as well as evaluation and analytical services, including, but not limited to, the following: Perform functions of Data Analyst as stated herein. Analyze debtor's ability to pay a debt based upon Government collection standards and asset and liability information provided by third party information searches. Based on analysis, make recommendations to the FLP regarding collectability of a debt. Create and manipulate spreadsheets to report completed work and/or support analysis. Produce a variety of written documents and materials utilizing a wide range of office software applications. Assignments may include integrating output from different database applications, charts, and graphs into word processing documents, presentations, or spreadsheets. Ensure proper format, spelling, punctuation, capitalization, and grammar of all written documents. Establish high dollar complex civil debts in the debt collection database in accordance with guidance provided by the FLPs and the Government Program Manager and information on the official internal office referral form. This work includes adding all appropriate payee information for both federal and non-federal payees, ensuring that amounts allocated to payees are accurate and match amounts on the referral form. Process transfer debts from other DOJ litigating divisions in accordance with guidance provided by the FLPs and the Government Program Manager. This work includes a review of information as well as generating and emailing instructions for FedWire or Pay.gov. Assume administrative responsibilities for special assessment only debts and low dollar debts (i.e., $2,500 and lower). This time sensitive and critical work requires monthly monitoring of cases. Monitor the status of debtor payment plans to identify deficiencies and call or send delinquent payment reminders to debtors. Communicate in a professional and courteous manner with the Office of Legal Programs management, Government officials, and/or delinquent judgment debtors. Perform other duties as assigned. The Contractor shall provide Records Examiner/Analyst support positions with the following knowledge, skills, and abilities to perform the duties as specified herein. Possess a four-year undergraduate degree, with a minimum of three (3) years of professional work experience, including data entry responsibilities. Four-year degree may be substituted with two (2) years of work experience as a Data Analyst. Work independently and efficiently, with the ability to multi-task and prioritize a shifting workload. Retrieve and analyze data and information from multiple sources. Attention to detail and quality control techniques to ensure accuracy. Excellent written and oral communication skills. A good working knowledge of legal procedures as well as civil and criminal case terminology. Proficient in Microsoft Office software programs (i.e., Word, PowerPoint, Excel, and Outlook) and in accessing, learning, and maintaining various databases and on-line resource search engines. Operate a variety of office equipment, including personal computers, photocopiers, telephone systems, and scanners. Perform editing, reformatting, and generating written and electronic documents using MS Word and other document generation software. SGI Global provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Job Posted by ApplicantPro
    $42k-65k yearly est. 21d ago
  • Certification Specialist

    Goldbelt Incorporated 4.5company rating

    Claim processor job in Arlington, VA

    Please note that this position is contingent upon the successful award of a contract currently under bid. Global in service but local in approach, Nisga'a Tek is committed to high-quality service to those who defend us. Nisga'a Tek ensures mission assurance and execution for customers and warfighters. Providing intelligence, IT, cyber security, training, logistics, administrative, acquisition, and background investigation services. Summary: The Certification Specialist shall provide Internal Review and Program Analysis services for National Guard Bureau's (NGB) Certification Program to the Family Programs Branch. NGB Certification Program is an OSD requirement that focuses on quality control management of Family Program services and delivery within the 54 states and territories designed to review the delivery of services to Service members, family members, and veterans (when eligible) to ensure a basic level of continuity among all State Family Program offices. Responsibilities Essential Job Functions: * Provide support to the NGB Certification Program through coordination with NGB, G1, A1, SFPDs, AFRPM, and other certification POCs. * Coordinate with states virtual upload of required documents for standards. * Review and report state's certification status at monthly meetings and as requested by leadership. * Provide administrative support and author reports, briefings, information papers, and other documents as required. * Support on site certification visit in an administrative and logistical support role. * Attend and assist with all onsite certification visits, if determined required by the government. * At site visit, act as the primary lead for administrative actions, such as cataloging daily reports from the onsite inspection team, coordinating any logistical needs of the team, tracking progress of team, and providing a daily recap of accomplishments of the team and developing out briefs. * Maintain OSD's Family Program Certification Management Tool with up to date information. * Provide training to states on using OSD's Family Program Certification Management Tool. * Submit After Action Reviews (AAR) after every onsite visit Author a Site Visit Report based on data collected from the onsite visit and input by the inspection team and a final State Certification Report Complete all required training for both Contract Company and the Government. * Submit monthly status reports. Qualifications Necessary Skills and Knowledge: * Must have experience with using Microsoft Office (Word, Excel, PowerPoint, Outlook) and with using Adobe Acrobat. * Excellent oral and written communication and presentation skills. * Excellent computer skills. Minimum Qualifications: * Minimum Three (3) year's experience in related field. * Must be able to pass a background check and obtain a Common Access Card (CAC). Preferred Qualifications: * Familiarity with the military, family programs, other military Service member support programs. Pay and Benefits At Goldbelt, we value and reward our team's dedication and hard work. We provide a competitive base salary commensurate with your qualifications and experience. As an employee, you'll enjoy a comprehensive benefits package, including medical, dental, and vision insurance, a 401(k) plan with company matching, tax-deferred savings options, supplementary benefits, paid time off, and professional development opportunities.
    $51k-93k yearly est. Auto-Apply 60d+ ago
  • Training and Certification Specialist - Red Team

    Oak Grove Technologies, LLC 4.3company rating

    Claim processor job in Fort Belvoir, VA

    Oak Grove Technologies, LLC, a dynamic and fast-growing federal contractor, is seeking a highly skilled and motivated Red Team Training and Certification Specialist to join our team! In this role you will support certification and accreditation efforts with a DoD Cyber Red Team program, oversee training curricula of Cyber Red Team personnel, and develop training courses for red cyber operations at the novice, advanced, and master level. Oak Grove Technologies is a Service-Disabled Veteran-Owned Business based in Raleigh, NC, with a Test and Training Center located near Fort Bragg and Camp Mackall. With over 20 years of expertise in training, consulting, technology, and operational support, the company provides services to the military, government, and law enforcement. Committed to excellence, innovation, and national security, Oak Grove Technologies fulfills federal defense contracts and actively supports veterans through sponsorships and events. Driven by its mission-focused approach, the company seeks top talent to develop impactful solutions. Oak Grove Technologies offers a competitive compensation and benefits package. Requirements What You'll Be Doing: * Coordinate and support the Cyber Red Team through the Certification and Accreditation (C&A) process. * Perform technical writing to support documentation, reporting, and compliance requirements. * Contribute to policy development related to cyber operations and red team activities. * Develop, implement, and maintain tracking dashboards to monitor progress, performance, and key metrics. * Oversee training curricula for Cyber Red Team personnel. * Develop and deliver training courses in red cyber operations at the novice, advanced, and master levels. * Stay current on emerging trends and developments in red cyber operations, offensive operations, and defensive cybersecurity practices across government and industry. * Coordinate internal and external training for Cyber Red Team personnel. What Desired Skills You'll Bring: * Experience working with a DoD Certified and Accredited Cyber Red Team program. * Experience in policy development, adjudication, and/or writing procedures to comply with specific policies and standards. * Experience in developing and maintaining tracking dashboards. * Experience in developing cybersecurity or cyber operations curricula. What Required Skills You'll Bring: * U.S. Citizenship and an active Top Secret clearance with SCI eligibility are required. (Highly qualified candidates with a Secret Clearance may also be considered.) * 5+ years of relevant experience. * Familiarity with red teaming, mission assurance, cyberspace operations, and/or information assurance. * Strong communication skills, high attention to detail, and proficiency in Microsoft Office Suite. * Proven technical writing experience. * Willingness and ability to travel 15% (CONUS/OCONUS). Security Clearance Requirements: U.S. Citizenship and an active Top Secret clearance with SCI eligibility are required. (Highly qualified candidates with a Secret Clearance may also be considered.) Compensation and Benefits: Competitive Pay, PTO, Health Benefits. If you are a highly motivated Red Team Training and Certification Specialist and ready to apply your expertise in a high-impact role, we encourage you to join our mission. Oak Grove Technologies is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class. Oak Grove Technologies, LLC participates in E-Verify to determine an individual's identity and employment eligibility to work in the United States. E-Verify is a service of DHS and SSA.
    $60k-99k yearly est. Auto-Apply 60d+ ago
  • Sr Claims Clerk

    Crawford 4.7company rating

    Claim processor job in Fairfax, VA

    Under direct supervision, performs a variety of claim clerical support duties for the Service Center or for the Claim Office. Responsibilities Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM. Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients. Performs control operator functions for various Service Center or Claim Office data systems. Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity. Receives dock and messenger service deliveries and verifies accuracy of delivered material. Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing. This will include shipping/receiving computer equipment. Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry. Assists in updating jurisdictional notices and manuals used in the office. Pulls files from storage for in-house state audits. Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports). Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems. Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status. Schedules medical appointments and sends all appropriate correspondence relating to that appointment. Performs other related work as required or requested. Upholds the Crawford Code of Conduct. Qualifications High school diploma or GED; or the equivalent in related work experience. Minimum 5 years of experience in the claims/liability environment or the equivalent, demonstrating a basic knowledge of computer operations and of claim file systems and procedures. Must demonstrate basic knowledge of computer operations and of claim file systems and procedures. Proficient in the Microsoft suite of products and like systems. Must be capable of working in a fast paced environment. Must be flexible, adaptable, and have excellent multi-tasking skills. Must be technically proficient. Excellent oral and written communication skills are essential. #LI-RG1
    $28k-33k yearly est. Auto-Apply 60d+ ago
  • Materials Examiner & Identifier (Fork Lift Operator)

    Department of Defense

    Claim processor job in Fort Meade, MD

    Apply Materials Examiner & Identifier (Fork Lift Operator) Department of Defense Defense Logistics Agency Apply Print Share * * * * Save * This job is open to * Requirements * How you will be evaluated * Required documents * How to apply See below for important information regarding this job. Summary See below for important information regarding this job. Overview Help Accepting applications Open & closing dates 12/15/2025 to 12/22/2025 Salary $28.73 to - $33.48 per hour Pay scale & grade WG 7 Location 1 vacancy in the following location: Fort Meade, MD 1 vacancy Remote job No Telework eligible No Travel Required Occasional travel - You may be expected to travel for this position. Relocation expenses reimbursed No Appointment type Permanent - Multiple Appointment Types Work schedule Full-time Service Competitive Promotion potential 7 Job family (Series) * 6912 Materials Examining And Identifying Supervisory status No Security clearance Other Drug test Yes Financial disclosure No Bargaining unit status Yes Announcement number DLADispSvcs-26-12854206-MP Control number 852495400 This job is open to Help Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Veterans Veterans of the U.S. Armed Forces or a spouse, widow, widower or parent of a veteran, who may be eligible for derived preference Military spouses Military spouses of active duty service members or whose spouse is 100 percent disabled or died on active duty. Individuals with disabilities Individuals who are eligible under Schedule A. Clarification from the agency "Agency" means current permanent DoD employees. Veterans eligibilities include 30% or more Disabled Vet and Veterans Employment Opportunities Act (VEOA). Military Spouse Preference (MSP) eligibles, Retained Grade Preference (RGP) eligibles, and Military Reserve and National Guard Technician eligibles in the commuting area may also apply. Videos Duties Help * Receives, verifies, sorts and classifies, warehouses, and issues a variety of excess surplus property. * Conducts extensive review, research, verification and receipt of a variety of routine and complex property. * Employs Federal Cataloging Procedures to properly validate or change data elements. * Certifies that items are eligible for sale. * Reviews disposal turn-in document (DTID) accompanying material. * Compares data against property to assure correct information including proper documentation (e.g., stock number, nomenclature, quantity, unit of issue, disposal authority code, DEMIL and condition code). * Visually inspects usable property for obvious signs of condition and determines acceptability. * Determines condition and reportability and special handling requirements (e.g., hazardous material, precious metals, security, DEMIL, Special focus items, etc.) and assigns appropriate classification instructions for warehousing. * Verifies accuracy of demilitarization codes, takes action to challenge questionable items/codes, and maintains segregated storage of property requiring DEMIL. * Ensures proper certification is attached to turn-in document when demilitarized by host or generating activity. * Performs daily inspection and maintenance and completes appropriate forms. * Responsible for the pre-receipt/inspection/receipt/storage/safeguarding/handling of hazardous property. * Performs pre-receipt examination of property on site at the generation point. * Operates forklifts and related materials handling equipment to move, load and unload, stack or un-stack palletized materials, supplies, and equipment. Requirements Help Conditions of employment * Must be a U.S. citizen * Tour of Duty: 1st Shift * Security Requirements: Non-Critical Sensitive * Appointment is subject to the completion of a favorable suitability or fitness determination, where reciprocity cannot be applied; unfavorably adjudicated background checks will be grounds for removal. * Fair Labor Standards Act (FLSA): Non-Exempt * Selective Service Requirement: Males born after 12-31-59 must be registered or exempt from Selective Service. * Recruitment Incentives: Not Authorized * Bargaining Unit Status: Yes * Selectees are required to have a REAL ID or other acceptable identification documents to access certain federal facilities. See *************************** for more information. * Pre-Employment Physical: Required * Must be able to obtain and maintain licenses and/or certifications required by the installation, federal, state, and local laws. Qualifications Applicants will be rated in accordance with the Office of Personnel Management Qualification Standard for Trades and Labor Occupations. Although a specific length of time and experience is not required, you must meet any screen-out element listed, and show through experience and training that you possess the quality level of knowledge and skill necessary to perform the duties at the level for which you are applying. Emphasis is placed on how you gained the quality of experience, not necessarily the length of time, and the required ability or potential to perform the job. Applicants who do not meet the screen-out element (SOE) will be eliminated from further competition. The SOE and minimum qualifications for this position is: * Ability To Do The Work Of The Position Without More Than Normal Supervision: I perform the common tasks of the job to be filled but under close supervision, such as receive general guidance on assignments, such as: loading and handling material and how items are to be received and identified. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Physical Effort: Climb stacks of property during inspection, pre- receiving and receiving and verification operations, necessitating considerable kneeling, crawling, bending, walking and stooping. Physical handling of property will be routine. Incumbent must be able to lift property weighing up to 50 pounds and shift/relocate other heavy materials using appropriate material handling equipment. Working Conditions: Work is done inside and outside for long duration (through breaks, etc. as necessary) to complete immediate tasks. Inside work is performed in warehouses which may be drafty or unheated. Outside work is subject to inclement weather. Discomfort is experienced while wearing protective clothing, respirators, goggles or face masks. Worker may be exposed to hazardous vapors, liquids, powders and solids and the possibility of cuts and bruises. May be subject to hazards of working close to moving equipment, for example, forklifts, trucks and conveyor lines. Additional information For Important General Applicant Information and Definitions go to: ****************************************************************** Reemployed Annuitants: This position does not meet criteria for appointment of Reemployed Annuitants. The DoD criteria for hiring Reemployed Annuitants can be found at: ********************************************************************************** Information for Veterans is available at: ************************************** As of 23 December 2016, Military retirees seeking to enter federal service in the Department of Defense now require a waiver if they would be appointed within 180 days following their official date of retirement. Drug-Free Workplace Policy The Defense Logistics Agency (DLA) is committed to maintaining a safe, drug-free workplace. All DLA employees are required to refrain from illegal drug use on and off duty. DLA conducts pre-employment, reasonable suspicion, post-accident, and random drug testing. Applicants tentatively selected for employment in testing designated positions will undergo a urinalysis to screen for illegal drug use prior to appointment. Refusal to undergo testing or testing positive for illegal drugs will result in withdrawal of the tentative job offer and a six-month denial of employment with DLA from the date of the drug test. Employees in drug testing designated positions are subject to random drug testing. The DLA drug testing panel tests for the following substances: marijuana, cocaine, opiates, heroin, phencyclidine, amphetamines, methamphetamines, fentanyl, norfentanyl, methylenedioxymethamphetamine (MDMA), methylenedioxyamphetamine (MDA), and opioids. ADVISORY: Use of cannabidiol (CBD) products may result in a positive drug test for marijuana. DLA employees are subject to Federal law and under Federal law, Marijuana is a Schedule I drug and is illegal. Additional guidance on writing a federal resume can be found at: USAJOBS Help Center - How do I write a resume for a federal job? The resume builder can help you create a resume using these recommendations and uses the information in your USAJOBS profile to help you get started. Expand Hide additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How you will be evaluated You will be evaluated for this job based on how well you meet the qualifications above. The assessments for this job will measure the following Job Elements/Competencies: * Ability to do the work of this position without more than normal supervision * Ability to interpret instructions, specifications, etc. (other than blueprints) * Dexterity and Safety * Knowledge of Materials * Technical Practices (Theoretical. Precise, Artistic) Once the application process is complete, a review of your resume and supporting documentation may be completed and compared against your responses to the assessment questionnaire to determine if you are qualified for this job. The rating you receive is based on your responses to the assessment questionnaire. The score is a measure of the degree to which your background matches the job elements/competencies required for this position. If your resume and/or supporting documentation is reviewed and a determination is made that you have inflated your qualifications and or experience, you may lose consideration for this position. Please follow all instructions carefully. Errors or omissions may affect your rating. Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. Required documents Required Documents Help To apply for this position you must provide a complete Application Package. Each Application Package MUST include: * Your Resume: IMPORTANT UPDATE: Your resume must not exceed two (2) pages. If your resume exceeds the two-page limit, you will be removed from consideration for this announcement. The resume and required supporting documentation should provide the minimum qualifications and relevant experience for the announced position. Must include the work schedule, hours worked per week, dates of employment, and duties performed. If multiple resumes are submitted by an applicant, only the last resume submitted will be reviewed for qualifications and referred for selection consideration, if eligible. The resume must not be more than 5MB and should be saved and uploaded as a PDF to maintain formatting and number of pages. We also accept GIF, JPG, JPEG, PNG, RTF, TXT, PDF, ODT or Word (DOC or DOCX). We do not accept PDF portfolio files. Page margins should be 0.5 inches, and font styles must be legible. Consider using 14-point size font for titles and 10-point for the main text. We recommend using a font like Lato, if available. Other widely available options are Calibri, Helvetica, Arial, Verdana, Open San Source Sans Pro, Roboto or Noro Sans. * Applicable documents to support the eligibility(s) for which you are applying. Please review the following link for a listing of the additional documents you will need to provide: Supporting Documents. Interagency Career Transition Assistance Program (ICTAP): If you are an eligible ICTAP applicant you may apply for special selection over other candidates for this position. To be well-qualified and exercise selection priority for this vacancy, displaced Federal employees must be rated at a score of 85 or higher for this position. ICTAP eligibles must submit one of the following as proof of eligibility for the special selection priority: a separation notice; a "Notice of Personnel Action" (SF-50) documenting separation; an agency certification that you cannot be placed after injury compensation has been terminated; an OPM notification that your disability annuity has been terminated; OR a Military Department or National Guard Bureau notification that you are retired under 5 U.S.C. 8337(h) or 8456. Priority Placement Program (PPP) DoD Military Spouse Preference (MSP): In order to receive this preference, you must choose to apply using the "Priority Placement Program, DoD Military Spouse Preference (MSP)" eligibility. If you are claiming MSP and are determined to be among the Best Qualified for the position, you may be referred to the hiring manager as a priority applicant. To be eligible as a MSP, you must submit the following supporting documents with your application package: Spouse's Permanent Change of Station (PCS) orders; Marriage Certificate or License; PPP Self Certification Checklist; Veterans' Preference documentation (e.g., DD-214, VA Letter, Statement of Service, if applicable); Transcripts (if applicable). These documents must provide acceptable information to verify: Residency within the commuting area of your sponsor's permanent duty station (PDS); proof of marriage to the active duty sponsor; proof of military member's active duty status; and other documentation required by the vacancy announcement to which you are applying. NOTE: Previous federal employees must also submit the following additional documentation: SF-50s (e.g., LWOP, highest grade held, overseas appointments, etc.), SF-75 information, and documentation of performance rating of record (dated within the last 12 months). Selected PPP MSP applicants will need to certify they have not accepted nor declined another offer of permanent, Federal employment (to include NAF and the military exchange services) since relocating to the military sponsor's current duty station. Priority Placement Program (PPP) DoD Retained Grade Preference (RGP): In order to receive this preference, you must choose to apply using the "Priority Placement Program, DoD Retained Grade Preference (RGP)" eligibility. If you are claiming RGP and are determined to be Well Qualified (score of 85 or above) for the position, you will be referred to the hiring manager as a priority applicant. Information and required documentation for claiming RGP may be found at the General Applicant Information and Definitions link below. To be eligible as a RGP, you must submit the following supporting documents with your application package: a signed Retained Grade PPP Self-Certification Checklist (DD3145-1 (whs.mil)); a copy of your Notification of Personnel Action (SF-50) effecting the placement in retained grade status; or a copy of the notification letter you received regarding the RIF or classification downgrade. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating. How to Apply Help To apply for this position, you must complete the online application and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (EST) on the closing date to receive consideration. * To begin, click Apply Online to access an online application. Follow the prompts to select your USAJOBS resume and/or other supporting documents. You will need to be logged into your USAJOBS account or you may need to create a new account. * You will be taken to an online application. Complete the online application, verify the required documentation, and submit the application. NOTE: Resumes up to a total of two pages will be accepted. Your resume must not exceed two (2) pages. If your resume exceeds the two-page limit, you will be removed from consideration for this announcement. * You will receive an email notification when your application has been received for the announcement. * To verify the status of your application, log into your USAJOBS account, ************************ select the Application Status link and then select the More Information link for this position. The Application Status page will display the status of your application, the documentation received and processed, and your responses submitted to the online application. Your uploaded documents may take several hours to clear the virus scan process. To preview the questionnaire, please go to ********************************************************* Agency contact information DLA Disposition Svcs POC Phone ************ Email ******************************************* Address DLA Disposition Services 74 Washington Avenue North Suite 6 Battle Creek, MI 49017-3092 US Next steps Once you successfully complete the application process, you will receive a notification of receipt. Your application package will be reviewed to ensure you meet the basic eligibility and qualifications requirements, and you will receive a notification. A review may be completed of your online questionnaire and the documentation you submitted to support your responses. Applicants that are found among the most highly qualified may be referred to the hiring official for consideration, and you will receive a notification of referral. The selecting official may choose to conduct interviews, and as part of the selection process, applicants may be required to complete additional supplemental documents. Once the selection is made, you will receive a notification of the decision. If interviews are conducted, DLA uses a technique called Behavior Based Interviewing (BBI). Be sure to check your USA Jobs account for your notification updates. Fair and transparent The Federal hiring process is set up to be fair and transparent. Please read the following guidance. Criminal history inquiries Equal Employment Opportunity (EEO) Policy Financial suitability New employee probationary period Privacy Act Reasonable accommodation policy Selective Service Signature and false statements Social security number request Required Documents Help To apply for this position you must provide a complete Application Package. Each Application Package MUST include: * Your Resume: IMPORTANT UPDATE: Your resume must not exceed two (2) pages. If your resume exceeds the two-page limit, you will be removed from consideration for this announcement. The resume and required supporting documentation should provide the minimum qualifications and relevant experience for the announced position. Must include the work schedule, hours worked per week, dates of employment, and duties performed. If multiple resumes are submitted by an applicant, only the last resume submitted will be reviewed for qualifications and referred for selection consideration, if eligible. The resume must not be more than 5MB and should be saved and uploaded as a PDF to maintain formatting and number of pages. We also accept GIF, JPG, JPEG, PNG, RTF, TXT, PDF, ODT or Word (DOC or DOCX). We do not accept PDF portfolio files. Page margins should be 0.5 inches, and font styles must be legible. Consider using 14-point size font for titles and 10-point for the main text. We recommend using a font like Lato, if available. Other widely available options are Calibri, Helvetica, Arial, Verdana, Open San Source Sans Pro, Roboto or Noro Sans. * Applicable documents to support the eligibility(s) for which you are applying. Please review the following link for a listing of the additional documents you will need to provide: Supporting Documents. Interagency Career Transition Assistance Program (ICTAP): If you are an eligible ICTAP applicant you may apply for special selection over other candidates for this position. To be well-qualified and exercise selection priority for this vacancy, displaced Federal employees must be rated at a score of 85 or higher for this position. ICTAP eligibles must submit one of the following as proof of eligibility for the special selection priority: a separation notice; a "Notice of Personnel Action" (SF-50) documenting separation; an agency certification that you cannot be placed after injury compensation has been terminated; an OPM notification that your disability annuity has been terminated; OR a Military Department or National Guard Bureau notification that you are retired under 5 U.S.C. 8337(h) or 8456. Priority Placement Program (PPP) DoD Military Spouse Preference (MSP): In order to receive this preference, you must choose to apply using the "Priority Placement Program, DoD Military Spouse Preference (MSP)" eligibility. If you are claiming MSP and are determined to be among the Best Qualified for the position, you may be referred to the hiring manager as a priority applicant. To be eligible as a MSP, you must submit the following supporting documents with your application package: Spouse's Permanent Change of Station (PCS) orders; Marriage Certificate or License; PPP Self Certification Checklist; Veterans' Preference documentation (e.g., DD-214, VA Letter, Statement of Service, if applicable); Transcripts (if applicable). These documents must provide acceptable information to verify: Residency within the commuting area of your sponsor's permanent duty station (PDS); proof of marriage to the active duty sponsor; proof of military member's active duty status; and other documentation required by the vacancy announcement to which you are applying. NOTE: Previous federal employees must also submit the following additional documentation: SF-50s (e.g., LWOP, highest grade held, overseas appointments, etc.), SF-75 information, and documentation of performance rating of record (dated within the last 12 months). Selected PPP MSP applicants will need to certify they have not accepted nor declined another offer of permanent, Federal employment (to include NAF and the military exchange services) since relocating to the military sponsor's current duty station. Priority Placement Program (PPP) DoD Retained Grade Preference (RGP): In order to receive this preference, you must choose to apply using the "Priority Placement Program, DoD Retained Grade Preference (RGP)" eligibility. If you are claiming RGP and are determined to be Well Qualified (score of 85 or above) for the position, you will be referred to the hiring manager as a priority applicant. Information and required documentation for claiming RGP may be found at the General Applicant Information and Definitions link below. To be eligible as a RGP, you must submit the following supporting documents with your application package: a signed Retained Grade PPP Self-Certification Checklist (DD3145-1 (whs.mil)); a copy of your Notification of Personnel Action (SF-50) effecting the placement in retained grade status; or a copy of the notification letter you received regarding the RIF or classification downgrade. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
    $28.7-33.5 hourly 2d ago
  • DNA Examiner

    Ideal Innovations 4.4company rating

    Claim processor job in Quantico, VA

    Highlights: You'll be… * Joining a dynamic forensics team with many opportunities to grow professionally * Working with other forensic experts in various fields to support the FBI and TEDAC missions * Experiencing a unique opportunity to work with the FBI laboratory * Obtaining some or enhancing your experience working in a fully functional government laboratory working closely with other forensics experts Typical Day: Working in a fully operational forensic laboratory. Receiving evidence, examining evidence, processing evidence, analyzing results and documenting findings. Tasks: * Receive and account for boxes of evidence and related materials from contributors. * Visually inspect and process evidence and related materials for mitochondrial and / or nuclear DNA as appropriate; isolate and collect materials for analysis from appropriate areas of various evidentiary materials; prepare samples for instrumental analysis; and associate samples with other existing submissions (as appropriate). * Make an initial determination of the types of samples suitable for analysis and select appropriate protocols for conducting the examination of materials. * Conduct DNA examinations on items of evidence. * Calibrate instruments used for forensic examinations and analysis. * Maintain proper chain-of-custody of all forensic material under examination * Follow all QA/QC procedures, protocols and adhere to policies and procedures related to its accreditation and safety standards. * Conduct DNA analysis and comparisons of profiles or sequences as appropriate. * Author forensic reports to include all laboratory notes and supporting documentation. * Provide all generated profiles or sequences in a format necessary for inclusion, storage, and searching of the appropriate DNA databases. * Conduct technical and administrative reviews of all work. Required Qualifications: Education: * BA in Biology, Chemistry, or related field of biological science from an accredited university/college. * Successfully completed coursework in the following subject areas: nine (9) semester hours in the fields of biochemistry, genetics, and molecular biology as well as coursework and/or training in statistics and/or population genetics as it applies to forensic DNA analysis. Experience: * At least one (1) year as a DNA Examiner in an accredited forensic laboratory. Skills: * Basic computer skills, to include use of Microsoft Office programs (Word, Excel, Access, and Outlook); organization skills; flexibility and adaptability to changing priorities; demonstrated ability to study and pass training, examination, and testing assessments; verbal and written communication skills Clearance: Ability to obtain US Top Secret Clearance (US citizenship required) Shift: Normal day shift Location: Quantico, VA Ideal Innovations, Inc. is an Equal Opportunity Employer: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or veteran status. Ideal Innovations, Inc. is a VEVRAA Federal Contractor.
    $41k-59k yearly est. 22d ago
  • PRP Specialist ($3000 signing bonus, CPRP certification required)

    K&I Healthcare Services LLC

    Claim processor job in Waldorf, MD

    Job DescriptionBenefits: Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Signing bonus Vision insurance SIGNING BONUS $3000 Psychiatric Rehabilitation Program (PRP) Specialist Reports to: Clinical Coordinator Classification: Exempt Status: Full-Time, W-2 Employee Work Location: On-Site Overview: At K&I Healthcare Services, our primary goal is to empower individuals, families, and communities to take charge of their mental well-being. K&I Healthcare Services has three Maryland facilities located in Waldorf, Baltimore, and Landover. K&I Healthcare Services supports the recovery of individuals with mental illness and substance abuse. We are a collective of like-minded individuals, who emphasize the importance of the clinician along with the client. Our team prioritizes our clients. We approach everyone with compassion and an open mind to encourage them to thrive in their healing process. Position Purpose: The Psychiatric Rehabilitation Program (PRP) Director is responsible for the day-to-day oversight and administration of the PRP in accordance with Marylands COMAR 10.63 and other relevant regulatory frameworks, including guidelines from the Behavioral Health Administration (BHA), Medicaid, and accreditation bodies. The Director ensures that the program delivers high-quality rehabilitative services to individuals with serious mental illness, fosters recovery and community integration, and complies with all standards set forth by COMAR and the Community Rehabilitation and Affiliates of Maryland (CRAF). Duties and Responsibilities: Provide overall leadership and strategic direction for the Psychiatric Rehabilitation Program. Ensure full compliance with COMAR 10.63.03 (PRP regulations) and all applicable Medicaid and Behavioral Health Administration standards. Oversee the development and implementation of individualized rehabilitation plans for each participant. Supervise PRP staff and ensure all personnel meet qualification and training requirements per COMAR and CRAF guidelines. Maintain documentation and records to ensure accuracy, confidentiality, and compliance with state regulations and audits. Monitor and ensure compliance with quality assurance, incident reporting, and program evaluation procedures. Coordinate with clinical providers, case managers, and other community services to support continuity of care. Facilitate internal audits, prepare for external audits, and develop corrective action plans as needed. Manage the PRP budget, billing, and reporting in accordance with Medicaid billing standards. Develop and implement policies and procedures that reflect COMAR and CRAF expectations. Represent the agency in professional meetings and forums, including those hosted by BHA or CRAF. Ensure that all direct care staff receive and maintain appropriate PRP training, including but not limited to documentation, ethics, and recovery-based practices. Prepare productivity reports to ensure agency benchmarks are being met. Collaborate with internal and external treatment team providers and maintain a multi-systemic approach to ensuring the dissemination of quality care of each individual being served. Identify and facilitate enrollment of all eligible clients into the program. Assist the Clinical Director in identifying and marketing to relevant referral sources that could benefit from PRP. Maintain accurate and current information on all client databases. Maintained consistent and open communication with the Clinical Director on all relevant and pertinent clinical and administrative issues related to the program. Required Education, Licensing: Certified Psychiatric Rehabilitation Practitioner (CPRP/CFRP) Masters Degree in Social Science or related field; Licensure in the social science and/ or related discipline (LGPC/LCPC or LGSW/LCSW) Two (2) years of experience in administrative management within a behavioral health setting. Qualifications: Demonstrated knowledge of CARF standards, COMAR regulations, HIPAA compliance, and Maryland Medicaid billing requirements. Require strong attention to detail and follow through with time sensitive matters Excellent leadership, communication, and team management skills. Experience with clinical documentation standards, Medicaid regulations, and behavioral health compliance. Strong organizational, communication, and teaching skills. Proficiency with Electronic Health Records (EHRs) and compliance documentation. HIPAA training required within 30 days of hire Respect for and adherence to client confidentiality and HIPAA compliance Ability to work well independently and collaboratively CPR/First Aid Certification Preferred (or willing to obtain within first 6 months of hire) Working Conditions and Environment: Maintain a clean, safe, and drug-free working environment Must pass a criminal background check, drug screening & TB testing Always maintain a professional appearance and demeanor Office work includes commuter work, documentation, planning, and team meetings Compensation: $70,000 $90,000 Weekly Schedule: Employment Type: Full-time 40hrs weekly, W-2 Employee Weekly Schedule: Monday through Wednesday, 9:00 AM 6:00 PM (1-hour mandatory lunch break) Attendance in team meetings as appropriate Physical Requirements The position requires clear and articulate speech and ability to hear. Required to sit for long periods of time, as well as reading and typing on the computer. Equal Opportunity Employer K&I Healthcare Services is an equal opportunity employer. We value a diverse workforce and an inclusive culture. We encourage applications from all qualified individuals and do not discriminate, and will not tolerate discrimination, on the basis of race, ethnicity, color, religion, sex, pregnancy, gender, gender identity or expression, national origin, sexual orientation, age, national origin or ancestry, genetic information, political affiliation, physical or mental disability, military or veteran status, or any other protected status under federal, state or local law. Our employment decisions are solely made according to qualifications for the positions.
    $70k-90k yearly 6d ago
  • Claims Analyst I

    Healthcare Legal Solutions LLC

    Claim processor job in Washington, DC

    Job Description JOB TITLE: Claims Analyst This position is responsible for assisting with following up on administrative appeals and documentation submitted to health insurers and governmental payers; working well with attorneys and paralegals; maintaining the workload. DUTIES AND RESPONSIBILITIES: Works within the client's Patient Accounting system, payer portals and/or websites, and will utilize proprietary software to research accounts in the work queue. Determines action required to resolve the underpayment and initiate that action, including submitting appeals and reconsideration requests. Utilizes increased knowledge of the industry, hospital revenue cycle, and payers/insurance companies to document the account and provide information and details to support paralegal's/attorney's pursuit for additional reimbursement Quickly and efficiently prepares, reviews, and submits well-written claims correspondence and related documents to insurers Is skilled, aggressive, cordial, and professional on the telephone to follow up on submitted appeals. Performs other related duties as assigned by management. QUALIFICATIONS: Bachelor's Degree (BA/BS) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience. Other skills required: BA/BS with a GPA of 3.0 or higher. Interest in healthcare and healthcare law. Able to navigate through various computer systems and applications to find information about insurance claims. Ability to prioritize and multi-task. Excellent written and verbal communication skills. Proficiency in Microsoft Office, including Word and Excel. Excellent organizational and time management skills. High attention to detail. Clear, concise, and logical writing style. COMPETENCIES: Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures. Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals. Business Necessity - The needs of the employer may be dependent on responding to and anticipating rapidly changing external and internal demands in all aspects of how business is conducted. This may include, but is not limited to, organization structure, finances, goals, personnel, work processes, technology, and customer demands. Therefore, it may become necessary to make modifications to how business is conducted, and work is accomplished, with minimal or no advance notice to employees. Accordingly the employee must be capable of adapting, with minimal or no advance notice, to changes in how business is conducted, and work is accomplished, with no diminishment in work performance. Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce. Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. External Working Relationships - Develops and maintains courteous and effective working relationships with clients, vendors and/or any other representatives of external organizations. Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things. Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions. Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics. Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
    $45k-80k yearly est. 15d ago

Learn more about claim processor jobs

How much does a claim processor earn in Wakefield, VA?

The average claim processor in Wakefield, VA earns between $21,000 and $62,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Wakefield, VA

$36,000

What are the biggest employers of Claim Processors in Wakefield, VA?

The biggest employers of Claim Processors in Wakefield, VA are:
  1. Sedgwick LLP
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